TOPLINE:
The structured, progressive “Walk 'n Watch” exercise protocol, delivered by physical therapists to patients in Canada with subacute stroke, was associated with greater improvement in walking endurance, speed, balance, mobility, and quality of life than usual care in a new phase 3 trial.
METHODOLOGY:
This phase 3, pragmatic, stepped-wedge, cluster-randomized controlled trial included more than 300 participants with confirmed stroke within 12 weeks previously (mean age, 68 years; 61% men) across 12 inpatient stroke rehabilitation units in Canada between 2021 and 2024.
About 162 patients were assigned to the usual care group, and 144 were assigned to the Walk 'n Watch group.
Three sites each were allocated to one of four sequences consisting of 4, 8, 12, or 16 months of usual ca