Does early mobilisation help in stroke recovery?

A key goal of getting up and about early is improved longer term cognition

Early and more frequent mobilisation after stroke does not boost cognitive performance three months later, Australian researchers report.

Their study, published in the journal Stroke, is based on data from the AVERT trial, the largest stroke-rehabilitation trial ever conducted.

The aim was to determine whether starting upright standing and walking training early led to a different recovery pathway that might influence longer-term cognition, said co-author Dr Julie Bernhardt of the University of Melbourne.

Participants were recruited to the study within 24 hours of first or recurrent ischaemic or hemorrhagic stroke, and randomly assigned to receive usual stroke care or very early and more frequent mobilisation.

The extra mobilisation began within 24 hours of stroke onset and included at least three additional sessions daily. 

The primary outcome was