Structural Remodeling of Tibialis Anterior Muscle in Stroke

Inclusion Criteria: * Male and female patients aged 40-80 years. * History of ischemic or hemorrhagic Cerebrovascular Accident (CVA). * Being in the subacute or chronic phase post-stroke. * Absence of communication deficits; ability to follow verbal commands. * Voluntary agreement to participate and provision of written informed consent. * Ability to ambulate without physical assistance from another person (use of assistive devices such as leg orthoses or tripods is permitted). Exclusion Criteria: * Presence of other comorbidities affecting gait (e.g., Parkinson's disease, hip surgery, etc.). * History of dyspnea (shortness of breath) during activities of daily living within the last 6 months. * Presence of bone or joint-related pain or pathology in the spine or hips. * Presence of psychiatric or cognitive disorders (e.g., learning disabilities, mental disorders, autism, etc.). * Decompensated cardiac, renal, or hepatic failure. * Presence of malignancy.