Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, September 6, 2026

Gait Speed Changes in Stroke Rehabilitation Motor Lower Extremity Randomized Controlled Trials by Intervention and Time Post-Stroke: A Meta-Analysis

 You uselessly described something; but created no protocols for recovery! YOU'RE FIRED! Your comeuppance/screaming when you are the 1 in 4 per WHO that has a stroke  will be soul satisfying. 

Gait Speed Changes in Stroke Rehabilitation Motor Lower Extremity Randomized Controlled Trials by Intervention and Time Post-Stroke: A Meta-Analysis


https://doi.org/10.1016/j.apmr.2026.08.017Get rights and content
Under a Creative Commons license
Open access

Abstract

Objective

To examine gait speed changes in randomized controlled trials (RCTs) of motor lower extremity (LE) stroke rehabilitation across various interventions, compared to conventional care or sham controls, at different time points post-stroke.

Data Sources

A meta-analysis was conducted, in accordance with PRISMA guidelines. Systematic searches in MEDLINE, Embase, CINAHL and PsycINFO, were conducted for RCTs published in English, up to December 2024.

Study Selection

RCTs were included if they examined a LE motor rehabilitation intervention in adults with stroke, used conventional care or sham as control group, and evaluated gait speed.

Data Extraction

Two independent reviewers performed the screening of title/abstract, full-text screening and data extraction, with an independent reviewer available for conflict resolution.

Data Synthesis

A total of 106 RCTs met the inclusion criteria; 63.2% were conducted in the chronic phase post-stroke. Five interventions were evaluated in both the acute/subacute and chronic phases, of which, three, treadmill training, body weight-supported treadmill training, and training with exoskeletons, showed significant benefits in the acute/subacute phases, compared to conventional care, however, none showed any significant benefit in the chronic phase. Of the interventions evaluated solely in the chronic phase, overground walking training, trunk training, mirror therapy, and virtual reality demonstrated significant benefits compared to conventional care. Interventions studied during the acute/subacute phases post-stroke demonstrated significantly greater magnitude of improvement in gait speed compared to those in the chronic phase.

Conclusions

Overall, interventions for LE motor function post stroke evaluated in the acute/subacute phase demonstrated a greater magnitude of effect on gait speed compared to those assessed in the chronic phase, although more RCTs are being conducted in the chronic phase.
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