Symposium

Stroke

Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

International

Neuroplasticity (includes neuroscience)

Implementation of High-intensity Gait Training in Inpatient Stroke Rehabilitation in Norway (848065)

Presenter(s)

• 

  Joakim M. Halvorsen, PT

  Physical Therapist
  Reinforced Interdisciplinary Rehabilitation
  Asker, Akershus

  Presentation Slides Handouts
• 

  Ingvild H. Rosseland, PT

  Department Leader, Physical Therapist
  Reinforced Interdisciplinary Rehabilitation, Oslo

Non-presenting Author(s)

• JM

  Jenni Moore, Moore, PT, DHS, NCS

  Physical Therapist
  Sunnaas Rehabilitation Hospital HT
  Carmel, Indiana
• EB

  Elisabeth Bø, PhD

  Physical Therapist
  Oslo University Hospital, Oslo
• JN

  Jan Egil Nordvik, PhD

  CEO
  CatoSenteret Rehabilitation Center
  Son, Ostfold
• AE

  Anne Synøve Margarethe Spendrup Erichsen, MSc, PT

  Physical therapist
  Oslo University Hospital, Oslo
• 

  Thomas G. Hornby, PT, PhD

  Professor
  Indiana University School of Medicine
  Indianapolis, Indiana

Research on high-intensity gait training (HIGT) in stroke rehabilitation demonstrates a substantial impact on walking function including improved gait speed, walking distance, balance, aerobic capacity, and stepping activity. While this evidence may advance our knowledge about interventions to improve walking recovery, a recent systematic review identified that even when research recommendations were available they were not used by the clinicians about two-thirds of the time. This lack of translation indicates that patients may not benefit from research advances without innovative implementation efforts. This symposium aims to present an overview of the research on HIGT, its clinical feasibility, and effects of HIGT when implemented in inpatients stroke rehabilitation. An overview of the literature on high-intensity gait training will be provided. In addition, we will present the implementation methods and results of translating HIGT to inpatient rehabilitation in Norway.

Learning Objectives:

• Describe the evidence that supports high-intensity gait training in stroke rehabilitation
• Identify barriers and facilitators of providing high-intensity gait training in inpatient rehabilitation
• Discuss strategies that could be used to successfully implement high-intensity gait training into clinical practice
• Identify methods to facilitate sustainability of high-intensity gait training in stroke rehabilitation
• Explain how the implementation of high-intensity gait training led to improved functional outcomes for stroke-survivors in the FIRST-Oslo project