To determine if rehabilitation inpatients with lower limb orthopedic conditions who received additional weekend physical therapy (PT) and occupational therapy (OT) had increased levels of physical activity. Randomized controlled trial. Inpatient rehabilitation center. 105 adults mean age 74 (SD 12) years, 72 women admitted with a lower limb orthopedic condition, who were cognitively alert and able to walk. The control group of participants received usual care PT and OT Monday to Friday; in addition the experimental group also received a full Saturday PT and OT service. Participants wore an activity monitor for seven days. Daily number of steps and daily time spent in upright activities (hours). Participants took a mean of 589 (SD 640) steps per day and spent a mean of 1.2 (SD .9) hours upright per day. Experimental group participants took more than twice as many steps mean difference 428 steps, 95% Confidence Interval (CI) 184-673 and spent 50% (SD 20%) more time upright (mean difference .5 hours, 95%CI .1-.9) than control group participants on Saturdays. In the days following additional therapy, experimental group participants took 63% (SD 28%) more steps (mean difference 283 steps, 95% CI 34 to 532) and spent 40% (SD 17%) more time upright (mean difference .4 hours, 95%CI .1 to .8) per day than participants in the control group. Providing additional rehabilitation services on the weekend increased activity but patients with lower limb orthopedic conditions admitted to rehabilitation remained relatively inactive even with additional therapy.