The affected arm and hand
Bringing it into tasks on purpose: holding the cup while the other hand pours, steadying the plate, buttons, a zip. Use in real jobs, not just exercises.
Home / Adults / After a stroke
After a stroke
After a stroke: when the NHS rehab ends, the everyday work doesn’t
Many people finish their NHS rehab with movement they haven’t yet put back into daily life: a hand that isn’t used, a walk that only happens in the corridor. Conductive Education is the practical, counted practice of the ordinary things, in the rooms where you do them.
What we practise together
Both sides, working together
Standing up and sitting down
Weight through both feet, leaning forward, pushing up evenly. Practised from your own chair, bed and toilet.
Walking where you live
Turning, doorways, the step into the garden, the kerb outside. Counting gives each step a rhythm, and the words draw attention back to the affected side.
Balance and confidence
Reaching, stepping and turning with the right support, so everyday movement can be practised safely.
Dressing and washing
Sequenced, counted routines for the tasks that take longest in the morning.
Paying attention to one side
If one side gets forgotten, tasks are set up so that it has to be noticed and used, and the words we say draw attention to it.
A typical hour
We start with a short set of movements lying down or sitting, each one said out loud and counted, to bring both sides into play. Then a standing set at a table or the kitchen worktop. Then a task from your own day, worked through step by step with the words and the count, until you can run it yourself. You finish with a short home programme in the same words, for whoever helps you at home to join in with.
Alongside your NHS team
If you’re still under the community team, we work alongside them, not instead, and with your permission we share goals so nobody is pulling in a different direction. If your rehab finished long ago, you can start with us any time. Fatigue after stroke is real, so sessions are paced, and we’ll always ask about your health and any advice you have been given before we start.
We visit people at home after a stroke across Kidderminster, Bromsgrove, Stourbridge, Birmingham and the surrounding area.
Before you get in touch
Questions people ask
My stroke was years ago. Is there any point?
People often come to Conductive Education years afterwards. Everyone is different and we can’t promise particular results, but there’s usually something worth working on, and we’ll be honest with you about what’s realistic.
What if the stroke has affected speech?
That’s fine. We keep the words short and simple, gestures count too, and you join in however you communicate. With your permission, we’ll share goals with your NHS speech and language team.
What if standing or walking isn’t possible yet?
Then we start lying down or sitting, with the right support, and set goals from where you are now.
Can I get in touch for my mum or dad?
Yes. Send the enquiry yourself and choose “A family member” in the form, once they’re happy for you to share their details. We’ll talk with them as well as with you, because the goals have to be theirs. If they can’t decide for themselves, we follow the Mental Capacity Act, as our safeguarding page explains.
Can my partner or carer be there?
Yes, please. They learn the same words and counts, which is what makes the practice carry on between visits.
Is this the same as physiotherapy?
No. Conductors are specialist educators, not physiotherapists. Physiotherapy and Conductive Education work well side by side, and with your permission we’re glad to share goals with your NHS team.
What if I get tired quickly?
Then the session is shorter, seated, or split with rests. Fatigue is planned for, not pushed through.
Can a case manager or solicitor arrange this?
Yes. We can work with case managers and solicitors, with invoices and written reports to the standard they need. See prices and funding.
Start with a free phone chat
Fifteen minutes to talk about what’s hard since the stroke, and what you’d like to be able to do. No obligation.