Using Omnidirectional Virtual Reality and Treadmill Training for Chronic Stroke

Inclusion Criteria * Age ≥ 18 * Stroke ≥ 6 months ago (confirmed with chart review) * Living within 50 km of Halifax, Nova Scotia * Functional Ambulation Category of 3 or greater on a scale of 0-5, to ensure the participant is able to walk with supervision or independently. This criterion was selected to ensure participants could safely participate in the intervention. * Ability to participate in low-moderate intensity aerobic or strengthening exercise for ≥ 15 minutes to ensure participants can tolerate intervention sessions of 30-45 minutes, with activity breaks, in keeping with previous stroke rehabilitation studies. * No uncorrected visual deficits or spatial neglect * No cardiovascular, orthopedic, or neurological diseases other than stroke impacting walking or balance * Can follow simple instructions * Score of \< 27 on the adapted Motion Sickness Susceptibility Scale-Short based on established normative values indicating more than moderate susceptibility to motion sickness. Exclusion Criteria: * Unstable serious medical condition * Resting blood pressure \>180/100mmHg * History of abnormal untreated heart rhythm * Pregnancy * Condition limiting ability to complete or tolerate the exercises without major program modifications (e.g., chronic low back pain) * Serious comorbid condition that would affect participation in the intervention (e.g., active cancer, severe heart disease) * Severe loss of hearing or speech that would preclude VR use * Participant weight more than 264 lbs (weight limit for Virtualizer Elite 2 treadmill) * Participating in another formal lower limb exercise program \> 1 day per week * History of QT prolongation or using potential QT prolonging drugs