ArticleNeurorehabilitation and neural repair2022
Increasing the Amount and Intensity of Stepping Training During Inpatient Stroke Rehabilitation Improves Locomotor and Non-Locomotor Outcomes.
Article in Neurorehabilitation and neural repair, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 24 citations in OpenAlex.
- Higher Intensity Walking Training in Individuals With Chronic Motor Incomplete Spinal Cord Injury: A Randomized Clinical Trial.Neurorehabilitation and neural repair · 2026Trial
- Matching Clinical Profiles With Interventions to Optimize Daily Stepping in People With Stroke.Physical therapy · 2025Trial
- Comparative Efficacy of High-Intensity Training Versus Conventional Training in Individuals With Chronic Traumatic Brain Injury: A Pilot Randomized Controlled Study.Journal of neurotrauma · 2024Trial
- The Aphasia Physical EXercise (APEX) study: feasibility of a new high-intensity functional interval training for stroke survivors with aphasia.Aphasiology · 2026Article
- Systematic Documentation of Physiotherapy Practice During Usual Care and High-Intensity Gait Training in Inpatient Stroke Rehabilitation.Journal of evaluation in clinical practice · 2026Article
- Using visual biofeedback to reduce step length error at fast walking speeds is feasible after stroke.medRxiv : the preprint server for health sciences · 2026Article
- Patients' experiences while undergoing high-intensity gait training during inpatient stroke rehabilitation: a qualitative study.BMC health services research · 2026Article
- High-intensity interval training after stroke: evidence & practice.Physical activity and nutrition · 2026Article
- Development of a Therapist-worn Gait Training Support System: A Pilot Feasibility Study.Progress in rehabilitation medicine · 2026Article
- Implementing High-Intensity Gait Training in Stroke Rehabilitation: A Real-World Pragmatic Approach.Journal of clinical medicine · 2025Article
- High-Intensity Gait Training for Patients After Stroke: A Feasibility Study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2025Article
- Taking the Next Step in Neurologic Rehabilitation: Contributions of Intensity and Variability of Stepping Tasks During Locomotor Training.Physical therapy · 2025Review
- High-intensity gait training in subacute stroke resulted in increased discharge home from inpatient rehabilitation: a quality improvement study.Frontiers in stroke · 2025Article
- Facilitators and Barriers to Implementing High-Intensity Gait Training in Inpatient Stroke Rehabilitation: A Mixed-Methods Study.Journal of clinical medicine · 2024Article
- Specialty grand challenge: intensive training.Frontiers in stroke · 2024Article
- Blood pressure trajectory of inpatient stroke rehabilitation patients from the Determining Optimal Post-Stroke Exercise (DOSE) trial over the first 12 months post-stroke.Frontiers in neurology · 2023Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe efficacy of traditional rehabilitation interventions to improve locomotion post-stroke, including providing multiple exercises targeting impairments and activity limitations, is uncertain. Emerging evidence rather suggests attempts to prioritize stepping practice at higher cardiovascular intensities may facilitate greater locomotor outcomes.
objectiveThe present study was designed to evaluate the comparative effectiveness of high-intensity training (HIT) to usual care during inpatient rehabilitation post-stroke.
methodsChanges in stepping activity and functional outcomes were compared over 9 months during usual-care (n = 131 patients < 2 months post-stroke), during an 18-month transition phase with attempts to implement HIT (n = 317), and over 12 months following HIT implementation (n = 208). The transition phase began with didactic and hands-on education, and continued with meetings, mentoring, and audit and feedback. Fidelity metrics included percentage of sessions prioritizing gait interventions and documenting intensity. Demographics, training measures, and outcomes were compared across phases using linear or logistic regression analysis, Kruskal-Wallis tests, or χ
resultsAcross all phases, admission scores were similar except for balance (usual-care>HIT;
conclusionsGreater efforts to prioritize walking and reach higher intensities during HIT led to increased steps/day, resulting in greater gains in locomotor and non-locomotor outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.