This study provides an exploration of the perspectives of health professionals on supporting people with stroke to increase their physical activity. It highlights that physical activity is a complex goal for people with stroke requiring tailored solutions in a resource-constrained health system. Clearly defined roles, pathways for people with stroke to access routine support, funding for staff time and capacity-building initiatives targeting healthcare providers’ self-efficacy may enable health professionals to facilitate post-stroke physical activity.

Wearable devices, such as accelerometers, offer new ways to assess arm movement in individuals recovering from a stroke. This study, conducted with 12 stroke survivors, aimed to investigate the practicality, acceptability, and limited effectiveness of using accelerometers in a self-directed arm rehabilitation program. While most participants found the wearable devices feasible, one-third reported discomfort, suggesting the need to consider this aspect in planning future studies.

Fatigue is a major disabling condition and a substantial barrier to engaging in rehabilitation and other activities that improve quality of life after stroke. Here we present cut-off scores clinicians could use to determine if an individual patient has had a clinically reliable increase, decrease or no reliable change in fatigue scores using the Fatigue Severity Scale. These scores are provided on the basis of a large sample (n = 338) and presented by stroke type and ischaemic stroke subtypes.

Little is known about health literacy in TBI survivors. We examined health literacy in a large cohort (n = 209) of individuals with a single complicated mild to severe TBI at least 1 year previously (up to 30 years 6 months) and compared data with a control group. Health literacy performance in individuals with TBI was not significantly different from that of controls, using the Health LiTT-SF measure. This may be partly due to the comprehensive inpatient rehabilitation received and critical cognitive reserve from high premorbid education.