• Exercises to keep elbows, shoulders, and other
• Watching for joint tightening (contractures)
• Making sure splints are used in the correct way
• Making sure arms and legs are in a good position
when sitting or lying
• Check every day for pressure sores at the heels,
ankles, knees, hips, tailbone, and elbows.
After a stroke, the patient may have:
• Problems using arm or hand, making it difficult to eat and
• Problems with memory and thinking, which might mean the
patient forgets to eat and drink.
• Loss of appetite
• Swallowing problems (dysphagia)
If patient has problems with arm or hand,
or with memory and thinking, an
occupational therapist can help with aids
and with strategies to help remember. If
patient has dysphagia, a speech
pathologist can recommend strategies to
help eat and drink safely. The patient may
need food and drinks with a different
• Pick a regular time, such as after a
meal or a warm bath, to try to have
a bowel movement.
• Be patient. It may take 15 to 45
minutes to have bowel movements.
•Try gently rubbing stomach to help
stool move through your colon.
SPEECH AND LANGUAGE THERAPY
•Stroke survivors may have trouble speaking, finding words, or
understanding what other people are saying. This is called
•Therapy may include repeating words as well as reading and
Top 5 Speech Therapy Exercises for
Patients Who Have Suffered a Stroke
To improve communication :
Keep distractions and noise down. Keep voice lower. Move to a quieter
Allow plenty of time for the person to answer questions and
Use simple words and sentences. Ask questions in a way that can be
answered with a yes or no. When possible, give clear choices. Do not
give too many options.
Break down instructions into small and simple steps.
Repeat if needed. Use familiar names and places.
Make eye contact before touching or speaking if
Use an electronic device, such as a tablet, computer or
cell phone, to show pictures to help with
Stroke can cause chemical changes in the brain
that affect the way a person thinks, feels, and
• Talk therapy
• Positive psychology
• Cognitive behavior therapy (CBT)
• Holistic approach- mind, body, spirit and emotion
• Basic ADL such as feeding, grooming, bathing, dressing and toileting, managing
• Instrumental activities of daily living such as cooking, driving
• Range of motion including improving muscle strength, tone and control and
• Cognition skills such as thinking, processing and interpreting visual and spatial
• Movement and mobility when performing ADL.
• Follow the scheduled appointments after discharge.
• Close follow-up is important to stroke rehabilitation and recovery.
• Call emergency right away if you have any of the following symptoms
Weakness, tingling, or loss of feeling on one side of face or body
Sudden double vision or trouble seeing in one or both eyes
Sudden trouble talking or slurred speech
Trouble understanding others
Sudden, severe headache
Dizziness, loss of balance, or a sense of falling
Blackouts or seizures