Fitness After Stroke Trial

Inclusion Criteria: * Both sexes between the age of 20-85 years at time of consent * Chronic ischemic or hemorrhagic stroke 6 months to 15 years at consent. People with stroke and newly diagnosed cardiovascular complications had \>50% prevalence of recurrent stroke at 5 years. Index stroke or recurrent stroke on same side as index stroke will be allowed. * Ability to walk over ground with assistive devices and no continuous physical assistance from another person to perform tests for gait speed and six-minute walk test * Exercise continuously for minimum of 30 watts for 3 minutes on the recumbent stepper to demonstrate ability to perform the exercise test. * No aerobic exercise contraindications or other safety/physical concerns during the submaximal exercise test. * Able to communicate with investigators, follow 2-step command \& correctly answer consent comprehension questions * Currently participating in less than 150 minutes of physical activity/week assessed by the Rapid Assessment of Physical Activity * Stable blood pressure \& statin medication doses for 30 days prior to enrollment due to effects on vascular health/hemodynamics Exclusion Criteria: * Hospitalization for cardiac or pulmonary disease within past 3 months * Implanted pacemaker or defibrillator limiting exercise performance * Reported pain that limits or interferes with activities of daily living and physical activity/exercise * Severe LE spasticity (Ashworth \>2) due to inability to exercise * Recent hi…