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Does Aerobic Exercise and the FITT Principle Fit into Stroke Recovery?

  • Stroke (HP Adams, Section Editor)
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Abstract

Sedentary lifestyle after stroke is common which results in poor cardiovascular health. Aerobic exercise has the potential to reduce cardiovascular risk factors and improve functional capacity and quality of life in people after stroke. However, aerobic exercise is a therapeutic intervention that is underutilized by healthcare professionals after stroke. The purpose of this review paper is to provide information on exercise prescription using the FITT principle (frequency, intensity, time, type) for people after stroke and to guide healthcare professionals to incorporate aerobic exercise into the plan of care. This article discusses the current literature outlining the evidence base for incorporating aerobic exercise into stroke rehabilitation. Recently, high-intensity interval training has been used with people following stroke. Information is provided regarding the early but promising results for reaching higher target heart rates.

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References

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  1. Billinger SA, Arena R, Bernhardt J, et al. Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014. This scientific statement from the American Heart/American Stroke Association has been updated from the original 2004 statement. This version not only provides exercise guidelines for stroke survivors, caregivers, and health care providers but also discusses when exercise should begin for people after stroke. Physical activity and exercise are beneficial and should be incorporated into daily routine.

  2. Mackay-Lyons MJ, Makrides L. Exercise capacity early after stroke. Arch Phys Med Rehabil. 2002;83(12):1697–702.

    Article  PubMed  Google Scholar 

  3. Billinger SA, Taylor JM, Quaney BM. Cardiopulmonary response to exercise testing in people with chronic stroke: a retrospective study. Stroke Res Treat. 2012;2012:987637.

    PubMed Central  PubMed  Google Scholar 

  4. Sandroff BM, Motl RW, Pilutti LA, et al. Accuracy of StepWatch and ActiGraph accelerometers for measuring steps taken among persons with multiple sclerosis. PLoS One. 2014;9(4):e93511.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Pharr JR, Bungum T. Health disparities experienced by people with disabilities in the United States: a Behavioral Risk Factor Surveillance System study. Glob J Health Sci. 2012;4(6):99–108.

    PubMed  Google Scholar 

  6. Hackam DG, Spence JD. Combining multiple approaches for the secondary prevention of vascular events after stroke: a quantitative modeling study. Stroke. 2007;38(6):1881–5.

    Article  PubMed  Google Scholar 

  7. Pang MY, Eng JJ, Dawson AS, Gylfadottir S. The use of aerobic exercise training in improving aerobic capacity in individuals with stroke: a meta-analysis. Clin Rehabil. 2006;20(2):97–111.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Veerbeek JM, Kwakkel G, van Wegen EE, Ket JC, Heymans MW. Early prediction of outcome of activities of daily living after stroke: a systematic review. Stroke. 2011;42(5):1482–8. Articles that reviewed acute stroke activities of daily living predictive outcome measures were analyzed. At this time, the predictive value of these measures needs further research as current research is not thorough enough to draw decisive conclusions.

    Article  PubMed  Google Scholar 

  9. Bernhardt J, Chitravas N, Meslo IL, Thrift AG, Indredavik B. Not all stroke units are the same: a comparison of physical activity patterns in Melbourne, Australia, and Trondheim, Norway. Stroke. 2008;39(7):2059–65.

    Article  PubMed  Google Scholar 

  10. Askim T, Bernhardt J, Salvesen O, Indredavik B. Physical activity early after stroke and its association to functional outcome 3 months later. J Stroke Cerebrovasc Dis. 2014;23(5):e305–12.

    Article  PubMed  Google Scholar 

  11. MacKay-Lyons MJ, Makrides L. Cardiovascular stress during a contemporary stroke rehabilitation program: is the intensity adequate to induce a training effect? Arch Phys Med Rehabil. 2002;83(10):1378–83.

    Article  PubMed  Google Scholar 

  12. Prajapati SK, Mansfield A, Gage WH, Brooks D, McIlroy WE. Cardiovascular responses associated with daily walking in subacute stroke. Stroke Res Treat. 2013;2013:612458.

