The step count, particularly total steps per day, is most common measure of walking activity in people poststroke--but does the step account accurately reflect "real world" walking activity in this population? In "The Structure of Walking Activity in People After Stroke Compared With Older Adults Without Disability: A Cross-Sectional Study" (September 2012), lead author Darcy Reisman, PT, PhD, and colleagues discovered that the reduced number of steps per day after stroke is the result of a reduced number of bouts of walking--a finding that would not come to light if only total steps were analyzed. In this PTJ podcast, Reisman is joined by Bruce Dobkin, MD, FRCP, an investigator with the LEAPS trial, and Moderator Janice Eng, PT/OT, PhD, to discuss walking activity in people poststroke. What measures of walking activity are most meaningful for patients poststroke? Are there new technologies on the horizon that may increase the ability to measure "real world" activity and adjust interventions accordingly?