Which of the following is NOT a stroke exercise precaution?

• A. Monitor blood pressure
• B. Address balance deficits
• C. Avoid Valsalva
• D. Increase intensity rapidly without monitoring

Answer: (D)

Safety and risk reduction in post-stroke exercise focuses on protecting the brain and cardiovascular system during activity. Monitoring blood pressure during exercise helps catch dangerous spikes that could stress the heart or brain. Addressing balance deficits reduces the risk of falls, a common concern after stroke. Avoiding the Valsalva maneuver—holding the breath during exertion—helps prevent sudden increases in blood pressure and intracranial pressure. Increasing intensity rapidly without monitoring, on the other hand, does not provide a protective precaution and can trigger adverse events; it is not a recommended practice.