Are We Using the Evidence That We Have?

Gait training after stroke is one of the most common referral reasons for outpatient neurological PT. How uniform, though, is this common procedure? The evidence ONLY says (summarizing): strength training helps; walking is improved through walking, balance training, and virtual reality training (not through time spent on activities in sitting); circuit training can help – IF the intensity is > 70% of max heart rate; overground and body weight support interventions are optimally dosed at moderate to high intensity (including HIIT). These are the facts that must guide our applications. What is being studied now, includes: benefits of immediate feedback through technology, the benefit of procedural memory training (intentionally loading distractions), and practicing with error-induction. Happy applicating!