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July 30, 2025Journal of Acute Care Physical Therapy

Greater Frequency and Duration of Physical Therapy Are Independently Associated With Recovery of Functional Mobility at Hospital Discharge Among Patients Admitted With Acute Stroke

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Why the study?

Physical therapy is recommended after stroke, but the relationship between its dose and functional recovery during acute hospitalization remains unclear.

Does greater frequency and duration of physical therapy improve functional mobility at hospital discharge in adults admitted with acute stroke?

Population

331 adults admitted to a stroke center with acute stroke

Comparison

Varying volume and frequency of physical therapy

Design

Retrospective analysis of medical records

Key result

Greater physical therapy frequency (p=0.01) and duration (p=0.037) were independently associated with meaningful improvement in functional mobility at hospital discharge among acute stroke patients.

Authors

ATAaron ThrushCTCathrine TadyanemhanduASAndre Soares

Discussion

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Overview

Higher PT volume/frequency may link to acute stroke mobility gains; hypothesis-generating, needs prospective trials before practice change.

Study Design

Type

Observational (n=331)

Multicenter

No

Structured PICO

Does greater frequency and duration of physical therapy improve functional mobility at hospital discharge in adults admitted with acute stroke?

P
Population
331 adults admitted with acute stroke, excluding those with pre-existing impairments or late admissions, evaluated for functional mobility improvement at hospital discharge.
E
Exposure
Greater frequency (number of sessions) and duration (minutes) of physical therapy (PT) during acute hospitalization
C
Comparator
Lower frequency and duration of physical therapy (PT) during acute hospitalization
O
Outcome
≥4 points improvement on the Functional Status Score for the Intensive Care Unit (FSS-ICU) from hospital admission to discharge

Main Result

p-value: p=0.01 for PT sessions, 0.037 for PT minutes

Increased frequency and duration of physical therapy during acute hospitalization for stroke is independently associated with meaningful short-term functional recovery.

Cite This Study

Thrush et al. (2025) conducted an observational in Acute Stroke (n=331). Physical therapy (PT) volume and frequency vs. Lower PT volume and frequency was evaluated on ≥4 points improvement on the Functional Status Score for the Intensive Care Unit (FSS-ICU) from hospital admission to discharge (p=0.01 for PT sessions, 0.037 for PT minutes). Greater physical therapy frequency (p=0.01) and duration (p=0.037) were independently associated with meaningful improvement in functional mobility at hospital discharge among acute stroke patients.

synapsesocial.com/papers/6a8b0ceaf71b672e3df462bfhttps://doi.org/10.1097/jat.0000000000000261
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Timing and Intensity of Rehabilitation Services During Acute Stroke Hospitalization: Impacts on Functional Recovery and Community Discharge2026
  2. 2Physical Therapy and Occupational Therapy in Acute Care: Association of Timing and Frequency with 30-Day Readmission after Ischemic Stroke2026
  3. 3Rehabilitation After Stroke in a Transition From Hospital to Municipality—Impact of Amount of Rehabilitation2026
  4. 4Association between the initial physical activity and functional recovery after 1 month of inpatient rehabilitation for subacute stroke: stratified analysis by nutritional status2024 · 1 citations
  5. 5INPATIENT REHABILITATION AND ITS IMPACT ON POSTURAL CONTROL, BALANCE, MOBILITY, MOTOR PERFORMANCE, AND PHYSICAL ACTIVITY IN PEOPLE WITH ACUTE STROKE: A CASE SERIES2026