None listed
Conditions
Brief summary
This study is testing two different exercise programs to improve arm movement and independence in daily activities for people recovering from a stroke. One group performs low-intensity exercises combined with controlled blood flow restriction (BFR) using a cuff, while the other group performs conventional strengthening exercises without blood flow restriction. The purpose of the study is to determine which approach is more effective and safer for improving arm function and daily living abilities after stroke. We hypothesize that participants receiving BFR training will show greater improvements in arm function and daily activities than those receiving conventional strengthening exercises.
Interventions
Participants performed low-intensity (20–30% of one-repetition maximum) resistance exercises for the affected upper limb under partial vascular occlusion. A pneumatic cuff (10 cm width) applied proximally on the paretic upper arm and inflated to 50% of the individual’s arterial occlusion pressure. Exercises included elbow flexion and extension, wrist flexion and extension, and hand-grip strengthening using dumbbells or elastic bands. Each session consisted of four sets (first set = 30 repetition
Participants performed low-intensity (20–30% of one-repetition maximum) resistance exercises for the affected upper limb under partial vascular occlusion. A pneumatic cuff (10 cm width) applied proximally on the paretic upper arm and inflated to 50% of the individual’s arterial occlusion pressure. Exercises included elbow flexion and extension, wrist flexion and extension, and hand-grip strengthening using dumbbells or elastic bands. Each session consisted of four sets (first set = 30 repetitions; subsequent sets = 15 repetitions) with 30-second inter-set rest periods while the cuff remains inflated. The cuff will be deflated for one minute between exercises. Sessions conducted three times per week for eight consecutive weeks (24 total sessions), each lasting approximately 45–60 minutes, supervised by a physiotherapist. Each patients received one on one treatment. the study was conducted outpatient department of physiotherapy, Ahmad poly clinic, Faisalabad Pakistan.
Sponsors
Hube Fatima, China medical university,Taichung Taiwan
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
40 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
Adults aged 40 to 75 years First-ever ischemic or hemorrhagic stroke, confirmed by imaging Duration since stroke 3 to 12 months Persistent unilateral upper-limb motor deficit with Fugl-Meyer Assessment–Upper Extremity (FMA-UE) score between 15 and 45 Medically stable and cleared by a physician to participate in an exercise program Able to understand and follow verbal instructions (Mini-Mental State Examination score greater than 24 Willing to provide written informed consent
Exclusion criteria
Uncontrolled hypertension (resting blood pressure >160/100 mmHg) Unstable cardiovascular or respiratory disease Deep vein thrombosis or peripheral vascular disease Severe spasticity in the affected limb (Modified Ashworth Scale > 2) Cognitive impairment (Mini-Mental State Examination score < 24) Active infection, open wounds, or skin lesions proximal to the cuff site Severe musculoskeletal or orthopedic conditions affecting the upper limb Participation in other structured rehabilitation or exercise trials within the previous 3 months
Outcome results
None listed