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Related Experiment Video

Updated: Jun 11, 2026

Walk with Me Hybrid Virtual/In-Person Walking for Older Adults with Neurodegenerative Disease
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High-Dose Walking Booster Program Is Feasible for People After Stroke: A Phase II Randomized Trial.

Katharine Scrivener1,2, Elisha Ball1, Catherine Dean1

  • 1Department of Health Sciences, Faculty of Medicine, Health and Human Sciences (K.S., A.E.B., C.D., J.C., K.F.), Macquarie University, Sydney, Australia.

Stroke
|September 18, 2025
PubMed
Summary

The high-dose walking booster program (HiWalk) is a feasible community-based intervention for stroke survivors. Future research should focus on individuals no longer receiving rehabilitation to maximize walking improvements.

Keywords:
physical therapyrecovery of functionself efficacystrokewalking

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Area of Science:

  • Neurorehabilitation
  • Motor Recovery
  • Clinical Trials

Background:

  • Maintaining long-term walking ability after stroke presents challenges.
  • Access to consistent physiotherapy is often limited for stroke survivors.
  • This study assessed the feasibility and outcomes of a high-dose walking intervention.

Purpose of the Study:

  • To determine the feasibility of a clinical trial for a high-dose walking booster program (HiWalk).
  • To measure key clinical outcomes related to mobility and self-efficacy post-stroke.
  • To identify potential target populations for future stroke rehabilitation research.

Main Methods:

  • A multisite, assessor-blinded pilot and feasibility randomized trial was conducted.
  • Participants with chronic stroke received either HiWalk plus usual care or usual care alone.
  • Feasibility was assessed by recruitment, retention, adherence, and safety; clinical outcomes included walking speed and self-efficacy.

Main Results:

  • The HiWalk trial demonstrated feasibility with high retention (98%) and adherence (91%).
  • A significant improvement in self-efficacy was observed at 1 month.
  • While a small positive effect on fast walking speed was noted, significant differences were not found in the overall group; however, exploratory analysis showed benefits for those not undertaking rehabilitation.

Conclusions:

  • The HiWalk program is a feasible community-based mobility training approach for stroke survivors.
  • Benefits were observed in a subgroup of participants no longer receiving rehabilitation.
  • Future research should prioritize this subpopulation to optimize walking recovery after stroke.