A stroke is the result of a reduced blood supply to the brain due to a clot, hemorrhage, or poor circulation. In patients with hemiplegia secondary to stroke, proprioceptive deficits in the ankle joint, muscle weakness, and unequal weight bearing on the lower limbs are associated with an increase in postural sway ( 33 ). Therefore, as we observed in our study, a regular and targeted task-oriented exercise program, stroke rehabilitation exercises at home by strengthening the major muscle groups of the lower extremities as well as improving proprioception and increasing weight bearing on the affected foot, had positive effects on postural stability ( 11 , 27 , 31 ). Patients with stroke were able to select the pertinent sensory information for balance control more efficiently after adding multisensory training to task-oriented exercises ( 34 , 35 ).
The COP path length and the COP area have been used to assess steadiness ( 11 , 21 ). Steadiness is defined as the ability to maintain a stable standing position with minimal movement ( 10 , 11 ). The result of this study about the COP path length and COP area was similar to some previous studies that evaluated postural sway in patients with stroke ( 1 , 5 , 12 , 31 ). For example, Tsaklis et al. ( 10 ) examined the effects of learning weight transfer on balance and weight distribution in 9 male patients with chronic stroke after 4 weeks.

According to the Joint Commission, Strokes are getting younger and younger”, about 30% of strokes occur to those under 65 years of age, in other words, during their productive wage earning years.” In a study performed six months after a stroke, they found that 30% of stroke survivors continued to need assistance to walk and 50% had some degree of paralysis on one side of their body.
Dynamometry; timed up and go; six-minute walk test; stair climbing test; sit and stand up test; isokinetic strength; walking speed; peak FC; peak VO2; 1MR; quality of life; balance; scales used to monitor perception of effort; EMG; strength platform.
Even when brain cells are destroyed completely, recovery is still possible because the human brain is capable of reorganizing and retraining itself through neuroplasticity When you perform repetitive physical tasks, you tap into this ability by "retraining" unaffected parts of your brain to perform functions that your damaged brain cells once performed.

In the experimental group, the patients performed the following task-oriented exercise program: 1) sitting on a chair and reaching for objects in all directions at a distance of more than arm's length, 2) stepping forward, backward, and sideways on the exercise step, 3) performing flexion and extension of the affected knee, with the affected foot located on the exercise step and the unaffected foot off the step, 4) stepping over obstacles with different heights, 5) standing up from a chair, walking four steps forward, touching a stool, and then returning to the chair, 6) sitting on a Swiss ball while doing a range of motion and balance exercises in the trunk and upper extremities, 7) double leg standing for 10 seconds, 8) tandem standing, or placing the heel of one foot in front of the other foot, for 10 seconds, 9) standing up from a chair without using the arms, and 10) tandem walking forward and backward ( 12 , 20 ).
While some of us can't imagine missing a day at the gym, others struggle with the work” in workout.” And when you're recovering from a stroke or caring from someone who is, stroke recovery exercises that are actually enjoyable can be challenging to think about - let alone do.

Even though the results showed harder performance during the aquatic treadmill test, patients did not feel as if they were working harder, which shows the aquatic treadmill exercise is a viable way to improve stroke recovery faster without the added strain.
The findings demonstrated an increased CSA after 12 weeks of RT. This increase in lean muscle mass could help to explain the higher muscle strength and power, as well as walking speed observed in stroke patients undergoing an eccentric RT program in comparison with volunteers who performed a concentric RT program 50 , so that taken together data demonstrate a potential superior effectiveness of eccentric RT programs in comparison with concentric RT programs.