Study’s purpose: Improving cognitive functions among elderly stroke patients. Methodology: A quasi-experimental research was conducted at Zagazig University Hospitals was used. The research group was consisting of 60 elderly patients, chosen deliberately. The X version of the modified Mini-mental state test, digital duration, and logical memory was used to assess cognitive functions. By analyzing the relationship of cognitive functions with demographic and clinical variables, contributing factors were established. Major results: There was a statistically significant difference in the total score of cognitive abilities domains [spatial orientation, similarities, and three stage commands] among studied elderly patients with stroke after the rehabilitation intervention,. Clinical implications: Training program implementation has a direct influence on the cognitive performance of elderly patients with stroke.