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In this randomized trial of two physical therapy interventions for patients with walking impairment after stroke, locomotor training on a treadmill including body-weight support was not superior to a home-exercise program supervised by a physical therapist.
More than 790,000 Americans have a new or recurrent stroke yearly,
1
and two thirds of the 6.4 million survivors may have significant limitations in walking
2
and are at high risk for falls,
3
fractures,
4
and further decline in mobility.
5
Walking speed predicts the level of disability. At a walking speed of more than 0.8 m per second, full mobility in the community is likely; at a walking speed of less than 0.4 m per second, mobility is limited to the home; and at speeds of 0.4 to 0.8 m per second, mobility is limited to short walks in the community.
6
Improving . . .