Neurology
Stroke Rehabilitation
Rehabilitation after a stroke is tailored to the difficulties a person experiences and may involve more than one healthcare professional. Neurology and physiotherapy input can support discussion of recovery goals and ongoing care.
Setting rehabilitation goals
After emergency treatment, rehabilitation may address movement, speech, swallowing, thinking or daily tasks depending on the person’s needs. Recovery and the team involved vary. Ask how goals will be chosen, what can be practised safely at home and how progress will be reviewed.
Recognising new stroke symptoms
Rehabilitation does not replace emergency care for a new stroke. Sudden face drooping, arm weakness or difficulty speaking needs immediate emergency help, even if the symptoms improve. Tell the treating team about any new change in function or other concerning symptoms.
Starting from the hospital discharge plan
Bring the discharge summary, medicines, investigation results and any rehabilitation instructions already supplied. Explain which activities are most difficult now, such as walking, dressing, communicating or managing fatigue. A relative or carer can help describe the support available at home, with the patient's agreement.
Recovery needs differ after a stroke. A review should identify priorities and how care from the medical team and rehabilitation professionals fits together. Clarify which services are available at the clinic and which need referral, especially when several aspects of recovery require specialist support.
Goals that can be reviewed in everyday terms
Choose practical goals with the team and ask how progress will be assessed. Useful discussion points include assistance needed, equipment already supplied and the activities that matter most to the person recovering. Discuss how carers can help without taking on tasks they have not been taught to perform safely.
Ask whom to contact about changes in symptoms or difficulties following the plan. Rehabilitation appointments are for recovery after the acute event; they are not a substitute for emergency treatment. New facial weakness, arm weakness or speech difficulty needs immediate emergency assessment even in someone who has had a previous stroke.
Frequently asked questions
Is stroke rehabilitation an emergency treatment for a new stroke?
No. Sudden face drooping, arm weakness or speech difficulty needs emergency medical care immediately, even if symptoms improve.
What can stroke rehabilitation address?
Depending on a person’s needs, rehabilitation may address movement, communication, thinking and daily activities with the appropriate care team.
How long does stroke recovery take?
Recovery varies considerably. Ask the treating team about goals, follow-up and what support is available.
Can family members be involved?
With the patient’s agreement, family or carers can discuss safe support and goals with the rehabilitation team.
Sources and further reading
These sources provide general health information. Recommendations and services may differ by location; discuss your care with your clinician.