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To help you stay active in between TIME™ classes, we've put together this
list of exercise and wellness videos that are appropriate for people with mobility challenges. The selected videos work best for people who find it difficult to walk in the community and who use a cane or walker to get around. These videos can be found online and are available free of charge.
There are at UHN:
Together In Movement and Exercise (TIME™) is a community-based program welcoming people with balance and mobility challenges to exercise. It focuses on functional mobility exercises, done mostly in standing, with hand supports available to assist with balance. The program is designed by physiotherapists at Toronto Rehab, and led by TIME™-trained fitness instructors in community centres across the country.
TIME™ brings healthcare and community organizations together to make group exercise more accessible so that Canadians with mobility-related disabilities can keep physically active.
Participants in the TIME™ program experience balance and mobility challenges, meaning that they may find it difficult to walk in the community and may also use a cane or walker to get around. TIME™ participants may be living with:
To be eligible for the program, individuals must be able to walk at least 10 metres (30 feet), with or without a cane or walker, and do so safely without the help of another person. This is roughly the distance to cross the street in a residential neighbourhood.
Participants register for a block of classes (a session) which typically ranges from 8 to 12 weeks, with hour-long classes that are offered twice weekly.
TIME™ exercises are designed to train your balance and mobility. They strengthen muscles in the legs and core and improve coordination, overall fitness, and ease of movement.
The exercises look similar to important movements performed in daily life, such as: rising from a chair, shifting your weight, reaching, and stepping up to a curb. With a ratio of 1 staff for every 4 participants, each class starts with a seated warm-up and ends with a seated cool-down, but the majority of the class is spent practicing these functional movements in standing.
The following videos demonstrate the program and portray the many benefits for participants:
Abilities Centre in Whitby, ON
Fraser Health Authority, BC
Vancouver Coastal Health, BC
Participants in the TIME™ program have experienced significant improvement in balance and walking ability and reported the motivating benefits of exercising in a group class.
"Without any hesitation, without any exception and without any reservation, the TIME™ program is by far the very best thing I have ever done … to enhance my physical, emotional, and personal well-being. And to top it all off, I find this unique program empowering, self-enhancing and, perhaps best of all, a lot of fun." – Written by a TIME™ participant who has had MS for 44 years
"The TIME™ program … gave me confidence, strength and the will to do better. I feel good about what I have achieved through the program. The TIME™ program lifted me up – like the lift-off of a plane." – Written by a TIME™ participant
"There are many positive aspects to a program such as this, held in a convenient location, at our local Community Centre. It is a treasure. [My husband] is surrounded by people of all ages and sizes participating, by choice, in activities. There are babies swimming, and people walking and biking, and so on. It's a busy, happy place. For the past 10 years he has mostly been with disabled people. We are grateful for this program." – Written by the wife of a TIME™ participant
Find your nearest TIME™ program using
this interactive map. Select your region from the left sidebar to narrow down your search area. Programs are located in Atlantic Canada, British Columbia, northern Ontario, and southern Ontario. A program contact person is listed for each site.
You can also view our program listing as a PDF –
Canada-wide TIME™ Program Listing – making it easy for clinicians to print and distribute to patients who may benefit from the program.
You DO NOT need a healthcare referral to register for TIME™, participants can self-refer.
Please call the contact person identified on the site listings to begin the registration process. The TIME coordinator for your site will do a telephone screening call with you to ensure that the program is a good fit.
Are you an existing TIMETM Partner (Licence Holder)? If yes, get access the Resource Portal website.
Individuals who would like to join TIME™ can self-refer to the program, but healthcare professionals can facilitate the process by helping eligible participants to locate their nearest time program on
this interactive map.
Our framework relies on a healthcare-community partnership. If you are a clinician or a community organization interested in building a TIME™ program in your community, reach out to us at
TIME@uhn.ca for tips on how to get started.
Obtaining a TIME™ license is easier than you may think. When you purchase a license you receive:
For more information on licensing or to purchase a TIME™ license, please visit
our registration page.
Facts About TIME™ answers Frequently Asked Questions about the program.
1. Just in TIME™ Newsletter
An electronic newsletter providing updates on the program and bringing the TIME™ community together. To sign up for the newsletter, please email
2. Participant and Caregiver Experiences with the TIME™ Program: A Qualitative Study, 2015
3. Published Pilot Program Evaluation
Salbach NM, Howe J, Brunton K, Salisbury K, Bodiam L.,
Partnering to increase access to community exercise programs for people with stroke, acquired brain injury or multiple sclerosis.
Journal of Physical Activity and Health.
4. Knowledge Mobilization Workshop – May 30, 2014
On May 30, 2014, a large group of stakeholders from across Canada came together with the ultimate goal of increasing access to exercise programs for people who live in the community with balance and mobility limitations. The 53 attendees shared their successes in community-based programs, including reports of the benefits from participants who have exercised at the programs. We also identified the challenges for implementing and sustaining the programs and strategies to overcome them.
Complete description of the meeting and what we learned from it
5. Now published
Salbach NM, Howe J, Baldry D, Merali S, Munce SEP. Considerations for expanding community exercise programs incorporating a healthcare-recreation partnership for people with balance and mobility limitations: a mixed methods evaluation.
