Post-Stroke Recovery Exercise Program: A Guide to Rehabilitation

A comprehensive guide for stroke survivors and caregivers

Neurology

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Last updated: Mar 24, 2025

Introduction

This exercise program is designed to help stroke survivors regain strength, mobility, and independence. Always consult your healthcare provider before starting any exercise program.

Safety Guidelines

  • Start exercises only under medical supervision
  • Stop if you experience pain or dizziness
  • Have someone nearby during exercises
  • Use supportive equipment as prescribed

Basic Exercise Program

1. Range of Motion Exercises

Passive Exercises (with assistance):

  • Shoulder rotations
  • Elbow flexion/extension
  • Wrist circles
  • Ankle movements

Active Exercises (as ability permits):

  • Finger spreading
  • Hand gripping
  • Arm raises
  • Leg lifts

2. Strength Training

Upper Body:

  • Seated shoulder press
  • Wall pushups
  • Resistance band pulls

Lower Body:

  • Seated leg extensions
  • Standing heel raises
  • Bridge exercises

3. Balance Activities

  • Seated balance exercises
  • Standing with support
  • Weight shifts
  • Single leg stance (with support)

4. Functional Activities

  • Sit-to-stand practice
  • Walking exercises
  • Stair climbing (when appropriate)
  • Daily task practice

Exercise Progression

  1. Start with 5-10 minutes per session
  2. Gradually increase to 20-30 minutes
  3. Aim for 2-3 sessions daily
  4. Progress based on therapist recommendations

Warning Signs

Seek immediate medical attention if you experience:

  • Chest pain
  • Severe headache
  • Sudden weakness
  • Difficulty breathing

Documentation

Keep a daily exercise log including:

  • Exercises performed
  • Duration
  • Difficulty level
  • Any symptoms

Support Resources

Contact your healthcare provider or physical therapist for:

  • Exercise modifications
  • Progress assessment
  • Additional support needs

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