    PubMed Central  PubMed  Google Scholar 

  13. ACSM. Guidelines for exercise testing and prescription. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2010.

    Google Scholar 

  14. Tang A, Marzolini S, Oh P, McIlroy WE, Brooks D. Feasibility and effects of adapted cardiac rehabilitation after stroke: a prospective trial. BMC Neurol. 2010;10:40.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Prior PL, Hachinski V, Unsworth K, et al. Comprehensive cardiac rehabilitation for secondary prevention after transient ischemic attack or mild stroke: I: feasibility and risk factors. Stroke. 2011;42(11):3207–13.

    Article  PubMed  Google Scholar 

  16. Marzolini S, Leung YM, Alter DA, Wu G, Grace SL. Outcomes associated with cardiac rehabilitation participation in patients with musculoskeletal comorbidities. Eur J Phys Rehabil Med. 2013;49(6):775–83.

    CAS  PubMed  Google Scholar 

  17. Ryan AS, Ivey FM, Prior S, Li G, Hafer-Macko C. Skeletal muscle hypertrophy and muscle myostatin reduction after resistive training in stroke survivors. Stroke. 2011;42(2):416–20.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  18. Billinger SA, Tseng BY, Kluding PM. Modified total-body recumbent stepper exercise test for assessing peak oxygen consumption in people with chronic stroke. Phys Ther. 2008;88(10):1188–95.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Rimmer JH, Rauworth AE, Wang EC, Nicola TL, Hill B. A preliminary study to examine the effects of aerobic and therapeutic (nonaerobic) exercise on cardiorespiratory fitness and coronary risk reduction in stroke survivors. Arch Phys Med Rehabil. 2009;90(3):407–12.

    Article  PubMed  Google Scholar 

  20. Duncan P, Studenski S, Richards L, et al. Randomized clinical trial of therapeutic exercise in subacute stroke. Stroke. 2003;34(9):2173–80.

    Article  PubMed  Google Scholar 

  21. Billinger SA, Mattlage AE, Ashenden AL, Lentz AA, Harter G, Rippee MA. Aerobic exercise in subacute stroke improves cardiovascular health and physical performance. J Neurol Phys Ther. 2012;36(4):159–65.

    Article  PubMed Central  PubMed  Google Scholar 

  22. Yates JS, Studenski S, Gollub S, et al. Bicycle ergometry in subacute-stroke survivors: feasibility, safety, and exercise performance. J Aging Phys Act. 2004;12(1):64–74.

    PubMed  Google Scholar 

  23. Tang A, Sibley KM, Thomas SG, et al. Effects of an aerobic exercise program on aerobic capacity, spatiotemporal gait parameters, and functional capacity in subacute stroke. Neurorehabil Neural Repair. 2009;23(4):398–406. This paper presents information regarding physical therapists’ comfort level with prescribing exercise to patients with neurologic conditions including stroke. Most therapists agree exercise is important but few utilize in clinical practice.

    Article  PubMed  Google Scholar 

  24. Biasin L, Sage MD, Brunton K, et al. Integrating aerobic training within subacute stroke rehabilitation: a feasibility study. Phys Ther. 2014.

  25. Doyle L, Mackay-Lyons M. Utilization of aerobic exercise in adult neurological rehabilitation by physical therapists in Canada. J Neurol Phys Ther. 2013;37(1):20–6.

    Article  PubMed  Google Scholar 

  26. Ammann BC, Knols RH, Baschung P, de Bie RA, de Bruin ED. Application of principles of exercise training in sub-acute and chronic stroke survivors: a systematic review. BMC Neurol. 2014;14(1):167. This meta-analysis reviewed 28 articles that used randomized controlled trials. The authors concluded that cardiorespiratory fitness can be improved through aerobic exercise in stroke survivors.

    Article  PubMed Central  PubMed  Google Scholar 

  27. Marsden DL, Dunn A, Callister R, Levi CR, Spratt NJ. Characteristics of exercise training interventions to improve cardiorespiratory fitness after stroke: a systematic review with meta-analysis. Neurorehabil Neural Repair. 2013;27(9):775–88.

    Article  PubMed  Google Scholar 

  28. Katz-Leurer M, Sender I, Keren O, Dvir Z. The influence of early cycling training on balance in stroke patients at the subacute stage. Results of a preliminary trial. Clin Rehabil. 2006;20(5):398–405.

