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The most recent treatment for stroke rehabilitation is to combine physical training with other therapies to enhance or accelerate recovery.The hypothesis of this study is that remote ischemic conditioning (RIC) might have a beneficial effect on motor recovery of AIS
Despite the effective reperfusion therapies ,acute ischemic stroke(AIS) is still one of the leading causes of disability, resulting in an economic burden. Multidisciplinary rehabilitation has benefit effects on motor recovery and remains the first-line intervention strategy for attenuating motor function impairments. However, the effect of the physiotherapy application alone is not satisfactory, The potential treatment effect of RIC on motor recovery of AIS has not been investigated. The investigators designed this randomized clinical trial to examine whether RIC has a beneficial effect on poststroke motor function recovery.There are 2 arms in this trial: One arm is RIC treatment, the other one is sham RIC treatment. The motor function will be assessed by Fugl-Meyer Motor Scale before and after the treatment to evaluate its exact effect on motor recovery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| remote ischemic conditioning | Experimental | Receiving remote ischemic conditioning (RIC) treatment with pressure set at 200 mmHg. |
|
| placebo remote ischemic conditioning | Sham Comparator | Receiving sham RIPC treatment with pressure set at 60 mmHg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| remote ischemic conditioning | Device | RIC is a physical strategy performed by an electric autocontrol device with cuffs placed on bilateral arms and inflated to design pressure for 5-min followed by deflation for 5-min, the procedures is performed repeatedly for 5 times. |
| Measure | Description | Time Frame |
|---|---|---|
| changes in Fugl-Meyer score | Fugl-Meyer scale assessment (FMA) will be used for assessing improvement of motor function. Total score of FMA range from 0 to 100, a score of 100 means full recovery of motor function | 0-3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Changes of the level of angiogenesis related factors | circulatory VEGF,EGF,PDGF,CD40L will be tested before and after the treatment | 0-3 months |
| changes in Barthel Index | Barthel Index will be used for assessing ability of daily life, range from 0 to 100, the higher the score, the better recovery patient reach |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xunming Ji, MD PhD | Contact | 011-86-10-8319-8952 | jixunming@vip.163.com | |
| Wantong Yu, MD | Contact | 861013552260818 | 422189034@qq.com |
| Name | Affiliation | Role |
|---|---|---|
| Xunming Ji, MD PhD | Capital Medical University Xuan Wu Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xuan Wu Hospital,Capital Medical University | Recruiting | Beijing | Beijing Municipality | 100053 | China |
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| 0-3months |
| D009422 |
| Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |