“…The amount of stepping activity was recorded per minute from 7:30 am to 5:00 pm on weekdays throughout the length of stay using validated accelerometers worn on the paretic ankle (StepWatch, Modus Health, LLC, Washington, DC) 21 ; such monitors are considered more accurate than other commercially available accelerometers, particularly at slower speeds. 22,23 The general intervention strategies to increase the amount of stepping practice at high aerobic intensities have been described previously 4,18 in patients >1 month poststroke with less severe physical impairments and performed outside of clinical therapy sessions. These interventions were discussed with the primary physical therapists treating the targeted patient population, and a multistrategy knowledge translation intervention was provided that included education and mentoring to improve adherence to the stepping program.…”