YDWP and SWP2A are both reliable. Only knee-worn YDWP is a valid device to measure steps except high intensity walking in stroke. YDWP systematically undercounts steps during other activities of short duration. This study could not demonstrate valid measurement of steps/EE in stroke using SWP2A. Implications for Rehabilitation Stroke is a disabling disease with residual neurologic deficits, which impairs mobility and predisposes them to sedentary behavior. A Yamax Digi-Walker SW-200 knee-worn pedometer showed to be a valid and reliable technique to measure ambulatory activity in stroke. A valid instrument to measure energy expenditure in stroke needs to be explored.
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