Combined Effects of LIRT-BFR Therapy in Post- Stroke Patients
Combined Effects of Low Intensity Resistance Training With Blood Flow Restriction Therapy on Upper Limb Strength, Forward Reach and Sensorimotor Function in Post-Stroke Patients
Riphah International University
64 participants
Jun 1, 2025
INTERVENTIONAL
Conditions
Summary
Stroke is a focal neurological deficit of sudden onset, with symptoms lasting more than 24 hours leading to consequences like impacting physical abilities, cognitive functions and emotional well-being, speech and language difficulties. Among various rehabilitation program, Blood flow restriction (BFR) therapy with low intensity resistance training has shown its promising results. Blood flow restriction training, also called Kaatsu, originated in Japan. So this study aims to determine the combined effects of Low Intensity Resistance Training with Blood Flow Restriction Therapy on Upper Limb Strength, Forward Reach and Sensorimotor function in Post-Stroke Patients.
Eligibility
Inclusion Criteria7
- to 70 year of age (5)
- Both males and females (5)
- Generalized stroke population (both ischemic and hemorrhagic stroke) (9).
- Post stroke patient after 1 month (5)
- Barthel index scores ≥ 20 (10)
- Spasticity level according to Modified Ashworth scale should be 1/+1 grade in the affected upper limb(7)
- Muscle strength at grade 3 according to MMT of affected upper limb (7)
Exclusion Criteria5
- People with a history of mental/cognitive illness (9)
- History of transient ischemic attack (TIA) or recurrent stroke (8)
- Diabetes with peripheral neuropathy (5)
- Having resting blood pressure above 160/100 mmHg even after taking medications
- Cardiovascular comorbidity (heart failure, unstable angina, aortic stenosis)
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Interventions
Low intensity resistance training with BFR in U.L Using B.P cuff at proximal site of U.L 40% of 1RM Resistance training of U.L will be performed using small weights (1-2kg) and resistance bands. Cuff pressure should be 150-160 mmHg
Upper extremity Motor skills: Reaching, Grasping Strengthening Exercises, CIMT Sensory skills: By manually exploring different objects, temperature and pressure Dull stroke through cotton, Sharp stroke through common pin, needle to retrain sensory inputs. Upper extremity Strengthening exercises Strengthening Exercises through Thera bands, 1 or 2 kg dumbels Forward Reaching exercises with stable lower extremity Reaching exercises with stable lower extremity Standing position,core engagement, Arm position controlled movement minimizing trunk and hip movement, perturbations technique to improve stability.
Locations(1)
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NCT07646418