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Families & caregivers · Stroke

Stroke: activities, resources, and concrete adaptations to implement at home

Fourteen activities described step by step — objective, materials, duration, variations — a typical day and week, room-by-room adaptations, and free printable resources. Everything that can be implemented starting tomorrow, without specialized equipment.

⏱️ 16 min read
👥 For families and caregivers
🔄 Updated in July 2026

Entre deux séances de rééducation, il se passe beaucoup de temps. C'est dans ce temps-là que se joue une grande partie de la récupération : le cerveau consolide ce qui est répété souvent, pas ce qui est travaillé intensément une fois par semaine.

Cet article est une boîte à outils, pas un cours. Quatorze activités décrites de façon assez précise pour être lancées ce soir, une organisation de journée et de semaine, les aménagements du logement pièce par pièce, et les supports gratuits à imprimer. Rien n'exige de matériel spécialisé.

L'essentiel en 30 secondes

Une routine de stimulation efficace après un AVC tient en trois principes : court, quotidien, à la bonne difficulté. Vingt minutes tous les jours produisent davantage qu'une séance de deux heures le week-end.

Le bon niveau — la personne doit réussir environ 7 fois sur 10. En dessous, elle abandonne ; au-dessus, elle progresse peu.
Le bon moment — le matin, quand l'énergie est maximale, jamais après une journée chargée.
Le bon support — les gestes du quotidien valent les exercices formels, et sont mieux acceptés.
La trace écrite — noter chaque jour rend visibles des progrès que la mémoire du quotidien efface.
L'environnement — quelques modifications simples du logement préviennent la majorité des chutes et facilitent l'autonomie.

Les 4 règles avant de commencer

🎯

Viser 7 réussites sur 10

C'est le niveau qui fait progresser sans décourager. Si la personne réussit tout, montez d'un cran ; si elle échoue une fois sur deux, descendez sans commentaire.

⏱️

Court plutôt que long

Dix à vingt minutes suffisent. On arrête avant la fatigue, pas quand elle est là : une séance qui finit mal décourage la suivante.

🔁

Tous les jours, même peu

La régularité l'emporte sur l'intensité. Cinq minutes un mauvais jour valent mieux qu'une impasse complète.

✍️

Noter, systématiquement

Une croix par jour et une observation en une ligne. C'est ce qui permet de voir les progrès et d'informer les professionnels.

⚠️ Avant tout : validez avec l'équipe de rééducation

Les activités ci-dessous sont des activités du quotidien, pas des protocoles médicaux. Certaines peuvent être déconseillées selon les séquelles — troubles de la déglutition, spasticité importante, risque de chute, épilepsie. Montrez cette liste au kinésithérapeute, à l'orthophoniste ou à l'ergothérapeute qui suit votre proche : ils vous diront lesquelles privilégier.

Motricité et gestes du quotidien

Folding the laundry

Objective — coordination of both hands, grasping, sitting posture.
Materials and duration — a basket of clean laundry, 10 minutes, sitting at the table.
Procedure — start with large pieces, easy to grasp: towels, dishcloths. The less skilled hand holds, the more skilled one folds.
Easier — fold in half only, with thick towels.
More difficult — matching socks, folding shirts into quarters.
Sign that it works — the affected hand participates spontaneously, without being asked.

Preparing vegetables

Objective — grip strength, coordination, planning a task in steps.
Materials and duration — non-slip board or damp cloth underneath, wide-handled peeler, 15 minutes.
Procedure — wash, peel, cut into regular pieces. The person does; you prepare and put away.
Easier — just wash and dry, or snap beans by hand.
More difficult — follow a simple recipe in four steps, without reminders.
Sign that it works — the pieces become regular, fatigue comes later.

