My father had a stroke, and the thing that troubled me most in the first few weeks wasn't what he couldn't do. It was the hours.
He had good therapy. It came in forty-minute blocks, a few times a week. I couldn't stop doing the arithmetic — two or three hours of therapy against a hundred and sixty-odd waking hours. Everyone understood that repetition rebuilds a brain. Nobody could tell us what he was supposed to do with the rest of the week.
The harder problem: he could barely move the affected arm at all. So even with hours of exercises, there was no movement yet to practise with.
That's the gap I've been working on. It turns out a movement can be mentally rehearsed before it's physically available — vividly imagining a movement activates much of the same brain circuitry as making it. It's not a replacement for physiotherapy or occupational therapy. It's something to do in the gaps those therapies can't reach.
I've built this into free guided imagery practices, recorded in my own voice, at livingbeyondstroke.com. No charge, no sign-up. There are practices for arm and hand movement, walking, balance, speech, and fatigue, plus plain-language explanations of the research behind each one — including where the evidence is strong and where it's still early, because I think that honesty matters more than sounding confident.
If anyone here has tried mental practice or visualisation as part of their own recovery, I'd genuinely like to hear how it went. It's one of those things that's hard to know is working from the inside, and real experience is worth more than any study.
