Exercise rehabilitation is a central component of stroke treatment and recovery, playing a vital role in promoting neurological function, improving quality of life, and reducing disability rates among patients. To facilitate the scientific and standardized advancement of exercise rehabilitation for adult stroke patients in China, the guideline development team strictly adhered to the requirements of the WHO Guidelines Manual and formulated the Evidence-Based Practice Guidelines for Exercise Rehabilitation of Adult Stroke Patients. These guidelines systematically summarize the current best evidence for post-stroke exercise rehabilitation, address 14 core rehabilitation questions, including rehabilitation timing, assessment, and methods, for adult stroke patients, and provide 16 specific recommendations. The guideline is primarily intended for healthcare professionals involved in stroke rehabilitation, including those in neurology, rehabilitation medicine, and community-based rehabilitation settings. It aims to improve the quality and effectiveness of exercise rehabilitation, enhance patient outcomes, and support the rational allocation of healthcare resources.