The journey of the cups

Objective — balance while walking, carrying an object, confidence.
Materials and duration — a lightweight tray, empty cups then half-filled, 5 to 10 minutes.
Procedure — carry the cups from the kitchen to the table, one by one, walking slowly, on a clear path.
Easier — one empty cup, very short distance, support possible all the way.
More difficult — two half-full cups, or a slight detour to navigate.
Sign that it works — the gaze lifts instead of fixing on the feet.

Timed walking

Objective — endurance, balance, morale.
Materials and duration — closed shoes, usual technical aid, 5 to 20 minutes depending on abilities.
Procedure — same route every day, same time, with a bench or identified support point halfway. We time it only once a week.
Easier — a round trip in the hallway, several times a day.
More difficult — add a slight slope, or walk while talking, which doubles the load.
Sign that it works — the same distance requires fewer breaks.

Language and communication

These activities complement speech therapy, they never replace it. Ask the speech therapist which ones best serve the current objectives.

The illustrated word notebook

Objective — to have an immediate communication support and work on word access.
Materials and duration — a small notebook, printed or cut-out photos, the DYNSEO word notebook, 10 minutes.
Procedure — one page per daily theme: drinking, eating, pain, people, places. We browse together every day and name.
Easier — point to the image when you name.
More difficult — name without a hint, then make a short sentence.
Sign that it works — the notebook is used spontaneously to make oneself understood.

Naming while cooking

Objective — to find words in context, which is much more effective than on a list.
Material and duration — the meal ingredients, 10 minutes.
Procedure — you show, the person names. If the word is stuck, give the first syllable rather than the whole word.
Easier — choice between two options: “is it salt or sugar?”
Harder — say what the object is for, then tell the recipe.
Sign that it works — the syllabic prompt becomes unnecessary.

Reading in two voices

Objective — articulation, breath, comprehension, pleasure of reading.
Material and duration — a short article, a text in large print, 10 minutes.
Procedure — you read one sentence, the person reads the next. We stop at the end of a paragraph, never in the middle of an effort.
Easier — the person reads only the last word of each sentence.
Harder — summarize the paragraph in one sentence after reading.
Sign that it works — the sentences read get longer, the pace becomes regular.

The prepared phone call

Objective — regain confidence in the exchange without visual support, maintain social connection.
Material and duration — a sheet with 3 sentences written in advance, 5 minutes of call.
Procedure — choose a kind and informed conversation partner, write the sentences together, call on speakerphone with you next to them, without intervening.
Easier — a recorded voicemail, replayable and re-recordable.
Harder — a call without a sheet, then a call to an uninformed conversation partner.
Sign that it works — the person asks to call someone themselves.

These activities in video, and the method to implement them

Module 2 of the DYNSEO training details the exercises, the arrangement of the home, and the return to a social life. 10 short lessons, unlimited access.

Discover the training

Memory, attention, organization

The reconstructed shopping list

Objective — working memory, categorization.
Material and duration — paper, pencil, 10 minutes.
Procedure — you read a list of 6 products, the person recalls it after a minute of conversation about something else.
Easier — 3 products, immediate recall.
Harder — 10 products to group by aisle before recall.
Sign that it works — the person invents their own memorization strategies.

The pairs game

Objective — visual attention, memory, scanning the space — useful in case of spatial neglect.
Material and duration — a classic deck of cards, 10 minutes.
Procedure — spread the cards face down, emphasizing the neglected side, turn over two cards at a time.
Easier — 6 cards, in a single row, from the perceived side.
Harder — 20 cards, widely spread on both sides.
Sign that it works — the gaze spontaneously explores the previously ignored side.

The 15-minute digital session

Objective — attention, logic, language, with a level that adjusts automatically.
Materials and duration — a tablet and the app CLINT, 15 minutes, at a fixed time.
Procedure — two or three short games, always in the same order to create a ritual. We stop at the end of the time, even if it’s going well.
Easier — one game only, at the lowest level, with you beside.
Harder — increase the level, or play alone and show the result afterwards.
Sign that it works — the tablet is taken without being offered.

