The goal of this observational study is to learn about the effects of blood flow restriction on gait performance on stroke patients. The main question it aims to answer is:

Is there a significant effect of blood flow restriction on gait performance on stroke patients?

Blood flow restriction using pneumatic cuffs combined with low load resistance training has been demonstrated to increase muscle size and strength similar to that observed with traditional high load resistance training. This study may add missing information to the existing literature and suggests directions for research on the effectiveness of blood flow restriction training on gait performance in stroke patients.

Inclusion Criteria:

• Chronic stroke patients more than 6 months.
• Ages of the patients will range from 40 to 65 years.
• The degree of spasticity ranged from 1 to 1+ grade (mild spasticity) according to the Modified Ashworth Scale.
• Ability to walk 10 m.
• Medically stable patients.

Exclusion Criteria:

• Patients with lower limb oedema.
• Patients with disability in visual, auditory, and vestibular systems.
• Resting systolic blood pressure>160 mmHg or resting diastolic blood pressure>100 mmHg.
• Cognitive deficits preventing them from undergoing the assessments, exercise program or informed consent process.
• Major neurological or musculoskeletal deficits from another diseases that could affect training.
• Patients with lower limb deep vein thrombosis.
• Patients who have any vascular problems.