    Article  PubMed  Google Scholar 

  29. Quaney BM, Boyd LA, McDowd JM, et al. Aerobic exercise improves cognition and motor function poststroke. Neurorehabil Neural Repair. 2009;23(9):879–85.

    Article  PubMed Central  PubMed  Google Scholar 

  30. Globas C, Becker C, Cerny J, et al. Chronic stroke survivors benefit from high-intensity aerobic treadmill exercise: a randomized control trial. Neurorehabil Neural Repair. 2012;26(1):85–95.

    Article  PubMed  Google Scholar 

  31. Luft AR, Macko RF, Forrester LW, et al. Treadmill exercise activates subcortical neural networks and improves walking after stroke. A randomized controlled trial. Stroke. 2008.

  32. Macko RF, Ivey FM, Forrester LW, et al. Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke: a randomized, controlled trial. Stroke. 2005;36(10):2206–11.

    Article  PubMed  Google Scholar 

  33. Jin H, Jiang Y, Wei Q, Wang B, Ma G. Intensive aerobic cycling training with lower limb weights in Chinese patients with chronic stroke: discordance between improved cardiovascular fitness and walking ability. Disabil Rehabil. 2012;34(19):1665–71.

    Article  PubMed  Google Scholar 

  34. Jin H, Jiang Y, Wei Q, Chen L, Ma G. Effects of aerobic cycling training on cardiovascular fitness and heart rate recovery in patients with chronic stroke. NeuroRehabilitation. 2013;32(2):327–35.

    PubMed  Google Scholar 

  35. American College of Sports M. ACSM’s guidelines for exercise testing and prescription. Vol 9th. Philadelphia: Lippincott Williams & Wilkins; 2014.

    Google Scholar 

  36. Gellish RL, Goslin BR, Olson RE, McDonald A, Russi GD, Moudgil VK. Longitudinal modeling of the relationship between age and maximal heart rate. Med Sci Sports Exerc. 2007;39(5):822–9.

    Article  PubMed  Google Scholar 

  37. Brawner CA, Ehrman JK, Schairer JR, Cao JJ, Keteyian SJ. Predicting maximum heart rate among patients with coronary heart disease receiving beta-adrenergic blockade therapy. Am Heart J. 2004;148(5):910–4.

    Article  CAS  PubMed  Google Scholar 

  38. MacKay-Lyons MJ, Howlett J. Exercise capacity and cardiovascular adaptations to aerobic training early after stroke. Top Stroke Rehabil. 2005;12(1):31–44.

    Article  PubMed  Google Scholar 

  39. Pang MY, Charlesworth SA, Lau RW, Chung RC. Using aerobic exercise to improve health outcomes and quality of life in stroke: evidence-based exercise prescription recommendations. Cerebrovasc Dis (Basel, Switzerland). 2013;35(1):7–22.

    Article  Google Scholar 

  40. Tang A, Marzolini S, Oh P, McIlroy WE, Brooks D. Factors associated with change in aerobic capacity following an exercise program for individuals with stroke. J Rehabil Med. 2013;45(1):32–7.

    Article  PubMed  Google Scholar 

  41. Mezzani A, Hamm LF, Jones AM, et al. Aerobic exercise intensity assessment and prescription in cardiac rehabilitation: a joint position statement of the European Association for Cardiovascular Prevention and Rehabilitation, the American Association of Cardiovascular and Pulmonary Rehabilitation, and the Canadian Association of Cardiac Rehabilitation. J Cardiopulm Rehabil Prev. 2012;32(6):327–50.

    Article  PubMed  Google Scholar 

  42. Tang A, Eng JJ, Krassioukov AV, et al. Exercise-induced changes in cardiovascular function after stroke: a randomized controlled trial. Int J Stroke. 2014;9(7):883–9.

    Article  CAS  PubMed  Google Scholar 

  43. Manns PJ, Dunstan DW, Owen N, Healy GN. Addressing the nonexercise part of the activity continuum: a more realistic and achievable approach to activity programming for adults with mobility disability? Phys Ther. 2012;92(4):614–25.

