Abstract—Evidence is growing on the efficacy of exercise
models for improving multiple domains of physiological health
and fitness in people with chronic stroke. The Adaptive Physical
Activity exercise program in Italy illustrates how geographic
dispersion can increase access to such programs. A
partnership between local agencies of the Veterans Health
Administration and Administration on Aging suggests ways to
increase access to exercise programs for veterans and other citizens
with chronic stroke in the United States. The use of a
structure-process-outcome framework is suggested to facilitate
exchange between international research teams regarding
development of evolving stroke exercise models.