AHA Recommendation In 2014, American Heart Association (AHA)/American Stroke Association released recommendations regarding physical activity in stroke survivors.3 Prior to starting, a pre-exercise physical evaluation including electrocardiogram (ECG), heart rate monitoring, and graded exercise testing. Recommended exercise is aerobic cardiovascular exercise 3-5 times weekly for 20-60 minutes; aerobic activity should achieve 40-70% peak O2 or heart rate maximum.3 Additional exercise in resistance training two to three days weekly is also recommended.