Rehabilitation after stroke: a typical pathway

Stroke is a medical emergency

Sudden weakness, facial droop, slurred speech, vision changes or severe headache can all be signs of stroke. If you suspect a stroke, call 000 immediately. Time-critical treatment can reduce the impact of stroke and influence recovery.

Where rehabilitation may take place

Rehabilitation often begins in hospital soon after the person is medically stable. It may continue in a dedicated inpatient rehabilitation unit, in an outpatient or day-hospital program, in community-based services or in the person's own home.

Assessment and goal setting

The team will work with the person and their family to understand the impact of the stroke and to set individual goals. Goals are reviewed regularly and updated as recovery progresses.

Possible team members

• Physiotherapy for movement, balance and mobility.
• Occupational therapy for daily activities and equipment.
• Speech pathology for communication and swallowing.
• Nursing and medical care for ongoing health needs.
• Psychology and social work for emotional, cognitive and practical support.
• Dietetics for nutrition and swallowing-related diet changes.

Areas rehabilitation may address

• Mobility, transfers and falls prevention.
• Communication and language.
• Swallowing and safe eating.
• Self-care and household activities.
• Cognition, attention and memory.
• Mood, emotional wellbeing and adjustment.

Discharge planning and ongoing support

Discharge planning starts early and considers the home environment, equipment, supports and follow-up care. Many people continue therapy in outpatient, community or home-based settings after leaving hospital.

Family and carers

Family members and carers often have an important role in supporting recovery, communication and daily routines. With the person's consent, they can be involved in goal setting, education and discharge planning.

Every recovery pathway is different

Recovery from stroke varies widely. This guide does not predict timeframes or outcomes and does not prescribe exercises. Your treating team can advise on what is appropriate for the person's circumstances.