Environmental features in home and public spaces supporting life after stroke: a scoping review

Although previous research has demonstrated that the design of the home environment is critical for stroke recovery (Elf et al., 2025; Marcheschi et al., 2018), there remains limited knowledge regarding how built, natural, and social environment factors influence daily life and participation post-stroke (Della Vecchia et al., 2023; Ezekiel et al., 2019). Furthermore, evidence-based stroke rehabilitation guidelines predominantly reflect therapeutic practices in clinical spaces (Platz, 2019) and have not yet been expanded to account for rehabilitation delivered at home and within community contexts. Accordingly, the aim of this scoping review is to synthesize existing literature on environmental factors beyond the hospital that support or hinder life after stroke. The following research questions guided the review: RQ 1: How do features of the home environment and public space support or hinder life after stroke? RQ 2: How are home environments and public spaces modified or adapted to support life after stroke.