    Article  PubMed  Google Scholar 

  44. Ivey FM, Hafer-Macko CE, Ryan AS, Macko RF. Impaired leg vasodilatory function after stroke: adaptations with treadmill exercise training. Stroke. 2010;41(12):2913–7.

    Article  PubMed Central  PubMed  Google Scholar 

  45. Ivey FM, Ryan AS, Hafer-Macko CE, Goldberg AP, Macko RF. Treadmill aerobic training improves glucose tolerance and indices of insulin sensitivity in disabled stroke survivors: a preliminary report. Stroke. 2007;38(10):2752–8.

    Article  CAS  PubMed  Google Scholar 

  46. Lennon O, Carey A, Gaffney N, Stephenson J, Blake C. A pilot randomized controlled trial to evaluate the benefit of the cardiac rehabilitation paradigm for the non-acute ischaemic stroke population. Clin Rehabil. 2008;22(2):125–33.

    Article  PubMed  Google Scholar 

  47. Katz-Leurer M, Shochina M, Carmeli E, Friedlander Y. The influence of early aerobic training on the functional capacity in patients with cerebrovascular accident at the subacute stage. Arch Phys Med Rehabil. 2003;84(11):1609–14.

    Article  PubMed  Google Scholar 

  48. Kuys SS, Brauer SG, Ada L. Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: a pilot randomized trial. Clin Rehabil. 2011;25(4):316–26.

    Article  PubMed  Google Scholar 

  49. Ivey FM, Ryan AS, Hafer-Macko CE, Macko RF. Improved cerebral vasomotor reactivity after exercise training in hemiparetic stroke survivors. Stroke. 2011. In press.

  50. Outermans JC, van Peppen RP, Wittink H, Takken T, Kwakkel G. Effects of a high-intensity task-oriented training on gait performance early after stroke: a pilot study. Clin Rehabil. 2010;24(11):979–87.

    Article  PubMed  Google Scholar 

  51. Guazzi M, Adams V, Conraads V, et al. EACPR/AHA Scientific Statement. Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations. Circulation. 2012;126(18):2261–74.

    Article  PubMed  Google Scholar 

  52. Ekkekakis P, Parfitt G, Petruzzello SJ. The pleasure and displeasure people feel when they exercise at different intensities: decennial update and progress towards a tripartite rationale for exercise intensity prescription. Sports Med (Auckland, NZ). 2011;41(8):641–71.

    Article  Google Scholar 

  53. Lam JM, Globas C, Cerny J, et al. Predictors of response to treadmill exercise in stroke survivors. Neurorehabil Neural Repair. 2010;24(6):567–74.

    Article  PubMed Central  PubMed  Google Scholar 

  54. Boyne P, Dunning K, Carl D, Gerson M, Khoury J, Kissela B. High-intensity interval training in stroke rehabilitation. Top Stroke Rehabil. 2013;20(4):317–30.

    Article  PubMed  Google Scholar 

  55. Boyne P, Dunning K, Carl D, Gerson M, Khoury J, Kissela B. Within-session responses to high-intensity interval training in chronic stroke. Med Sci Sports Exerc. 2014. In press.

  56. Askim T, Dahl AE, Aamot IL, Hokstad A, Helbostad J, Indredavik B. High-intensity aerobic interval training for patients 3–9 months after stroke. A feasibility study. Physiother Res Int: J Res Clin Phys Ther. 2013.

  57. Daussin FN, Ponsot E, Dufour SP, et al. Improvement of VO2max by cardiac output and oxygen extraction adaptation during intermittent versus continuous endurance training. Eur J Appl Physiol. 2007;101(3):377–83.

    Article  PubMed  Google Scholar 

  58. Helgerud J, Hoydal K, Wang E, et al. Aerobic high-intensity intervals improve VO2max more than moderate training. Med Sci Sports Exerc. 2007;39(4):665–71.

    Article  PubMed  Google Scholar 

  59. Freyssin C, Verkindt C, Prieur F, Benaich P, Maunier S, Blanc P. Cardiac rehabilitation in chronic heart failure: effect of an 8-week, high-intensity interval training versus continuous training. Arch Phys Med Rehabil. 2012.