The agenda for the next day

Objective — memory of things to do, time markers, feeling of control.
Materials and duration — a large box agenda or a whiteboard, 5 minutes every evening.
Procedure — write together the two or three items for the next day, and check off the following evening what has been done.
Easier — you write, the person reads aloud.
Harder — the person writes alone and anticipates the week.
Sign that it works — they consult the agenda spontaneously during the day.

Pleasure and social connection

These last two activities do not aim for any performance. They maintain mood and identity, which conditions adherence to everything else.

The memory playlist

Objective — mood, evocation of memories, spontaneous speech. Familiar melodies are often accessible even when speech is not.
Materials and duration — a speaker, a list of music from the person's 15-30 years, 15 minutes.
Procedure — listen, then let whatever comes come, without questioning. Many aphasic people sing lyrics they cannot say.
Variation — associate a photo from the same time with each piece.
Sign that it works — the person hums, keeps the beat, or tells stories.

The commented photo album

Objective — old memory, language, family connection.
Materials and duration — an album or photos on a tablet, 15 minutes.
Procedure — a maximum of ten photos. Name the people, locate the place, tell stories. If a first name is missing, provide it without making them wait.
Easier — only photos of very familiar relatives.
Harder — put photos in chronological order.
Sign that it works — sentences lengthen, the exchange becomes a real conversation.

A typical day and a typical week

The classic trap: wanting to do everything every day. One activity from each category per day is more than enough, as long as it takes place.

Moment	What we put in it	Duration
Morning, after breakfast	The most demanding activity of the day — motor skills or language	15-20 min
Late morning	Walk or short outing	10-20 min
Early afternoon	Mandatory quiet time, without screens or conversation	30-60 min
Mid-afternoon	Digital session or game	15 min
Late afternoon	A real daily task — laundry, vegetables, table	10-15 min
Evening	Agenda for the next day, then photo album or music	15 min

Day	Dominant of the day
Monday	Motor skills — laundry and walking
Tuesday	Language — reading aloud, naming while cooking
Wednesday	Cognition — pairs, shopping list
Thursday	Independence — preparing a simple meal from start to finish
Friday	Language — prepared phone call
Saturday	Social — short visit, outing, group game
Sunday	Nothing imposed. Rest is part of the program.

Arranging the housing, room by room

Many falls occur in perfectly predictable situations. Most useful modifications cost almost nothing; for others, a home assessment by an occupational therapist is the best investment.

Room	What is problematic	What we change
Entrance and hallways	Rugs, wires, clutter, darkness	Remove rugs, secure cables along the baseboards, night light with a sensor
Living room	Chair too low, coffee table in the way, slippery floor	Raise the seat, clear a circulation corridor of at least 90 cm
Kitchen	Items up high, cluttered counters, heavy dishes	Lower frequently used items to hand height, non-slip mat, lightweight dishes
Bathroom	Bathtub, wet floor, prolonged standing	Wall-mounted grab bar, non-slip mat, shower seat
Bedroom	Nocturnal rising, bed too low, darkness	Switch accessible from the bed, illuminated path to the toilet
Stairs	Absence of handrail, poorly contrasted steps	Handrail on both sides if possible, contrasting strip on the edge of the step
All rooms	Background noise, insufficient lighting	Turn off television and radio during conversations, increase general lighting

💡 In case of spatial neglect or reduced visual field

Systematically place useful objects on the perceived side, and add a colored marker on the neglected side to encourage the gaze to sweep: bright placemat, colored tape on the door frame, contrasting towel. Always approach from the perceived side to speak.

Free printable supports

These DYNSEO tools are freely downloadable and printable from the tool catalog. Three of them are enough to structure the entire routine described here.

