Inclusion Criteria- First stroke resulting in hemiplegia;
- Mini-Mental State Exam score > 15;
- Distance walked in 6-min walk test is less than the lower limit of 'normal' according to reference equations for healthy adults (adjusted for gender, age, BMI [Body Mass Index])
- Score on walking subscale of the Motor Assessment Scale of ≥ 2.
Exclusion Criteria- Unstable cardiac disease,
- Known un-repaired aortic or cerebral aneurysm
- Hemorrhagic stroke, symptomatic hernias, symptom limiting peripheral vascular disease,
- End-stage congestive cardiac failure,
- Any of the exclusion criteria contraindicating moderate exercise as outlined by American College of Sports Medicine guidelines for cardiac disease rehabilitation or for frail and elderly adults.
- Significant musculotendinous or bony restrictions of either limb,
- Any serious chronic disease independently causing significant disability or profound atrophy of the affected limb will comprise further exclusion criteria.