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Related Experiment Video

Updated: Jun 7, 2026

Compensatory Limb Use and Behavioral Assessment of Motor Skill Learning Following Sensorimotor Cortex Injury in a Mouse Model of Ischemic Stroke
08:01

Compensatory Limb Use and Behavioral Assessment of Motor Skill Learning Following Sensorimotor Cortex Injury in a Mouse Model of Ischemic Stroke

Published on: July 10, 2014

Compensatory stepping responses in individuals with stroke: a pilot study.

Bimal Lakhani1, Avril Mansfield, Elizabeth L Inness

  • 1Graduate Department of Rehabilitation Sciences, University of Toronto, Toronto, Ontario, Canada.

Physiotherapy Theory and Practice
|October 21, 2010
PubMed
Summary

Individuals post-stroke often struggle with balance, leading to falls. This study shows impaired compensatory stepping responses, even with good clinical balance scores, highlighting a gap in reactive balance assessment.

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Last Updated: Jun 7, 2026

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Area of Science:

  • Neuroscience
  • Biomechanics
  • Rehabilitation Science

Background:

  • Post-stroke impairments frequently include poor postural control and a high fall incidence.
  • Compensatory stepping is vital for maintaining balance during reactive situations.

Observation:

  • Individuals post-stroke often exclusively use their non-paretic limb for compensatory steps.
  • While step timing may be comparable to controls, the choice of stepping limb is significantly affected.

Findings:

  • Three out of four stroke survivors predominantly stepped with their non-paretic limb.
  • Attempts to elicit stepping with the paretic limb were unsuccessful in most participants.
  • Multistep responses were observed in half of the stroke survivors.

Implications:

  • Current clinical balance assessments may not fully capture reactive balance deficits in stroke survivors.
  • Understanding stepping strategies is crucial for developing targeted rehabilitation interventions.
  • Impaired compensatory stepping contributes to the high fall risk observed in post-stroke populations.