The weeks after a stroke are when the brain is most ready to relearn movement. Physiotherapy at home lets that work continue in the place your loved one actually needs to function, without exhausting trips across town.
This article is general information and not a substitute for advice from your loved one’s doctor or therapist.
Why starting early matters
After a stroke, other parts of the brain can gradually take over some lost functions. Regular, repeated practice helps that process. Families are often told to wait until their loved one "feels stronger", but gentle rehabilitation usually starts as soon as the medical team says it is safe.
What the first assessment covers
At the first home visit, the physiotherapist reviews the hospital discharge notes and checks strength, sensation, balance, sitting and standing, walking and how the person moves in and out of bed. They also look at the home: steps at the entrance, the route to the toilet, bed height and where furniture could help or get in the way. Together with the family, they agree realistic goals, such as sitting unsupported, walking to the gate or getting to church.
What a typical session looks like
- Gentle stretches to reduce stiffness in the affected arm and leg
- Strengthening exercises for the weaker side
- Balance work in sitting and standing
- Practising real tasks: rolling in bed, standing from a chair, walking with an aid
- Teaching safe ways for family to help with transfers
How often, and for how long?
Many people start with two to three sessions a week in the early months, reducing as they improve. Recovery is often fastest in the first few months, but progress can continue well beyond that with practice. Your therapist will review goals regularly and adjust the plan.
How family can help between sessions
- Follow the home exercise plan daily, even when your loved one is tired.
- Encourage use of the weaker side for simple tasks, like holding a cup.
- Stand or sit on the weaker side when talking, so they turn towards it.
- Let them do things themselves, even slowly. Doing everything for them slows recovery.
- Celebrate small wins. Motivation matters.
Simple changes at home
Clear walkways, a firm chair with armrests, a raised toilet seat and grab rails in the bathroom make a big difference. Your therapist can advise on a walking stick or frame and show everyone how to use it safely.
When to call the doctor urgently
Know the signs of a new stroke using the FAST check: Face drooping, Arm weakness, Speech difficulty, Time to get emergency help. Also seek medical advice for a sudden severe headache, new confusion, chest pain or a fall with injury.
