High-Intensity Walking Program Shows Promising Results in Stroke Recovery

A Canadian study of 306 stroke survivors has demonstrated that adding 30 minutes of progressive walking exercise to standard rehabilitation significantly improves mobility and quality of life. The research, to be presented at the American Stroke Association's International Stroke Conference 2025, could reshape stroke rehabilitation protocols worldwide.

The study, conducted across 12 stroke units in Canada, showed that patients who participated in the high-intensity walking program improved their walking distance by an additional 43.6 meters compared to those receiving standard care alone. Participants wore activity-tracking watches to maintain proper exercise intensity, with a goal of achieving 2,000 steps during 30-minute physical therapy sessions.

This research addresses a critical gap in stroke rehabilitation practices. Despite existing guidelines recommending structured, progressive exercise after stroke, implementation of sufficient intensity programs has been lacking. Dr. Janice Eng, study coauthor and professor at the University of British Columbia, emphasizes that the first months after a stroke are crucial for brain plasticity and healing.

The study's success in a real-world setting is particularly noteworthy. All participating stroke units successfully implemented the protocol into their standard care practices, demonstrating its feasibility for widespread adoption. This practical application could lead to significant changes in stroke rehabilitation practices globally, potentially improving outcomes for millions of stroke survivors annually.

While the study shows promising results, it was limited to patients who could take at least five steps with minimal assistance. The findings suggest that incorporating structured, progressive walking exercises during early rehabilitation could become a new standard in stroke recovery, particularly during the critical initial recovery period when the brain has the greatest capacity for healing.