Effects of Combined Motor Imagery and Otago Exercises Versus Otago Exercises Alone on Balance in Individuals with Stroke

This study titled “Effects of Combined Motor Imagery and Otago Exercises Versus Otago Exercises Alone on Balance in Individuals with Stroke” aims to evaluate whether integrating motor imagery with the Otago Exercise Program enhances balance recovery in stroke patients compared to the Otago program alone. Stroke often leads to impaired balance and increased fall risk, and while both motor imagery and Otago exercises are known to improve balance independently, limited evidence exists on their combined effect. The experimental study will include 28 participants divided into two groups—one performing Otago exercises only and the other combining Otago with motor imagery—over a 4-week, thrice-weekly intervention, each session duration of 45 minutes . Balance will be assessed using the Berg Balance Scale and Timed Up and Go Test before and after intervention. Data will be analyzed using appropriate statistical tests (t-test, Mann–Whitney U, ANOVA, or Friedman test) based on data distribution to determine the effectiveness of each approach.