Moore JL, et al. - Since therapeutic strategies that capitalize on the intrinsic capacity for neurological recovery early poststroke to improve locomotion are unknown, researchers determined the comparative efficacy of providing high-intensity training on early post-stroke locomotor capacity vs usual care. Using a quasi-experimental design, they compared changes in stepping activity (StepWatch), walking, and balance outcomes during usual care (n = 56) vs high-intensity stepping intervention (n = 54) in inpatient stroke individuals. The authors discovered that average steps per day (5,777 ± 2,784) were significantly greater than during usual care (3,917 ± 2,656) following the implementation of high-intensity stepping. They observed that high-intensity stepping training conducted during inpatient rehabilitation resulted in significantly higher results for walking and balance. Steps per day, baseline impairments, and age were primary predictors of improved walking capacity. To assess the generalizability to real-world and community settings, this training model should be further evaluated in other contexts.