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10 Cognitive Exercises for Stroke Patients to Help Improve Mental Clarity

happy woman winning at card game for cognitive therapy after stroke

Stroke patients who experience poor memory or impaired thinking may benefit from cognitive exercises. You’re about to discover some effective cognitive exercises for stroke patients that you can do at home.

Let’s start with a quick explanation of why these exercises are important during recovery.

How to Improve Memory and Thinking with Cognitive Exercises

Cognitive exercise can help sharpen your memory and thinking, but need to be practiced consistently. Consistency is key for neuroplasticity, which is how the brain heals after stroke.

Although memory may be impaired due to the damage from stroke, neuroplasticity allows the brain to heal and recuperate. Specifically, it allows the brain to form new neural networks and rewire itself to heal from the damage.

The brain develops and strengthens neural pathways based on the patterns that you repeatedly practice. That’s why therapists recommend you to do specific exercises repeatedly. The repetitive stimulation helps rewire the brain and improve those skills.

The more you practice cognitive exercises, the more your memory and thinking may improve.

If you need help with cognitive rehabilitation after a stroke, it’s a good idea to work with a speech-language pathologist. These experts can help diagnose your problem areas and create a treatment plan just for you.

Recovery is more successful working with a therapist at least once a week, then practicing cognitive training exercises on your own between sessions.

Cognitive Training Exercises for Stroke Patients

The following cognitive training exercises can help stroke patients improve their critical thinking skills.

Choose the activities that resonate with you and practice them on a regular basis. Consistency is key to rewiring the brain to recover cognitive skills needed for daily life.

Here are some great cognitive training exercises:

1. Card Matching

Card matching is a visual memory game that helps with recall and scanning.

For this cognitive exercise, place a deck of cards face down, spacing them out on a table in front of you. Then, uncover two cards at a time. Try to find matching pairs. You cannot uncover more than two cards at a time. Each time you uncover a pair, you must return them to a face-down position. This challenges you to remember where different cards are.

2. Visual/Spatial Processing Games

While designing your cognitive therapy regimen, it’s important to include activities that exercise your visual/spatial processing. This includes tasks that challenge you to identify visual differences and how they are positioned in a space.

The What’s the Difference app is a great example. It challenges you to find one small difference between two otherwise identical pictures. You can use this app as part of your cognitive therapy regimen.

3. Alphabetize Sentences

For analytical reasoning as a cognitive exercises, all you need is a pen and paper and some reading material. Take a sentence, and write it down. Then, re-write the words in alphabetical order. This sequencing is a therapeutic activity for the brain.

4. Count Money

This cognitive exercise helps with quantitative reasoning. Place a handful of varied coins on a table. Gather 10-20 random coins and count the total value. Counting will help stimulate the brain and improve cognitive function.

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5. Brain Teasers

“Brain teasers” like Sudoku, word searches, and crossword puzzles are excellent cognitive exercises for stroke patients. They are challenging and can improve your analytical and quantitative reasoning.

6. Simon Memory Game

The classic game of Simon is effective cognitive therapy for stroke patients, and focuses memory skills. The device highlights a pattern, and you must recall the pattern. It starts with a short sequence and grows longer each time.

7. Board Games

Classic board games and card games are great cognitive exercises for stroke recovery. To stimulate the cognitive skills of scanning, deductive reasoning, split attention and organization, consider Checkers, Connect Four, Rumikub, Mahjong, Rush Hour, Set, Blink, Spot It, or Qwirkle.

8. Strategy Games

If you don’t have any games lying around the house, you can check online for some free options. For example, Games for the Brain has an abundance of online games for you to try. Generally, games that require memory or strategy can double as great cognitive therapy.

9. Cognitive Therapy Apps

ipad with screenshot of speech therapy app and example cognitive exercise for stroke patients

Cognitive therapy apps, like the CT Speech & Cognitive Therapy App is specifically designed for stroke survivors.

The cognitive exercises in this app were designed by Speech-Language Pathologists (therapists in speech and cognitive therapy). They include everything from visual/spatial processing to quantitative reasoning, and more.

10. Meditation Apps

Meditation has been shown to help stroke patients improve cognitive function as well as reduce stress and anxiety. Specifically, it improves the cognitive skills of attention, mental flexibility, and information processing.

There are many apps or YouTube resources that guide you through meditation or provide relaxing music. Your brain can only think of one thing at a time and when you can redirect your thoughts to something positive, it reduces your stress level and promotes clear thinking.

For example, Aura is a meditation app that gives you a different guided meditation every day. YouTube has multiple videos for guided imagery meditation for sleep, anxiety, and healing.

Getting Help with Cognitive Training After Stroke

If any of the cognitive training exercises above resonate with you, try to practice them on a regular basis. Repetition is key to recover after stroke, including cognitive rehabilitation.

Consider therapy with a speech-language pathologist that can create a custom regimen that targets your problem areas. If you do not have access to a therapist, try using an app created by speech-language pathologists, like the CT Speech & Cognitive Training App.

As long as you’re doing something therapeutic for your brain on a regular basis, you can maximize your chances of recovery.

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Get Inspired with This Stroke Survivor Story

Mom gets better every day!

“When my 84-year-old Mom had a stoke on May 2, the right side of her body was rendered useless. In the past six months, she has been blessed with a supportive medical team, therapy team, and family team that has worked together to gain remarkable results.

While she still struggles with her right side, she can walk (with assistance) and is beginning to get her right arm and hand more functional. We invested in the FitMi + MusicGlove + Tablet bundle for her at the beginning of August.

She lights up when we bring it out and enjoys using it for about 20 to 30 minutes at a time. While she still doesn’t have enough strength to perform some of the exercises, she rocks the ones she can do! Thanks for creating such powerful tools to help those of us caring for stroke patients. What you do really matters!”

-David H.

FitMi is a neurorehab device that you can use from the comfort of home. It works by motivating you to accomplish high repetition of therapeutic exercises.

As you work through the program, you’ll unlock more difficult exercises when you’re ready. It’s like having a virtual therapist available anytime you need it.

See how quickly Sudhir was able to notice improvements:

Saw results within a few days

“I bought FitMi about a month and a half ago. Quite impressed with the range of exercises for hand, arm, leg and foot. I suffered a stroke about 2 years ago which paralyzed my right side. I do walk now with a cane or walker, but my right hand curls up and my right arm is also weak. Within a few days of trying it out, I could note a distinct improvement in stamina before tiring. So, I am looking forward to continued improvement.”


Not only is FitMi approved by survivors, but it’s also approved by therapists, too. FitMi is used in some of the top clinics in the world, including the Shirley Ryan Ability Lab, the #1 ranked rehab hospital in America. Plus, two PTs on YouTube with over 3 million subscribers (you may know them as Bob & Brad) gave FitMi the thumbs up, too.

To learn more about this motion-sensing, game-changing recovery tool, click the button below: