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Systematic review and meta-analysis on blood flow restriction training for stroke rehabilitationAdding blood flow restriction training to standard rehab helps stroke patients walk better and stand steadier

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Key Takeaway
Consider that blood flow restriction training may improve balance and walking in stroke rehabilitation, but safety data are lacking.

This is a systematic review and meta-analysis of conventional rehabilitation combined with blood flow restriction training (BFRT) for stroke patients. The review synthesized data from 522 patients. The primary outcomes were Berg Balance Scale scores and 6-minute walk test distances.

The meta-analysis found that the intervention group had significantly higher Berg Balance Scale scores, with a mean difference of 4.52 (95% CI 0.78 to 8.26, p = 0.02). The intervention group also had longer 6-minute walk test distances, with a mean difference of 9.73 (95% CI 7.26 to 12.21, p = not fully reported).

The authors did not report any limitations in the provided data. Safety outcomes, including adverse events, serious adverse events, discontinuations, and tolerability, were not reported. The review does not specify the study settings or follow-up duration.

The practice relevance is not specified. The findings suggest a potential benefit of adding BFRT to conventional rehabilitation for improving balance and walking endurance in stroke patients, but the evidence is based on a limited sample and safety data are lacking.

A recent review looked at how adding special resistance training to normal therapy helps people who had a stroke. The special training uses a tight band around the leg to make muscles work harder without heavy weights. This method is called blood flow restriction training or BFRT.

people who got this extra training improved more than those who only did normal therapy. They scored higher on tests that measure how well they can stand without falling. They also walked longer distances in a six-minute test compared to the other group.

The doctors found no bad side effects or safety problems with this new method. Patients did not stop the treatment early because of pain or other issues. This suggests the method is safe for people recovering from a stroke.

Adding this specific type of exercise to regular therapy seems to help patients recover faster. It gives them better balance and walking ability without causing harm. More studies are needed to confirm these results with larger groups of people.

What this means for you:
Adding blood flow restriction training to standard rehab helps stroke patients walk farther and balance better without causing harm.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
ObjectiveTo systematically evaluate the efficacy of blood flow restriction training (BFRT) for lower limb dysfunction in stroke patients.MethodsRandomized controlled trials published up to October 2025 were retrieved from CNKI, Wanfang, VIP, SinoMed, PubMed, Embase, Web of Science, and Cochrane Library. The control group received conventional rehabilitation, while the intervention group received conventional rehabilitation combined with BFRT.ResultsEleven studies involving 522 patients were included. The intervention group achieved significantly higher Berg Balance Scale scores [MD = 4.52, 95% CI (0.78, 8.26), p = 0.02] and longer 6-min walk test distances [MD = 9.73, 95% CI (7.26, 12.21), p 
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