Walking is trained by walking — subacute gait dose
| Patient | 70M, subacute phase |
|---|---|
| Lesion | MCA territory, moderate |
| Severity | NIHSS 7 |
| Days since onset | 9 |
| Before the strokeIndependent; ex-dockworker, walks to the shops daily. | |
| Also on the chartHypertension; Atrial fibrillation | |
| PrecautionsAFO on for all gait work; Fatigue — bouts before mid-afternoon | |
Test yourself
What is the gait intervention this week?
The teaching
Subacute gait is a dose decision, not an equipment decision: the evidence rewards overground repetition of the whole task, and the two ANPT core measures — speed and six-minute distance — are how the dose proves itself week to week.
Read next
The full sequence
This page carries the case’s first decision. The full sequence — every decision, the five-domain examination, and the debrief that grades you — is in the drill, and the library is included with membership.
Sources on this page: Winstein CJ et al. Stroke. 2016. English C et al. Cochrane Database Syst Rev. 2017. Duncan PW et al. LEAPS. N Engl J Med. 2011 · Moore JL et al. J Neurol Phys Ther. 2018