How Stroke Affects Balance and Coordination

Understanding Strokes and Their Impact on Balance and Coordination

Strokes are a leading cause of disability and can have a significant impact on a person's balance and coordination. In this article, we will explore the different ways in which strokes can affect these essential functions and discuss some of the potential treatments and strategies for improving balance and coordination after a stroke. We will cover the following topics:

The Relationship between Strokes, the Brain, and Motor Control

When a stroke occurs, blood flow to a specific area of the brain is interrupted, causing brain cells to die. This can result in a variety of physical and cognitive impairments, depending on the area of the brain that is affected. One of the primary areas impacted by strokes is the motor cortex, which is responsible for controlling voluntary movements. Damage to this part of the brain can lead to difficulties with balance and coordination, as well as muscle weakness and reduced mobility.

How Strokes Affect Balance

Balance is a complex function that relies on various sensory inputs from the inner ear, eyes, and muscles. These inputs are processed by the brain, which then sends signals to the muscles to maintain stability and prevent falls. When a stroke damages the areas of the brain responsible for processing this information, it can lead to balance problems. Some common balance issues after a stroke include:

  • Difficulty maintaining a stable posture
  • Increased risk of falls
  • Dizziness and vertigo
  • Difficulty walking and navigating uneven surfaces

How Strokes Affect Coordination

Coordination is the ability to control the timing and sequencing of muscle movements, allowing us to perform complex tasks like buttoning a shirt or picking up a glass. Strokes can affect coordination by damaging the areas of the brain responsible for planning and executing muscle movements. This can result in a variety of coordination problems, such as:

  • Clumsiness and difficulty performing fine motor tasks
  • Impaired hand-eye coordination
  • Difficulty walking and maintaining a steady gait
  • Trouble with tasks that require precise timing and control, like catching a ball

Assessing Balance and Coordination After a Stroke

After a stroke, it is important to have a thorough evaluation of your balance and coordination by a healthcare professional. This assessment may include tests to measure muscle strength, range of motion, and sensory function. By identifying the specific areas of impairment, your healthcare team can develop a targeted rehabilitation plan to address your balance and coordination problems.

Rehabilitation Strategies for Improving Balance and Coordination

There are a variety of rehabilitation strategies that can help improve balance and coordination after a stroke. These may include:

  • Physical therapy to improve muscle strength, flexibility, and proprioception (awareness of body position in space)
  • Occupational therapy to help with daily activities and fine motor skills
  • Vestibular rehabilitation to address dizziness and vertigo
  • Balance training exercises, such as standing on one leg or walking on uneven surfaces
  • Coordination exercises, such as catching a ball or practicing hand-eye coordination tasks

Adaptive Equipment and Assistive Devices

In some cases, adaptive equipment and assistive devices may be recommended to help improve balance and coordination after a stroke. These may include:

  • Canes, walkers, or wheelchairs to aid with mobility and stability
  • Orthotic devices to support and stabilize joints
  • Adaptive utensils and tools to help with fine motor tasks

Managing Emotional and Psychological Impacts of Stroke-Related Balance and Coordination Issues

Dealing with balance and coordination problems after a stroke can be frustrating and may lead to feelings of depression, anxiety, and isolation. It is important to seek support from friends, family, and healthcare professionals to help manage these emotional challenges. Counseling and support groups may also be beneficial in helping you cope with the psychological impacts of stroke-related balance and coordination issues.

Preventing Future Strokes and Promoting Overall Health

It is important to take steps to reduce your risk of future strokes and promote overall health. This may include managing underlying health conditions, such as high blood pressure or diabetes, adopting a healthy lifestyle with regular exercise, and maintaining a balanced diet. By taking care of your overall health, you can help to improve your balance and coordination and reduce the risk of additional stroke-related impairments.


Strokes can have a significant impact on balance and coordination, making daily activities and mobility more challenging. By working with healthcare professionals and following a targeted rehabilitation plan, many stroke survivors can make significant improvements in their balance and coordination. It is important to be patient and persistent in your recovery journey, as improvements may be gradual and may take time.