Promoting Recovery Optimization with WALKing Exercise after Stroke

The specific objective of this study was to test whether and for whom combining fast walking training with a step activity monitoring program (FAST+SAM) is superior in improving real-world walking activity compared to fast walking training alone (FAST) or a step activity monitoring and feedback program alone (SAM) in those with chronic stroke. Using a randomized controlled experimental design, 250 chronic (> 6 months) stroke survivors were randomized to 12 weeks of fast walking training (FAST), a step activity monitoring program (SAM) or a fast walking training + step activity monitoring program (FAST+SAM). The primary (steps per day) and secondary (self-selected walking speed, walking endurance, oxygen consumption) outcomes were assessed by blinded evaluators prior to initiating treatment and after the last treatment. Steps per day significantly increased in both the SAM and FAST+SAM groups but not in the FAST group. All groups showed similar improvement in walking speed and endurance, and none of the groups showed changes in oxygen consumption following the intervention.