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Why Your Core Matters: Understanding Proximal Stability in Stroke Recovery

Think of your body as a crane - without a stable base, the arm can't perform precise movements. This is exactly what "proximal stability for distal mobility" means in stroke rehabilitation. Research shows that a stable trunk and shoulder girdle are essential for effective arm and hand function (Wee et al., 2023).

2/2/20251 min read

silhouette photography of woman doing yoga
silhouette photography of woman doing yoga

Why It Matters Recent studies demonstrate that stroke survivors with better core stability show improved hand function and reaching abilities (Miyamoto et al., 2022). It's simple - when your core and shoulder are stable, your brain can focus on controlling your hand movements instead of struggling to maintain balance.

Practical Applications

  1. Seated Activities:

  • Start with proper posture in sitting

  • Practice reaching while maintaining trunk control

  • Progress from supported to unsupported sitting

  1. Standing Tasks:

  • Begin with stable stance

  • Practice weight shifting while maintaining core stability

  • Add arm movements once stable

Real-Life Examples A 2024 study by Chen and colleagues showed how this principle works in daily activities:

  • Making coffee: A stable core helps you pour accurately

  • Writing: Trunk control improves handwriting precision

  • Using smartphones: Better shoulder stability enables finer finger movements

Implementation Tips:

  • Start with core exercises before hand therapy

  • Focus on quality over quantity

  • Progress from supported to unsupported activities

  • Include balance exercises in your routine

As noted in the Journal of Stroke Rehabilitation (Thompson et al., 2023): "Proximal stability training should precede fine motor activities for optimal functional recovery."

Remember: Building a strong foundation (proximal stability) is key to regaining those precise hand movements we often take for granted.

References:

  • Wee et al. (2023) Neurorehabilitation Journal

  • Miyamoto et al. (2022) Stroke Research and Treatment

  • Chen et al. (2024) Physical Therapy Science

  • Thompson et al. (2023) Journal of Stroke Rehabilitation