Deans' stroke musings: Advancing Balance Assessment in Stroke Rehabilitation: A Comparative Exploration of Sensor-Based and Conventional Balance Tests

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, February 22, 2026

Advancing Balance Assessment in Stroke Rehabilitation: A Comparative Exploration of Sensor-Based and Conventional Balance Tests

What absolute crapola! 'Assessment' RATHER THAN BALANCE RECOVERY PROTOCOLS! Stroke research is to get survivors recovered, this DID NOTHING TOWARDS THAT!

Hope their comeuppance is extremely debilitating when they are the 1 in 4 per WHO that has a stroke! I should be a better person and not revel in schadefreude, but incompetence deserves its' own reward.

You're all fired!

Advancing Balance Assessment in Stroke Rehabilitation: A Comparative Exploration of Sensor-Based and Conventional Balance Tests

and

Research Group Lifestyle and Health, Utrecht University of Applied Sciences, 3584 CS Utrecht, The Netherlands

Centre of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Centre, University Medical Centre Utrecht, and De Hoogstraat Rehabilitation, 3583 TM Utrecht, The Netherlands

Axioncontinu, Physiotherapy Department Neurology, Rehabilitation Center de Parkgraaf, Beneluxlaan 926, 3526 KJ Utrecht, The Netherlands

Department of Neurorehabilitation,De Hoogstraat Rehabilitation, Rembrandtkade 10, 3583 TM Utrecht, The Netherlands

Sensors2026, 26(4), 1308;https://doi.org/10.3390/s26041308

This article belongs to the Special Issue IMU and Innovative Sensors for Healthcare

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Abstract

Balance impairments in stroke rehabilitation are commonly assessed using the Trunk Control Test (TCT), Berg Balance Scale (BBS), and Mini Balance Evaluation System Test (Mini-BESTest). However, these conventional tests are subjective, susceptible to floor and ceiling effects, and time-intensive. Inertial measurement units (IMUs) may address these limitations by providing objective, impairment-level metrics, not captured by conventional tests. This observational study explored the measurement properties of an IMU-based balance assessment of postural sway, and compared them with conventional tests in routine stroke rehabilitation. Stroke survivors from five Dutch rehabilitation centers were assessed at admission and discharge using conventional and IMU-based balance tests during sitting and standing tasks. Floor and ceiling effects were evaluated, and relationships between measures were examined using correlation analysis. At admission, 105 participants were measured, and 90 at discharge. IMU measures showed no floor or ceiling effects despite skewed distributions. IMU stance-tasks correlated moderately with the BBS and Mini-BESTest (18–29% variance explained), whereas IMU sitting-tasks showed weak to no relationship with the TCT. IMU-based balance assessment of postural sway captures balance-related information that is partially different from conventional tests. Although IMUs offer practical advantages, further research is needed to establish the clinical relevance of postural sway measurements alongside conventional tests.