Core muscle rehabilitation during early mobilization after stroke: a narrative review and clinical framework
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By
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Chang-lan Ling-hu
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Qin Yu
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Meng Li
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Zhen-zhen Liu
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Xia-pei Peng
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July 9, 2026
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Clinical Scorecard: Rehabilitation of Core Muscles in the Initial Stages of Stroke Recovery: A Narrative Review and Clinical Approach
At a Glance
| Category | Detail |
|---|
| Condition | Stroke Rehabilitation |
| Key Mechanisms | Core muscle rehabilitation focuses on trunk stability, balance, and mobility post-stroke. |
| Target Population | Stroke survivors in the early rehabilitation period. |
| Care Setting | Clinical rehabilitation settings. |
Key Highlights
- Core training is an adjunct to functional training, not a substitute.
- Individualization of rehabilitation is crucial based on patient-specific factors.
- Early mobilization is distinct from preparatory bed-level exercises.
Guideline-Based Recommendations
Diagnosis
- Assess neurological stability and hemodynamic status before initiating rehabilitation.
Management
- Integrate core muscle rehabilitation once medical stability is achieved.
Monitoring & Follow-up
- Monitor for signs of fatigue, orthostatic tolerance, and coexisting complications.
Risks
- Avoid rehabilitation in cases of uncontrolled intracranial hypertension or severe sepsis.
Patient & Prescribing Data
Patients with stroke who have achieved medical and neurological stability.
Core muscle rehabilitation can improve trunk control and balance.
Clinical Best Practices
- Prioritize functional mobility training in the early phase post-stroke.
- Use a pragmatic clinical decision-support framework for rehabilitation.
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