Short answer: Start an intense exercise program early; do meaningful activities; repeat those consistently and incrementally; include both aerobic and muscle-strengthening exercises, and set specific goals.
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What the evidence says;
We can group current evidence under five rules:
Practical tip: Consult a qualified healthcare professional to create an intense exercise/activity program.
Practical tip: E.g., Sit-to-stand. These should be the activities of daily living – the activities necessary to become independent in daily tasks.
Practical tip: Do as many repetitions as possible daily. Consistency is the most important, but it is also the most difficult to adhere to.
The American Heart and Stroke Association Statement recommends that people with stroke perform aerobic exercises 3-7 days a week and other types, such as strengthening, flexibility, and neuromuscular exercises, 2-3 days a week for life. A sufficient dose or intensity is essential to recover movements after a stroke.
The 2021 Australian Guidelines strongly recommend setting goals for each activity together with the affected and their caregivers. This is one of the most important but neglected ones. It requires tools to monitor progress; if the tools are visual, they will act as a motivator.
Exercise and physical activities become effective,
if done consistently.
Stroke Journal, 2014