New report highlights serious gap in stroke rehabilitation services
The report shows that exercise is crucial for stroke recovery.
The research underlines the importance of exercise in recovery, showing that appropriately structured physical activity can help improve strength, prevent further health issues, and support long-term recovery. However, it warns that access to safe and effective community-based exercise remains limited, particularly for those with moderate to severe impairments.
The report says this lack of access can lead to reduced fitness and strength over time, increasing the risk of falls and further complications.
It also highlights the scale of the issue, noting that stroke is one of the leading causes of disability in Ireland, with an estimated 30,000 to 60,000 people currently living with stroke-related disabilities. The report warns that the number of cases could rise by up to 59% over the next two decades, adding significant pressure to the health system.
In response, Cork Stroke Support is calling for increased investment in community rehabilitation services, along with more online exercise supports and stronger community partnerships.
The organisation, alongside Rethink Ireland, has also been running a seven-week moderate intensity exercise programme for stroke survivors, focusing on strength, balance and aerobic conditioning.
Results from the programme show strong outcomes, with 82% of participants rating it excellent, 89% reporting improved confidence, 96% saying they felt stronger, and all participants reporting a sense of community or belonging.
Physiotherapy lead Sarah Slattery says the findings show clear benefits:
“The results of the Rethink Ireland programme show both clinical and statistically significant changes across all three domains of balance, fitness and strength. This absolutely means a translation to increase in function and lower risk of falls. But also, given the huge body of research stating that ‘exercise is medicine’ we can confidently hypothesise that our members are not just physically healthier but also healthier overall. The cost benefit, to the state and HSE, of keeping stroke survivors off the floor, out of A&E and outpatient clinics, and in their homes living independently as long as possible, cannot be understated.”
Participant Mark Exshaw says the programme has had a major impact on his daily life:
“I started exercising at the gym at Cork Stroke Support under the guidance of Sarah and the team and my life has changed dramatically since then. I am now confident about taking on every day activities and the exercise group gives me great social interaction and support every week.”
The report is now being used to support renewed calls for more consistent, accessible rehabilitation services for stroke survivors nationwide.