Progress tracking chart — one mark per day, one line per activity. This is the support that makes progress visible and reignites motivation when it wanes.
Session tracking sheet — what was worked on, what was tiring, what worked well. To be filled out in one minute.
Communication notebook — to convey your observations to the speech therapist, physiotherapist, or doctor without forgetting anything in consultation.
Word notebook — the support for activity 5, to be personalized with your own photos.
Skills tracking chart — to visualize over several weeks what is recurring.

The place of digital technology

A tablet does not replace rehabilitation or real activities. It provides two things that paper does not: automatic adjustment of the level of difficulty, and a record of results that avoids discussions about "is it progressing?".

Application	For whom	Usage type
CLINT	Adult after a Stroke	15 minutes a day, 2 to 3 memory, attention and logic games
SCARLETT	Senior, simplified interface	Same principle, with navigation designed for seniors
MY DICTIONARY	Severe aphasia, non-verbal communication	Visual support for daily exchanges

The right dosage : 15 minutes a day, at a fixed time, rather than an hour on Sunday. And keep the screen away from late evening, which disrupts an already fragile sleep.

The 5 most common mistakes

Doing too much, too quickly. An ambitious program maintained for four days and then abandoned produces less than a modest routine maintained for three months.
Doing instead. Out of kindness or to save time — this is the main cause of avoidable loss of autonomy after a Stroke.
Choosing a level that is too difficult. Repeated failure discourages and leads to abandonment. Better too easy for a week than too hard for two days.
Turning the home into a rehabilitation center. You are first a partner, son or daughter. If every interaction becomes an exercise, the relationship wears out and so does the commitment.
Not keeping track. Without a record, slow progress becomes invisible, and one wrongly concludes that nothing is changing.

To go further

Everyday situations10 difficult situations after a Stroke and how to respond, step by step

In-depth guideStroke: understanding the disease, the aftermath and recovery — the complete guide

Assistance & contactsWho to contact, what assistance and how to sustain over time

The trainingProgram, content and who the DYNSEO Stroke training is for

Frequently asked questions

How much time per day should be dedicated to these activities ?

Between 30 and 60 minutes in total, divided into sequences of 10 to 20 minutes. Beyond that, post-Stroke fatigue takes over and the session becomes counterproductive. It's better to have three short slots than one long one, and it's better to have twenty minutes every day than two hours twice a week : it's the regularity that nourishes brain plasticity.

How long does it take to see results ?

This depends greatly on the injury and the starting point. Progress is generally fastest in the first three to six months, then continues more slowly. With a daily routine, the first signs often appear in three to four weeks, but they are subtle : fewer pauses, a hand that participates spontaneously, a word found more quickly. This is exactly why it is important to note every day.

Should activities be maintained on bad days ?

Yes, but in a reduced version. Five minutes of a single easy activity is better than a blank day, because it is the routine itself that is being protected. However, if the fatigue is unusual, if a new symptom appears, or if the person is in pain, one should stop and discuss it with the doctor.

How to motivate someone who refuses everything ?

Three levers work better than insistence : lowering the difficulty until successes are achieved, replacing the exercise with a real task that makes sense — preparing a meal rather than squeezing a ball — and making progress visible with a tracking chart. Negotiate the duration rather than the principle : “five minutes and we stop” almost always yields more than a reminder of the stakes.

Can doing too much worsen something ?

The main risk is not worsening the injury but exhausting the person, causing pain — especially in the shoulder on the affected side, which is often weakened — or causing a fall. That’s why activities should be validated by the rehabilitation team, and why one should stop before fatigue rather than after. Any new or persistent pain warrants medical advice.

ℹ️ Information and not medical advice

These activities are general daily suggestions. They do not replace prescribed rehabilitation or medical advice. Have what is suitable for your loved one validated by the physiotherapist, speech therapist, or occupational therapist who is following them.

Establish the routine, without spending your evenings on it

The DYNSEO training covers these activities in video format, with housing adjustments and a return to social life. 5 modules, 10 lessons, unlimited access.

Discover the training — 20 €

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