Despite the similarities between heart disease and stroke in terms of disease process and elevated risk of recurrent events, exercise-based programs akin to cardiac rehabilitation are not available for people with stroke. The purpose of this study is to examine 1) the feasibility of adapting cardiac rehabilitation for individuals with stroke, and 2) the effects of this program on aerobic capacity, walking, risk factors, community integration and quality of life. The investigators anticipate that cardiac rehabilitation may be appropriately adapted to accommodate individuals with stroke who have a range of functional abilities, and that this program is effective in improving aerobic capacity, walking ability and stroke risk factors. The investigators also anticipate participants will demonstrate improved community integration and quality of life following this program.
Inclusion Criteria: * Chedoke-McMaster Stroke Assessment (CMSA) Scale Leg Score between 3 and 7 * At least 3 months post-stroke * Ability to understand the process and instructions for exercise training and provide informed consent * Ability to complete 6-minute walk test Exclusion Criteria: * Resting blood pressure greater than 160/100 despite medication * Other cardiovascular morbidity which would limit exercise tolerance (heart failure, abnormal blood pressure responses or ST-segment depression \> 2 mm, symptomatic aortic stenosis, complex arrhythmias) * Unstable angina * Orthostatic blood pressure decrease of \> 20 mm Hg with symptoms * Hypertrophic cardiomyopathy * Other musculoskeletal impairments which would limit the participant's ability to cycle or walk * Pain or other co-morbidities (e.g. unclipped aneurysms, uncontrolled seizures etc.) which would preclude participation * Cognitive and/or behavioural issues that would limit participation in exercise testing and training