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Related Experiment Video

Updated: May 15, 2025

Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients

Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients

Published on: March 11, 2021

High-Intensity Gait Training for Patients After Stroke: A Feasibility Study.

Iris Charlotte Brunner¹, Gunhild Mo Hansen²

¹Hammel Neurocenter/Aarhus University, Hammel, Denmark.

Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy

|April 10, 2025

Summary

High-intensity gait training (HIGT) is feasible and well-tolerated by stroke survivors, showing significant improvements in gait function. This intensive approach can be integrated into neurorehabilitation settings, enhancing patient mobility and satisfaction.

Keywords:

gait training physiotherapy rehabilitation stroke

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Last Updated: May 15, 2025

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Published on: October 11, 2024

Area of Science:

Neurorehabilitation
Physical Therapy
Stroke Recovery

Background:

Two-thirds of stroke survivors experience walking impairment, limiting societal participation.
High-intensity gait training (HIGT) shows promise for improving post-stroke gait function compared to standard training.
HIGT is currently underutilized in clinical practice.

Purpose of the Study:

To assess the feasibility of implementing HIGT in a neurorehabilitation hospital.
To evaluate patient adherence, safety, and satisfaction with HIGT.

Main Methods:

A 2-week longitudinal cohort study involving 15 stroke patients undergoing HIGT (3-5 sessions/week).
Feasibility assessed via adherence, fidelity, adverse events, and patient satisfaction.
Gait assessments, heart rate, and step counts were monitored before, during, and after training.

Main Results:

High adherence (14/15 patients completed ≥8 sessions) and no serious adverse events were observed.
Target heart rate (>60% HRmax) was achieved for an average of 26.4 minutes per session.
Significant improvements in all gait assessments and a substantial increase in daily steps were recorded, alongside high patient satisfaction.

Conclusions:

HIGT is a feasible and safe intervention for stroke patients within existing neurorehabilitation structures.
The training was well-tolerated, with patients reporting high satisfaction and willingness to recommend it.
HIGT can be effectively integrated into standard physical therapy, improving gait outcomes and patient mobility.