Investigating Effects of High-intensity Gait Training on Gait, Balance and Depression Post-stroke

Inclusion Criteria: * 18 years of age or older * English or Spanish speaking * A diagnosis of stroke (intracerebral hemorrhage or acute ischemic stroke) * Referred to LVHN Outpatient Neurologic Rehab (hereafter referred to as outpatient PT) Exclusion Criteria: * Unable to follow 1-step commands * \> 220 pounds (100 kg) * Height \< 5'0" or \> 6'4" * Unable to take a few steps with assistance * A score of ≥ 50/56 on Berg Balance Scale (BBS) * A score of ≥ 26/30 on Functional Gait Assessment (FGA) * Resting blood pressure \>180/110 mmHg * Resting heart rate \> 120 bpm * Severe cardiac disease (New York Heart Association Classification IV) * Severe spasticity (Modified Ashworth score \> 3) * Unstable spine or unhealed pelvic/limb fractures * Active heterotrophic ossification impacting lower extremity range of motion * Significant lower or upper extremity contractures * Inability to achieve neutral ankle dorsiflexion with 12° of knee flexion * Pregnancy * Colostomy * Poor skin integrity * Unresolved deep vein thrombosis * Lower limb prosthesis or amputation * Leg length discrepancies \> 0.5 inches for upper legs, 0.75 inches for lower legs * ROM restrictions preventing normal, reciprocal gait * Inability to stand for \> 3 minutes due to pain or orthostatic hypotension * Pusher syndrome * Cortical blindness