{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T07:18:18Z","timestamp":1787815098701,"version":"build-2784847793"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Usual care (UC) in stroke rehabilitation is often insufficiently documented, limiting evaluation of interventions such as high\u2010intensity gait training (HIGT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe physiotherapy delivery in UC and HIGT in inpatient stroke rehabilitation, focusing on session frequency, intensity, time, type and overall daily activity volume (FITT\u2010V), and to evaluate the correspondence between heart rate\u2010based and perceived exertion\u2010based intensity monitoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective quasi\u2010experimental longitudinal study included 147 inpatients with stroke and impaired gait (median age 67 years, 67% male, median time since stroke 19 days). Median hospital stay was 33 days (IQR 25\u201342). Seventy\u2010three received UC and 74 HIGT. Physiotherapy delivery and patient characteristics were collected prospectively. Exercise intensity was measured using heart rate zones (Polar H10) and Borg RPE. Daily steps and active time were recorded with the Polar Vantage V2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Across 1443 physiotherapy sessions lasting more than 10\u2009min, weekly frequency was similar between groups (median 3.5 sessions), but HIGT sessions were longer (45\u2009min vs. 38\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and delivered at higher cardiovascular intensity (all HR zones\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). HIGT sessions involved more gait\u2010focused activities, whereas UC showed a broader mix of training types. Correspondence between perceived exertion (RPE) and heart rate was low for mean intensity (19.5%) but higher for peak intensity (47.8%), reflecting variability in perceived exertion in this heterogeneous inpatient stroke population. For overall daily activity volume, active time was comparable, yet HIGT patients took more daily steps (3446 vs. 3176 steps\/day,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Clinician adherence was \u2265\u200980% for most measures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>FITT\u2010V provides a structured approach to document physiotherapy delivery, revealing key differences in intensity, duration, and activity type that support targeted improvements in post\u2010stroke rehabilitation. Challenges remain in accurately capturing perceived exertion, underscoring the need for complementary objective measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70550","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T18:36:26Z","timestamp":1785868586000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Systematic Documentation of Physiotherapy Practice During Usual Care and High\u2010Intensity Gait Training in Inpatient Stroke Rehabilitation"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9823-7860","authenticated-orcid":false,"given":"Ylva Hivand","family":"Hiorth","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Stavanger University Hospital Stavanger Norway"},{"name":"Centre for Movement Disorders Stavanger University Hospital Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Moore","sequence":"additional","affiliation":[{"name":"The Regional Rehabilitation Knowledge Centre (RKR) Sunnaas Rehabilitation Hospital Oslo Norway"},{"name":"Institute for Knowledge Translation Carmel Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the FIRST\u2010Track Study group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.23736\/S1973-9087.22.07413-5"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20010153"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2024.2304960"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2008\/018)"},{"key":"e_1_2_9_6_1","volume-title":"ACSM's Guidelines for Exercise Testing and Prescription","author":"Ozemek C.","year":"2025"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.119.027450"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/15459683221119759"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.029245"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14155409"},{"key":"e_1_2_9_11_1","first-page":"643","article-title":"Safety and Effectiveness of the Walk \u2018n Watch Structured, Progressive Exercise Protocol Delivered by Physical Therapists for Inpatient Stroke Rehabilitation in Canada: A Phase 3, Multisite, Pragmatic, Stepped\u2010Wedge, Cluster\u2010Randomised Controlled Trial","volume":"24","author":"Peters S.","year":"2025","journal-title":"London?"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arrct.2020.100052"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1179573519843493"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215510382928"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269215504cr779oa"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1545968315604396"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzaf005"},{"issue":"82736","key":"e_1_2_9_18_1","article-title":"Validert Oversettelse av NIHSS Med Kulturell Tilpasning","volume":"15","author":"Kristensen D. 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