Balance exercises and fear-of-falling therapy after stroke

This trial is testing whether two therapies work better together than separately for stroke survivors struggling with balance, falls, and fear of falling. The study combines the Otago Exercise Program—a proven balance and strength training routine—with systematic desensitization, a psychological technique that helps people gradually overcome their fear of falling. Researchers want to see if this combination, alongside standard physical therapy, helps stroke survivors regain confidence and reduce their risk of dangerous falls.

Stroke survivors have twice the risk of falling compared to other older adults, and many develop intense fear of falling that stops them from moving and recovering. This trial exists to find out whether pairing physical exercises with psychological support can address both the physical and emotional barriers that prevent stroke survivors from healing and staying safe.