  60. Fu TC, Wang CH, Lin PS, et al. Aerobic interval training improves oxygen uptake efficiency by enhancing cerebral and muscular hemodynamics in patients with heart failure. Int J Cardiol. 2011.

  61. Moholdt T, Aamot IL, Granoien I, et al. Aerobic interval training increases peak oxygen uptake more than usual care exercise training in myocardial infarction patients: a randomized controlled study. Clin Rehabil. 2012;26(1):33–44.

    Article  PubMed  Google Scholar 

  62. Moholdt T, Aamot IL, Granoien I, et al. Long-term follow-up after cardiac rehabilitation: a randomized study of usual care exercise training versus aerobic interval training after myocardial infarction. Int J Cardiol. 2011;152(3):388–90.

    Article  PubMed  Google Scholar 

  63. Moholdt TT, Amundsen BH, Rustad LA, et al. Aerobic interval training versus continuous moderate exercise after coronary artery bypass surgery: a randomized study of cardiovascular effects and quality of life. Am Heart J. 2009;158(6):1031–7.

    Article  PubMed  Google Scholar 

  64. Rognmo O, Hetland E, Helgerud J, Hoff J, Slordahl SA. High intensity aerobic interval exercise is superior to moderate intensity exercise for increasing aerobic capacity in patients with coronary artery disease. Eur J Cardiovasc Prev Rehabil Off J Eur Soc Cardiol Work Groups Epidemiol Prev Card Rehabil Exerc Physiol. 2004;11(3):216–22.

    Google Scholar 

  65. Wisloff U, Stoylen A, Loennechen JP, et al. Superior cardiovascular effect of aerobic interval training versus moderate continuous training in heart failure patients: a randomized study. Circulation. 2007;115(24):3086–94.

    Article  PubMed  Google Scholar 

  66. Ciolac EG. High-intensity interval training and hypertension: maximizing the benefits of exercise? Am J Cardiovasc Dis. 2012;2(2):102–10.

    PubMed Central  PubMed  Google Scholar 

  67. Guiraud T, Nigam A, Gremeaux V, Meyer P, Juneau M, Bosquet L. High-intensity interval training in cardiac rehabilitation. Sports Med (Auckland, NZ). 2012;42(7):587–605.

    Article  Google Scholar 

  68. Rankin AJ, Rankin AC, Macintyre P, Hillis WS. Walk or run? Is high-intensity exercise more effective than moderate-intensity exercise at reducing cardiovascular risk? Scott Med J. 2012;57(2):99–102.

    Article  CAS  PubMed  Google Scholar 

  69. Wisloff U, Nilsen TI, Droyvold WB, Morkved S, Slordahl SA, Vatten LJ. A single weekly bout of exercise may reduce cardiovascular mortality: how little pain for cardiac gain? ‘The HUNT study, Norway’. Eur J Cardiovasc Prev Rehabil Off J Eur Soc Cardiol Work Groups Epidemiol Prev Card Rehabil Exerc Physiol. 2006;13(5):798–804.

    Google Scholar 

  70. Hornby TG, Straube DS, Kinnaird CR, et al. Importance of specificity, amount, and intensity of locomotor training to improve ambulatory function in patients poststroke. Top Stroke Rehabil. 2011;18(4):293–307.

    Article  PubMed  Google Scholar 

  71. Kwakkel G, Wagenaar RC, Twisk JW, Lankhorst GJ, Koetsier JC. Intensity of leg and arm training after primary middle-cerebral-artery stroke: a randomised trial. Lancet. 1999;354(9174):191–6.

    Article  CAS  PubMed  Google Scholar 

  72. Lau KW, Mak MK. Speed-dependent treadmill training is effective to improve gait and balance performance in patients with sub-acute stroke. J Rehabil Med. 2011;43(8):709–13.

    Article  PubMed  Google Scholar 

  73. Moore JL, Roth EJ, Killian C, Hornby TG. Locomotor training improves daily stepping activity and gait efficiency in individuals poststroke who have reached a “plateau” in recovery. Stroke. 2010;41(1):129–35.

    Article  PubMed  Google Scholar 

  74. Pohl M, Mehrholz J, Ritschel C, Ruckriem S. Speed-dependent treadmill training in ambulatory hemiparetic stroke patients: a randomized controlled trial. Stroke. 2002;33(2):553–8.

