Background Physical tness is impaired after stroke, yet tness training after stroke reduces disability. Several international guidelines recommend that tness training be incorporated as part of stroke rehabilitation. However, information about cost-effectiveness is limited.Methods A decision tree model was used to estimate the cost-effectiveness of a tness programme for stroke survivors vs. relaxation (control group). This was based on a published randomised controlled trial, from which evidence about quality of life was used to estimate Quality Adjusted Life Years. Costs were based on the cost of the provision of group tness classes within local community centres and a cost per Quality Adjusted Life Year was calculated.Results The results of the base case analysis found an incremental cost per Quality Adjusted Life Year of £2,343.Conclusions Physical tness sessions after stroke are a cost-effective intervention for stroke survivors. This information will help make the case for the development of new services.Keywords: economic evaluation, exercise, fi tness, rehabilitation, stroke Declaration of interests: GM received royalties for a book on exercise after stroke and from Later Life Training. FvW received royalties for a book on exercise after stroke. These are all used to fund further research. AbstractBackground

No abstract