Related Experiment Video
Updated: Jul 7, 2026
Application of Bedside Lower Extremity Rehabilitation Robots in Stroke Rehabilitation: A Randomized Controlled Trial
Published on: November 28, 2025
How feasible is the attainment of community ambulation after stroke? A pilot randomized controlled trial to evaluate
Susan Lord1, Kathryn M McPherson, Harry K McNaughton
1Department of Medicine (Rehabilitation), Wellington School of Medicine and Health Sciences, University of Otago, Wellington Sth 6002, New Zealand. sue.lord@ts.co.nz
Objective:
This pilot randomized controlled trial evaluated an assistant-led, community-based intervention to improve community mobility and participation after stroke, and examined the potential for independent community ambulation in people with subacute stroke who present with moderate gait deficit.
Design:
A multicentre, pilot randomized controlled trial.
Setting:
Three hospitals and three community settings in New Zealand.
Subjects:
Thirty post-acute, home-dwelling stroke survivors were randomly allocated to receive intervention in the community (n = 14) or as hospital outpatients (n = 16) twice a week for seven weeks.
Interventions:
The community intervention involved practice of functional gait activities in community environments relevant to each participant. Hospital-based physiotherapy was based upon a Motor Relearning approach.
Main Measures:
The primary outcome measure was gait speed (m/min). Secondary outcomes included endurance (six-minute walk time), Activities-specific Confidence Balance Scale, and the Subjective Index of Physical and Social Outcomes measured at baseline, post intervention and six months.
Results:
Large gains in gait speed were obtained for participants in both groups: community group mean (SD) 16 (16.1) m/min; physiotherapy group mean (SD) 15.9 (16.1) m/min, maintained at six months. There were no significant differences between groups for primary and secondary outcomes after treatment (P = 0.86 ANOVA) or at six months (P = 0.83 ANOVA). Only 11 participants reported independent community ambulation. Levels of social integration were low to moderate.
Conclusions:
A community-based gait recovery programme appears a practicable alternative to routine physiotherapy, however independent community ambulation is a challenging rehabilitation goal.