Objective: The objective of the study was to find the effectiveness of repetitive bilateral leg training on improving lower extremity motor functions of hemi paretic patients in the geriatric age group Methods: An experimental approach, with pre test and post test control group design was used. 30 acute middle cerebral artery(MCA) stroke patients were conveniently selected and randomly distributed in to group A and Group B. Group A received conventional physiotherapy and group B received repetitive bilateral leg training in addition to conventional physiotherapy. Groups were assessed on first and the sixth week .Tool used for outcome measurement was Fugl-Meyer lower extremity physical performance scale(FMA) for measuring lower extremity motor function . Statistical analysis of data was done using student t test with SPSS software package. Result: It was found that lower extremity function and ADL improved significantly more in the experimental group (Group A) in comparison to control group (Group B). Conclusion: Repetitive bilateral leg training is a clinically simple and cost effective method for improving lower extremity motor and ADL functions of post MCA stroke hemi paretic geriatric patients .