Ischemic Stroke
Conditions
Keywords
BFR , Stroke
Brief summary
To compare the effects of low-intensity resistance training with blood flow restriction (BFR) versus traditional resistance training on lower limb isokinetic torque and dynamic balance in ischemic stroke survivors.
Detailed description
Ischemic stroke commonly results in reduced lower extremity muscle torque and impaired balance, affecting mobility and fall risk. Traditional resistance training improves muscle function but may not be suitable for all patients due to the need for high mechanical loads. Low-intensity resistance training with blood flow restriction (BFR) has emerged as an alternative that enhances muscular adaptation at lower loads. However, limited data exists on its effect on isokinetic torque and functional balance in stroke patients. This study aims to fill this gap using objective isokinetic measurements and validated balance scales.
Interventions
Low-Intensity BFR Means (for Quads) It involves resistance 20-30% 1RM combined with partial arterial + full venous restriction using a cuff placed on the proximal thigh.
High-intensity quadriceps training in stroke patients focuses on using 60-80% of 1RM to improve strength, motor unit recruitment, and functional mobility. Exercises such as loaded sit-to-stand, leg press, and step-ups are commonly used to target the quadriceps safely. Training intensity is guided by a perceived exertion of 7-9/10 while maintaining proper supervision to prevent falls. This approach enhances knee stability, gait efficiency, and overall functional independence.
Sponsors
Study design
Masking description
The patients in control group will receive high intensity resistance training
Intervention model description
Groups: * Group A: Low-intensity BFR resistance training * Group B: Traditional resistance training
Eligibility
Inclusion criteria
* • First-ever ischemic stroke (3-12 months post-stroke) * Aged 30-40 years * Can walk independently or with an aid * Medically stable and able to follow instructions
Exclusion criteria
* •Hemorrhagic stroke * Deep vein thrombosis or peripheral vascular disease * Orthopedic conditions affecting lower limb * Severe cognitive impairment or uncontrolled hypertension
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Isokinetic torque | Baseline |