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Updated: Feb 15, 2026

A Rehabilitation Program of Exoskeleton-assisted Body Weight-Supported Treadmill Training with Non-immersive Virtual Reality for Stroke Patients
Published on: May 16, 2025
Improving physical activity after stroke via treadmill training and self management (IMPACT): a protocol for a
Sandra G Brauer1, Suzanne S Kuys2, Jennifer D Paratz3
1Discipline of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, QLD, Australia. s.brauer@uq.edu.au.
High-intensity treadmill training combined with self-management education may increase physical activity and improve walking ability in stroke survivors. This approach aims to enhance recovery and long-term health outcomes post-stroke.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Exercise Physiology
Background:
- Stroke survivors often exhibit low levels of community-based physical activity.
- The IMPACT trial addresses the need for effective interventions to improve post-stroke recovery and physical function.
Purpose of the Study:
- To compare high-intensity treadmill training with self-management education against usual physiotherapy gait training.
- To evaluate the impact of the intervention on physical activity, walking ability, cardiorespiratory fitness, and quality of life in stroke survivors.
Main Methods:
- A randomized controlled trial involving 128 stroke survivors undergoing rehabilitation.
- Participants were allocated to either high-intensity treadmill training or usual physiotherapy gait training for 8 weeks.
- Outcomes were assessed at baseline, 8 weeks, and 26 weeks post-intervention.
Main Results:
- The study aims to determine if high-intensity treadmill training significantly increases physical activity levels compared to standard care.
- It also seeks to identify improvements in walking ability, cardiorespiratory fitness, self-efficacy, participation, and health-related quality of life.
Conclusions:
- Enhanced walking ability and cardiorespiratory fitness are anticipated to boost physical activity in stroke survivors.
- Self-management education is expected to foster sustained physical activity, leading to better participation and quality of life.
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