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Related Experiment Video

Updated: Aug 31, 2025

Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
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Remote ischemic conditioning for acute ischemic stroke part 2: Study protocol for a randomized controlled trial.

Kentaro Ishizuka1, Takao Hoshino1, Sono Toi1

  • 1Department of Neurology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.

Frontiers in Neurology
|August 25, 2022
PubMed
Summary
This summary is machine-generated.

Remote ischemic conditioning (RIC) may improve outcomes for stroke patients. This clinical trial investigates RIC

Keywords:
acute ischemic strokegood functional outcomeneurological severityrandomized controlled trialremote ischemic conditioning (RIC)

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Area of Science:

  • Neurology
  • Cardiovascular Medicine
  • Regenerative Medicine

Background:

  • Remote ischemic conditioning (RIC) involves brief, repeated ischemia to protect distant tissues from prolonged ischemic damage.
  • Ischemic stroke remains a leading cause of disability, necessitating novel therapeutic strategies.

Purpose of the Study:

  • To evaluate the efficacy of RIC in improving functional outcomes for patients following ischemic stroke.
  • To determine if RIC can be recommended as a standard clinical intervention for stroke patients.

Main Methods:

  • A multicenter, prospective, randomized, open-label trial involving 400 patients with ischemic stroke.
  • Patients were stratified into mild, moderate, and severe groups based on NIH Stroke Scale scores.
  • The intervention group received four cycles of RIC using a thigh cuff, while the control group received sham intervention.

Main Results:

  • The primary outcome is functional outcome measured by the modified Rankin Scale (mRS) at 90 days post-stroke.
  • Specific target mRS scores (0-1 for mild, 0-2 for moderate, 0-3 for severe) define a good functional outcome.

Conclusions:

  • This trial aims to provide crucial evidence on the clinical utility of RIC for ischemic stroke.
  • Findings will inform guidelines regarding the adoption of RIC as a routine stroke management strategy.