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Updated: Jul 8, 2025

Quantitative Static and Dynamic Assessment of Balance Control in Stroke Patients
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Delayed cortical engagement associated with balance dysfunction after stroke.

Jacqueline A Palmer1, Aiden M Payne2, Jasmine L Mirdamadi1

  • 1Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University, 1441 Clifton Road NE, Atlanta, GA 30322 USA.

Medrxiv : the Preprint Server for Health Sciences
|December 11, 2023
PubMed
Summary
This summary is machine-generated.

Stroke survivors show slower brain responses (cortical N1) affecting balance and mobility. Impaired cortical engagement, especially with the affected leg, limits recovery and highlights the need for tailored rehabilitation strategies.

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Biomechanics

Background:

  • Cortical resources are crucial for balance and mobility in older adults.
  • Stroke significantly impairs these cortical resources, leading to mobility deficits.
  • The precise impact of stroke-induced cortical lesions on the neuromechanical control of balance remains unclear.

Conclusions:

  • Individuals post-stroke may have balance limitations due to slowed cortical engagement, particularly when relying on the paretic leg.
  • The non-paretic leg can compensate, but challenging conditions reveal deficits tied to cortical processing speed.
  • Findings suggest a framework for individualized assessment and treatment of balance impairments based on stroke's neurological and behavioral impact.