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For the majority of stroke patients, the road to recovery is a long one that includes many hours of therapy aimed at restoring both physical strength and language capacity. People who suffer a serious stroke may lose the ability to coordinate muscles and execute complex movements.

They can have trouble performing routine tasks including bathing, dressing and feeding themselves. Some will experience numbness or lose feeling in their limbs. Many will have difficulty understanding and producing language. While it is not always possible to recover completely from a stroke, with the right treatment plan quality of life can be improved.

According to the National Stroke Association, strokes are one of the top causes of long-term disability in adults. Damage can be irreversible and recovery may be affected by depression. This makes choosing the right treatment activities essential.

Keep in mind that every case is unique and no two stroke victims will need exactly the same type of therapy. Family and friends can provide emotional support and help reinforce coping strategies while specialized therapists will be able to suggest a recovery program, including tools and resources to try.

It’s important to remember that a stroke patient may be struggling with impairments but also grieving the loss of their former life, including their job, routine and independence. That’s why starting a recovery plan is key, even if progress isn’t immediately apparent.

Sticking to the programme over an extended period of time can bring about a change in attitude. It’s particularly useful to participate in activities that are both therapeutic and fun, to help stroke victims rebuild confidence and improve self-esteem.

Strokes are caused when blood supply to an area of the brain is cut off because of a clot or blood vessel that bursts. This results in the affected part of the brain not getting the oxygen it needs to function.

Depending on the severity and location of the blockage, as well as how long it lasts, a stroke can result in damage that impacts on physical and mental abilities – including language use and processing which may have short or long term consequences.

Common symptoms include: difficulty speaking and understanding language that was previously familiar and fluent, a left or right side weakness or paralysis including of facial muscles, numbness, muscle coordination and shaking and balance issues that make it hard to hold a pen or pencil or to move around, blurred vision which interrupts reading and causes seeing double (making it virtually impossible to look at certain kinds of screens), and slurred words and missing vocabulary that needs to be retrieved.

Note that while words become hard to reach, meaning is often still accessible which can result in a degree of frustration for stroke patients who know what they want to say but are unable to express themselves. It’s been described as a filing cabinet that has fallen over. The words are still there, but it can be difficult to find them and pull them out of the jumble.

Learn more about communication and language ability after a stroke.

In addition to direct therapy at medical and rehabilitation centers, patients should beware of becoming isolated and try to engage in a handful of home-based and social activities throughout the week.

If you are putting together a plan for someone else, be creative as you consider the patient’s former hobbies and interests. As one illustrative example, a keen gardener may well appreciate a raised bed or bench that can be tended from a wheelchair. You may have to replace terra cotta pots with plastic ones so they are easier to lift and help with writing plant labels. Small tools with bigger handles are also a good idea.

Activities will vary greatly depending on the impact of the stroke and the patient’s recovery needs. Be aware that interacting with people is stressful and exhausting due to the communication required. Sometimes the stroke survivor just can’t keep up, and friendships may drift away.

People who have had a stroke and their carers can find great support in the company of others who’ve been there too. You may consider joining a local stroke support group. Being with others in the same boat can be both comforting and stimulating. In a context like this, group speech therapy sessions often prove popular and effective. Additionally, you can always suggest solo walks or encourage the person to sit outside to observe nature as part of a recovery plan that focuses on mindfulness.

If you’re a therapist who works with stroke victims you’re probably aware of different solutions and online programs that can be used for language recovery.

Touch-type Read and Spell is a multi-sensory keyboarding program in which individuals hear letters and words, see them on the screen and then practice typing the correct keys. It focuses on repetition, sound-letter mapping and short spurts of multi-sensory activity and is ideal for those who may tire easily and need to take frequent breaks.