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Best Exercises to Improve Balance After a Stroke

  • Oct 16, 2025
  • 2 min read

Introduction: www.youtube.com/kneetiegorungoRegaining balance after a stroke is one of the most crucial steps in rehabilitation. Stroke survivors often experience weakness, coordination issues, and difficulty with stability, which increases the risk of falls. With the right exercises, however, balance can be gradually improved, empowering individuals to move safely and regain confidence in their daily activities.


Seated Marching Exercises:This exercise is an excellent starting point for stroke survivors who may not yet feel stable standing. While seated in a sturdy chair, lift one knee at a time as though marching. This helps activate leg muscles, improves blood circulation, and prepares the body for standing balance work. Over time, increasing the marching pace or holding the leg higher for a few seconds can strengthen coordination.


Heel-to-Toe Walking:Also called “tandem walking,” this exercise involves placing the heel of one foot directly in front of the toes of the other foot while walking in a straight line. It challenges balance and strengthens the muscles that stabilize the body. For safety, stroke survivors should perform this exercise alongside a wall or railing for support.


Single-Leg Stands:Standing on one foot while holding onto a stable surface (like a countertop or sturdy chair) helps retrain the body’s balance systems. Start by holding for just a few seconds on each leg, gradually working toward longer durations. This exercise improves proprioception—the body’s awareness of its position—which is often affected after a stroke.


Weight Shifting:Weight shifting exercises train the body to move smoothly and confidently. To practice, stand with feet shoulder-width apart and gently shift body weight from side to side, or forward and backward. This helps improve core strength and coordination, two key elements of balance recovery.


Chair Squats:Chair squats strengthen the thighs and core, both essential for balance. From a standing position in front of a chair, bend the knees and lower down slowly as if sitting, then rise back up without using the arms for support if possible. Begin with a few repetitions and gradually increase as strength improves.


Tai Chi and Gentle Yoga:Mind-body exercises like Tai Chi and yoga can significantly improve balance, coordination, and flexibility. They emphasize controlled movements and focus, which can also help rebuild mental confidence after a stroke.


Conclusion:Improving balance after a stroke requires patience, consistency, and the right set of exercises. With guided practice, stroke survivors can regain confidence in their movements and reduce the risk of falls, leading to greater independence in daily life. Always consult a medical professional or physical therapist before starting any new exercise program to ensure safety and effectiveness.


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About Dr. Viveck Baluja and KneeTie Vascular Neurology

Dr. Viveck Baluja, MD, is a board-certified vascular neurologist (American Board of Psychiatry and Neurology — Vascular Neurology) practicing telemedicine across California, Michigan, and Colorado, with additional consultation services available to international families, particularly in India.

KneeTie offers three focused services: emergency stroke second opinions delivered within 24 hours, traumatic brain injury (TBI) consultations for survivors and caregivers, and same-day adult ADHD evaluations for residents of CA, MI, and CO.

Stroke Second Opinion

After a stroke, families often have minutes to make decisions. Dr. Baluja provides a second set of expert eyes from a board-certified vascular neurologist — reviewing imaging, hospital records, and current treatment — typically within 24 hours of request. Common questions include: Was tPA appropriate? Should we pursue thrombectomy? What is the recovery outlook? What rehabilitation makes sense?

TBI Consultation

Traumatic brain injury recovery is rarely linear. Dr. Baluja helps patients and families understand recovery timelines, treatment options, post-concussion syndrome, and red flags that warrant emergency evaluation. Consultations typically last 50 minutes and are scheduled within the same week.

Same-Day Adult ADHD Evaluation

A real evaluation by a board-certified neurologist — not a 7-minute screening. Dr. Baluja's ADHD evaluations include comprehensive history, sleep and lifestyle assessment, and behavioral strategy alongside any medication discussion. Available same-day for residents of California, Michigan, and Colorado.

Why a Vascular Neurologist?

Vascular neurology is a subspecialty focused on stroke, cerebrovascular disease, and brain blood flow — among the rarest neurology subspecialties in the U.S. Most online telehealth services use general practitioners or nurse practitioners. KneeTie is led by a board-certified vascular neurologist with full state licensure and HIPAA-compliant telehealth infrastructure.

Schedule a consultation: Use the booking calendar above to choose a service and reserve a time. For active stroke or post-tPA emergencies, email gorungo@kneetie.com directly with "URGENT" in the subject line.

© 2020 KneeTie, Jagannatha Health LLC 

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