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REVIEW ARTICLE
Year : 2021  |  Volume : 7  |  Issue : 4  |  Page : 225-229

Mini-review (Part II): A clinical consideration on exercise and ischemic conditioning in stroke rehabilitation


Department of Neurosurgery, Wayne State University School of Medicine, Detroit, Michigan, USA

Correspondence Address:
Yuchuan Ding
Department of Neurosurgery, Wayne State University School of Medicine, 4160 John R. Street, Suite 930, Detroit, Michigan
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/bc.bc_56_21

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Exercise therapy is commonly recommended and is often considered to be the gold standard of rehabilitation in patients with ischemic stroke. However, implementation and standardization of exercise therapy are challenging as patients vary in their abilities, disabilities, and willingness to participate in exercise rehabilitation after a cerebrovascular event. Remote ischemic conditioning (RIC) is a more passive and accessible therapy that, although remains in its infancy, has the potential to confer similar neuroprotective effects as exercise. In the previously published Part I of this Mini Review, we examined the biochemical evidence for exercise and RIC and noted that the in vitro results may be misleading outside of the context of clinical application. In the present review, we investigate the various clinical parameters by which exercise and RIC therapy may be most beneficial to ischemic stroke victims. We also extend our discussion to consider the therapeutic combination of RIC and exercise therapy to maximize functional outcomes after stroke.


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