BMC Research Notes. 2018. DOI:
6. New: Perspectives from Fitness Coordinators and Instructors: A Qualitative Study 2019
Skrastins O, Tsotsos S, Aqeel H, Qiang A, Renton J, Howe J, Tee A, Moller J, Salbach NM. Fitness coordinators' and fitness instructors' perspectives on implementing a task-oriented community exercise program within a healthcare-recreation partnership for people with balance and mobility limitations: a qualitative study.
Disability and Rehabilitation. 2019.
Webinar: Nancy Salbach discusses fitness coordinators' and fitness instructors' perspectives on implementing TIME™ within a healthcare-recreation partnership. This 1-hour webinar was hosted by the Central East Stroke Network.
Jo's TIME™ Fund (JTF) helps participants in financial need to keep active with TIME™ by subsidizing registration fees and/or transportation costs to the program. The goal of JTF is to increase access to exercise for as many people as possible. As a TIME™ coordinator or instructor, you can apply to JTF on behalf of your participants.
JTF can assist a participant with one or both of the following costs for every TIME™ session they attend:
For more information or to apply for a JTF subsidy, please see the
Subsidy Request Form
TIME™ at Home is a pre-recorded exercise program hosted by a live virtual facilitator. This 60-minute program includes a seated warm-up and cooldown, and 40 minutes of exercise done in standing, practicing movements used in day-to-day life. Exercises have been adapted from the classic in-person TIME™ program to be done safely at home. Opportunity for online social interaction is incorporated before or after each class.
For a quick peek into a TIME™ at Home class, view this 1-minute video:
TIME™ at Home is best suited for people with balance and mobility challenges, meaning that they may use a cane or walker to get around and find it harder to walk in the community but can walk 10 or more meters. This program is not suited for individuals who need help from another person while standing, walking, or getting up from a chair.
When following along with the exercise video, participants will need to self-pace and self-select the exercises that are at the right level for them. Participants will also need some basic equipment at home, including a sturdy chair for sitting, hand support for balance (such as a countertop), and a non-slip step or target using items from around the home. Participants will also need an email address and reliable internet access in order to join the classes from their computer or tablet.
The KITE clinic offers TIME™ at Home in small groups so that you can easily get to know your fellow participants throughout the session. Registration is open to participants residing in the GTA. You can self-refer by completing
this form and selecting TIME™ at Home from their virtual program options. The referral can be faxed to 416 597 7111 or emailed to
firstname.lastname@example.org. Any interested participant can also reach out to
email@example.com with questions.
The MS Society of Canada offers the TIME™ at Home program to participants living across Canada. Due to its popularity and demand, class sizes can exceed 20 participants and registration priority will be given to people living with MS. People with other health conditions can still register if space is available. To register, please
visit their website, or call the MS navigators at 1 844 859 6789.
Several of our classic TIME™ sites expanded to include TIME™ at Home as part of their programming. Please inquire within your existing program to see if this is available at your site, or reach out to us at
The Toronto Grace Remote Care Monitoring (RCM) - Active Together aims to provide physical and social wellness virtually for clients with mobility and/or balance challenges. Through collaboration with Toronto Rehab's TIME™ program, RCM – Active Together will be hosting the TIME™ at Home program for free as part of their virtual programming pilot.
YES, you should still sign up! Referrals will be accepted on a rolling basis. Even if you miss the first cycle of TIME at Home classes, clients who meet all eligibility criteria may be enrolled in the next upcoming TIME™ at Home cycle.
To enroll a client who does NOT currently have a falls/emergency pendant through the RCM program, please complete the RCM form available at Toronto Grace Health Centre Remote Care Monitoring Intake Referral Form and indicate "TIME™ at HOME" in the reason for referral.
Contact: Alexandra Chen, RCM-Active Together Lead at RCMplus@torontograce.orgInclude in the Subject line: TIME at HOME
With this virtual delivery model
If you are interested in running TIME™ at Home, please view this 3-minute informational video about the license
To purchase the TIME™ at Home license, please click on the button below. If you have any questions, please email
Purchase the TIME™ at Home license
You will be contacted with information about your first appointment.
Please bring the following to your appointment. Not all of these items may be needed for your appointment. Our clinic or your referring doctor will let you know what you must bring.
Please arrive 15 minutes before your appointment.
When you arrive, you will sign in with the receptionist. You will need your health card (OHIP card) to sign-in. If you do not have an OHIP card, please bring another form of government-issued photo ID, such as a driver’s license or passport.
You may be given a Measuring Health Equity Questionnaire to fill out. This form contains questions about your background. We collect this information to find out who we serve and what unique needs you may have. The form is voluntary and you can choose ‘prefer not to answer’ to any or all questions. However, the information you choose to give us will help us improve the quality of care for you and others.
First appointments take longer than follow-up appointments. Your first appointment can take 2 hours or more. Follow-up appointments usually take 15 to 30 minutes. We do everything we can to stay on time but sometimes unforeseen circumstances may delay your appointment.
At the end of your first appointment, the nurse or doctor will give you a contact list for your health care team. If you don’t get a contact list, feel free to ask for it.
After every appointment, a member of your health care team will tell you about your next visit. Be sure you understand what is going to happen next. For example, know the time and place of your next visit or if someone will call you with this information.
If you are unsure about what your next steps are, don’t be afraid to ask a member of your team. We are here to help you.
We understand that reaching us by phone can sometimes be difficult. Often our phone lines are busy or are turned over to the message centre so our staff can prepare for clinic visits or help other patients. We make every effort to return your call within 24 hours. Our staff will try to reach you 2 times. If we are not able to reach you directly you may need to call us again.