ArticleArchives of rehabilitation research and clinical translation2020
Lessons Learned: The Difficulties of Incorporating Intensity Principles Into Inpatient Stroke Rehabilitation.
Article in Archives of rehabilitation research and clinical translation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Optimising adherence to inpatient rehabilitation trial protocols: A mixed-methods systematic review.Clinical trials (London, England) · 2025Pooled it
- Effects of exercise on mobility, balance and gait in patients with the chronic stroke: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- The effect of time spent in rehabilitation on activity limitation and impairment after stroke.The Cochrane database of systematic reviews · 2021Pooled it
- Systematic Documentation of Physiotherapy Practice During Usual Care and High-Intensity Gait Training in Inpatient Stroke Rehabilitation.Journal of evaluation in clinical practice · 2026Article
- Feasibility and acceptability of remote ischemic conditioning combined with low-intensity resistance training in older adults with mobility impairments: A randomized controlled pilot trial protocol.Experimental gerontology · 2026Article
- Effect of robotic-assisted gait training on functional independence measure scores in patients with acquired brain injury: retrospective study.Frontiers in rehabilitation sciences · 2025Article
- Effects of transsectoral long-term neurorehabilitation.Neurological research and practice · 2024Article
- Multi-Modal versus Uni-Modal Treatment for the Recovery of Lower Limb Motor Function in Patients after Stroke: A Systematic Review with Meta-Analysis.Healthcare (Basel, Switzerland) · 2024Review
- Increasing the Amount and Intensity of Stepping Training During Inpatient Stroke Rehabilitation Improves Locomotor and Non-Locomotor Outcomes.Neurorehabilitation and neural repair · 2022Article
- The Implementation Process of Two Evidence-Based Protocols: A Spatial Neglect Network Initiative.Frontiers in health services · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveThe objective of this study was to determine the feasibility of a rehabilitation approach focusing on cardiovascular, strength, and gait training intensity in the inpatient rehabilitation setting after a new onset of stroke. We additionally aimed to determine the efficacy of this intensity-based program on rehabilitation outcomes compared with usual care.
designParticipants were pseudo-randomized to an intensity-based program focusing on gait, cardiovascular, and strength training or to usual care. Outcomes included FIM, 10-meter walk, 2-minute walk, timed Up and Go test, 5-time sit-to-stand test, and Tinetti balance assessment.
interventionThe intervention consisted of 6 20-minute sessions per week dedicated to intensity of activity: 2 each for walking, cardiovascular training, and strength training.
participantsPatients (N=49) with new onset stroke admitted to inpatient rehabilitation over the course of 1 year.
settingFour inpatient rehabilitation facilities with comprehensive neurologic rehabilitation teams.
resultsThirty-five individuals (16 intervention, 19 controls) completed all testing. Subject compliance to the intensity intervention demonstrated completion of approximately half the prescribed sessions. All outcomes improved significantly from admission to discharge, and a significant interaction between treatment group and time was observed for the 2-minute walk and the Tinetti balance assessment. The 2-minute walk, Tinetti balance assessment, 10-meter walk, and FIM demonstrated between-group effect sizes greater than 0.60 in favor of the intervention group.
conclusionsThe intensity-based protocol was safe, and several measures demonstrated efficacy when compared with usual care. Results may have been limited by poor program compliance, showing a need to identify and ameliorate obstacles to integration of comprehensive intensity-based programs addressing endurance, strength, and gait training. Applying physiological principles of exercise to acute stroke rehabilitation demonstrates great promise for improving independent physical function.
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