    Article  PubMed  Google Scholar 

  75. Rose D, Paris T, Crews E, et al. Feasibility and effectiveness of circuit training in acute stroke rehabilitation. Neurorehabil Neural Repair. 2011;25(2):140–8.

    Article  PubMed  Google Scholar 

  76. Sullivan KJ, Knowlton BJ, Dobkin BH. Step training with body weight support: effect of treadmill speed and practice paradigms on poststroke locomotor recovery. Arch Phys Med Rehabil. 2002;83(5):683–91.

    Article  PubMed  Google Scholar 

  77. Macko RF, Smith GV, Dobrovolny CL, Sorkin JD, Goldberg AP, Silver KH. Treadmill training improves fitness reserve in chronic stroke patients. Arch Phys Med Rehabil. 2001;82(7):879–84.

    Article  CAS  PubMed  Google Scholar 

  78. Patterson SL, Rodgers MM, Macko RF, Forrester LW. Effect of treadmill exercise training on spatial and temporal gait parameters in subjects with chronic stroke: a preliminary report. J Rehabil Res Dev. 2008;45(2):221–8.

    Article  PubMed Central  PubMed  Google Scholar 

  79. Peurala SH, Airaksinen O, Huuskonen P, et al. Effects of intensive therapy using gait trainer or floor walking exercises early after stroke. J Rehabil Med. 2009;41(3):166–73.

    Article  PubMed  Google Scholar 

  80. Cumming TB, Thrift AG, Collier JM, et al. Very early mobilization after stroke fast-tracks return to walking: further results from the phase II AVERT randomized controlled trial. Stroke. 2011;42(1):153–8.

    Article  PubMed  Google Scholar 

  81. Bernhardt J, Dewey H, Thrift A, Collier J, Donnan G. A very early rehabilitation trial for stroke (AVERT): phase II safety and feasibility. Stroke. 2008;39(2):390–6.

    Article  PubMed  Google Scholar 

  82. Mackay-Lyons M, McDonald A, Matheson J, Eskes G, Klus MA. Dual effects of body-weight supported treadmill training on cardiovascular fitness and walking ability early after stroke: a randomized controlled trial. Neurorehabil Neural Repair. 2013.

  83. Kluding PM, Tseng BY, Billinger SA. Exercise and executive function in individuals with chronic stroke: a pilot study. J Neurol Phys Ther. 2011;35(1):11–7.

    Article  PubMed Central  PubMed  Google Scholar 

  84. Macko RF, Ivey FM, Forrester LW. Task-oriented aerobic exercise in chronic hemiparetic stroke: training protocols and treatment effects. Top Stroke Rehabil. 2005;12(1):45–57.

    Article  CAS  PubMed  Google Scholar 

  85. Palmer-McLean K, Harbst K. ACSM’s exercise management for persons with chronic diseases and disabilities, vol. 3. Champaign: Human Kinetics; 2009.

    Google Scholar 

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Conflict of Interest

Pierce Boyne, Eileen Coughenour, and Kari Dunning declare that they have no conflict of interest.

Sandra A Billinger has received a grant from the National Institutes of Health (K01HD067318).

Anna Mattlage has received a grant from the American Heart Association (14PRE20040026).

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Department of Physical Therapy and Rehabilitation Science, KU Medical Center, 3901 Rainbow Blvd MS 2002, Kansas City, KS, 66160, USA

    Sandra A. Billinger & Anna Mattlage

  2. Department of Rehabilitation Sciences, University of Cincinnati, 3202 Eden Ave, Cincinnati, OH, 45267, USA

    Pierce Boyne & Kari Dunning

  3. University of Kansas Hospital, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA

    Eileen Coughenour

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  1. Sandra A. Billinger
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  2. Pierce Boyne
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  5. Anna Mattlage
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Correspondence to Sandra A. Billinger.

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This article is part of the Topical Collection on Stroke

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Billinger, S.A., Boyne, P., Coughenour, E. et al. Does Aerobic Exercise and the FITT Principle Fit into Stroke Recovery?. Curr Neurol Neurosci Rep 15, 519 (2015). https://doi.org/10.1007/s11910-014-0519-8

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