Healthdirect Free Australian health advice you can count on.

Medical problem? Call 1800 022 222. If you need urgent medical help, call triple zero immediately

healthdirect Australia is a free service where you can talk to a nurse or doctor who can help you know what to do.

beginning of content

Stroke rehabilitation

3-minute read

Rehabilitation is often necessary to assist the brain to relearn skills that have been affected by a stroke.

Strokes can cause weakness or paralysis in one side of the body. Many people also have problems with co-ordination and balance, and suffer from extreme tiredness (fatigue) in the first few weeks after a stroke. They may also have difficulty sleeping, making them even more tired.

The most common problems in daily life are likely to be caused by:

  • weakness or lack of movement (paralysis) in legs or arms
  • shoulder pain
  • trouble swallowing
  • changes to the way things are seen or felt (perceptual problems)
  • changes to the way things are felt when touched (sensory problems)
  • trouble thinking or remembering (cognitive problems)
  • difficulty speaking, reading or writing
  • incontinence
  • feeling depressed
  • problems controlling feelings
  • tiredness.

If you are experiencing anxiety or depression, you should speak to your doctor.

Assessment for rehabilitation

A specialist rehabilitation team will assess a person’s suitability for ongoing rehabilitation after a stroke. The amount and type of rehabilitation offered will depend on the individual's needs and how much they can manage. Family, carers and the person affected by stroke should be involved in any choices available.

Rehabilitation - in an acute hospital ward - can start very soon after a stroke. It may continue at a rehabilitation facility or sometimes in an outpatient unit.


If you have had a stroke, a physiotherapist should see you as part of your rehabilitation to assess the extent of any physical disability before drawing up a treatment plan.

At first, your physiotherapist will work with you by setting goals to improve your posture and balance. As your condition improves, more demanding long-term goals, such as standing or walking, will be set.

A carer, such as a member of your family, will be encouraged to become involved in your physiotherapy. The physiotherapist can teach both of you some simple exercises you can do at home.

Sometimes, physiotherapy can last months or even years.

The specific abilities that are lost or affected by a stroke depend on the extent of the brain damage and, most importantly, where in the brain the stroke occurred.

Speech therapy

After a stroke, you may have problems with communication, including difficulty speaking and understanding others. A speech pathologist will develop a plan with you to address these challenges where possible.

You may benefit from:

  • practising talking, listening and writing
  • practising using gestures or aides to assist with communication
  • exercising the muscles needed for speech to improve their strength and coordination.


Recovery after a stroke depends upon many factors including the severity of the stroke and the time it takes to receive medical care. The most rapid recovery occurs in the first 3 months after a stroke. Further recovery is possible, but gains are usually slower and may take years.

Training for carers

A rehabilitation team can help carers and the people they care for learn the skills needed to manage daily life after the cared-for person has had a stroke.

Carers can provide physical, emotional and practical help. They benefit from training that allows them to help communication between the person they care for and other care providers and support groups, including Centrelink.

Training can also assist them in:

  • talking to health professionals about assessments and test results
  • helping to set goals and being involved in treatment decisions
  • joining in therapy sessions
  • encouraging exercise and activities suggested by therapists
  • helping to celebrate progress
  • using a communication book to help a cared-for person remember things (e.g. who they have visited, which therapists they have seen, what they said).

Carers can call StrokeLine to talk to a health professional and get free information and advice: 1800 STROKE (787 653), Monday to Friday, 9am to 5pm, AEST.

Last reviewed: July 2017

Need more information?

These trusted information partners have more on this topic.

Top results

Impetigo -

Impetigo - sometimes called school sores - is a very contagious skin infection. It is most common in children and infants and causes sores, especially on the face.

Read more on myDr website

Breasts: inside women's breasts -

An internal view shows that the breast is made up of fat, nipple, glands and a network of ducts.

Read more on myDr website

Varicose veins -

Varicose veins (twisted, swollen veins) in the legs are a common problem. Find out about the causes, symptoms and treatment for varicose veins.

Read more on myDr website

Listeria risk in pregnancy -

Listeria bacteria can cause serious problems during pregnancy. Listeria can be transmitted by eating contaminated food, but there are steps you can take to avoid infection.

Read more on myDr website

Physical activity in children and teenagers -

Get the low down on why physical activity is so important for children and teenagers.

Read more on myDr website

Ultrasound -

Ultrasound is a way of taking a look at the unborn baby without using potentially harmful X-rays.

Read more on myDr website

Head lice -

Head lice (or nits), which live and breed in hair or on the scalp, can be treated by wet combing with a conditioner or with various shampoos and lotions.

Read more on myDr website

Ovulation testing -

Find out how ovulation tests can help you find your most fertile days and increase your chances of getting pregnant.

Read more on myDr website

Childhood rashes -

Distinguish between the childhood rashes of rubella (German measles), measles, chickenpox and fifth disease ('slapped cheek' disease).

Read more on myDr website

Child Energy Requirements Calculator -

Find out the estimated energy requirement (EER) for infants, children and adolescents at different physical activity levels.

Read more on myDr website

Healthdirect 24hr 7 days a week hotline

24 hour health advice you can count on

1800 022 222

Government Accredited with over 140 information partners

We are a government-funded service, providing quality, approved health information and advice

Australian Government, health department logo ACT Government logo New South Wales government, health department logo Northen Territory Government logo Government of South Australia, health department logo Tasmanian government logo Government of Western Australia, health department logo