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Neurological

Stroke rehabilitation physiotherapy

Physiotherapy after a stroke centres on regular practice of everyday tasks to rebuild movement, balance and walking. Starting early helps, and recovery can continue for years.

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Understanding the condition

A stroke happens when blood flow to part of the brain is blocked, or a blood vessel in the brain bleeds. It is a medical emergency: if you see the FAST signs (Face, Arms, Speech, Time), call 000 straight away.1 The effects depend on the part of the brain involved and can include weakness on one side, poor balance, changes in speech and thinking, and tiredness. Rehabilitation (neurorehabilitation) helps the brain relearn and adapt, and it should begin as early as possible, from the first day after a stroke.2

Physiotherapy for a person who has had a stroke centres on practising the tasks that matter, such as standing, walking and using an arm, with plenty of repetition.3 Australian guidance advises as much active practice as possible,2 although a Cochrane review rated the evidence on exactly how much extra therapy helps as low certainty.4 Improvement can continue for years, even though it is often quickest in the first six months.5 The Stroke Foundation's living guidelines cover rehabilitation from hospital to community life and return to work.6

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Stroke rehabilitation physiotherapy

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Weakness, numbness or reduced control on one side of the body, including the arm, hand or leg
  • Difficulty with balance, standing up or walking safely, or a fear of falling
  • Stiff or tight muscles, or a shoulder that is painful or hard to move
  • Persistent tiredness, or lost fitness and confidence after a hospital stay
  • Changes in speech, memory or concentration that affect daily life
  • Call 000 straight away for any sign of a new stroke: a drooping face, an arm that cannot lift, or slurred speech or trouble understanding (FAST: Face, Arms, Speech, Time). Sudden vision problems or a severe headache also need an emergency response.

How our team helps

  • Assessment of how you sit, stand, walk and use your arm, with goals set together
  • Individual exercise programs built around repeated practice of everyday tasks
  • Walking aid prescription and training to move safely at home and in the community
  • Group classes and hydrotherapy where suitable, to keep practising between sessions
  • Return to work planning and clear reports for GPs, insurers and NDIS
  • Coordination with dietitians, exercise physiologists, podiatrists and pharmacists

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
Read more

Exercise Physiology
Exercise Physiology
Allied health team
Exercise Physiology
Safe, effective exercise programs designed by Accredited Exercise Physiologists for chronic condition management.
Read more

Related services

Related conditions

Terms explained

Plain English explanations for this condition are being added.
See all conditions

Sources and clinical review

Our care follows the Stroke Foundation Clinical Guidelines for Stroke Management, the National Rehabilitation Stroke Services Framework and current Australian physiotherapy guidance.

  1. Stroke Foundation. Signs of stroke. Melbourne: Stroke Foundation [cited 2026 Oct 4].
  2. Stroke Foundation. National Rehabilitation Stroke Services Framework: 2022 update. Melbourne: Stroke Foundation; 2022.
  3. Stroke Foundation. Mobility and exercise after stroke: what you need to know. Melbourne: Stroke Foundation; 2025 Jul.
  4. Clark B, Whitall J, Kwakkel G, Mehrholz J, Ewings S, Burridge J. The effect of time spent in rehabilitation on activity limitation and impairment after stroke. Cochrane Database Syst Rev. 2021;CD012612.
  5. Stroke Foundation. Stroke rehabilitation. Melbourne: Stroke Foundation [cited 2026 Oct 4].
  6. Stroke Foundation. Living Clinical Guidelines for Stroke Management. Melbourne: Stroke Foundation; 2025.
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Common questions

When should physiotherapy start after a stroke?
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Rehabilitation should start as soon as possible. The national rehabilitation framework says it should begin the first day after a stroke, usually in hospital. Private physiotherapy often continues that work once you are home, alongside your GP and rehabilitation team.

Can you still improve years after a stroke?
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Improvement can continue for years after a stroke, although it is often quickest in the first six months. Regular practice helps keep progress going. We cannot promise a particular result, but we review your goals and program with you over time.

What does stroke physiotherapy involve?
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We assess how you sit, stand, walk and use your arm, then set goals with you. Treatment is mostly repeated practice of real tasks, plus balance and walking work, advice on walking aids, and a home program so practice continues between visits.

Do I need a referral, and is it funded?
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No referral is needed for private appointments. With a GP Chronic Condition Management Plan, Medicare rebates apply to up to five eligible allied health services a calendar year. Private health extras, DVA, the NDIS or aged care funding may also help, depending on eligibility.

What are the warning signs of a stroke?
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Use FAST: Face (has the mouth drooped?), Arms (can they lift both?), Speech (is it slurred, or hard to understand?), Time (call 000 straight away). Call 000 even if symptoms pass quickly, because they can signal a transient ischaemic attack (TIA).

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

Referring a patient with this condition?

Send an online referral in under two minutes. One referral reaches every discipline at PDC Health Hub.