Remote Ischemic Conditioning for Healthy Adults

SM
SS
Overseen ByShailesh S Gardas, PT
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how remote ischemic conditioning (RIC) can improve muscle strength and balance in healthy adults. RIC uses a blood pressure cuff on the leg to briefly stop and restart blood flow, potentially protecting organs and enhancing nerve functions. The study will also examine whether combining RIC with balance training provides additional benefits. Healthy adults without vision, balance, or serious heart and lung issues may be suitable for this trial. As an unphased trial, this study offers a unique opportunity to contribute to groundbreaking research that could enhance overall health and well-being.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that remote ischemic conditioning is safe for healthy adults?

Research has shown that remote ischemic conditioning (RIC) is generally safe. Studies found that stroke patients tolerated RIC well. In these studies, RIC did not cause any serious side effects. Some minor issues, such as skin bruising or swelling, were reported, but these were not serious. Overall, RIC is considered a safe method to aid recovery and improve blood flow in the brain.12345

Why are researchers excited about this trial?

Researchers are excited about remote ischemic conditioning (RIC) because it offers a unique, non-invasive approach to potentially enhance blood flow and protect tissues without the need for pharmaceutical intervention. Unlike standard treatments that might rely on medications to improve circulation or prevent tissue damage, RIC uses a simple blood pressure cuff to intermittently restrict and restore blood flow, which may trigger the body’s natural protective mechanisms. This method could lead to safer, more accessible treatment options, especially for those who may not tolerate medication well. Moreover, exploring the efficacy and mechanisms of RIC could open up new pathways for treating various conditions related to blood flow and tissue health.

What evidence suggests that remote ischemic conditioning is effective for improving muscle strength and balance in healthy adults?

Research shows that remote ischemic conditioning (RIC), which participants in this trial may receive, can greatly aid recovery in various health conditions. Studies have found that RIC improves brain function and reduces damage in people who have had a stroke. For example, RIC has been linked to better recovery outcomes 90 days after a stroke. It works by temporarily reducing blood flow in a controlled way, which seems to protect organs and aid healing. In healthy adults, combining RIC with exercise may increase muscle strength and balance. These findings suggest that RIC could effectively improve both physical and brain health.46789

Who Is on the Research Team?

SM

Swati M Surkar, PT, PhD

Principal Investigator

East Carolina University

Are You a Good Fit for This Trial?

This trial is for healthy young adults who may have a condition called Ocular Ischemia Syndrome. Participants should be interested in exploring how certain non-invasive treatments can potentially improve muscle strength and balance.

Inclusion Criteria

I am a healthy adult between 18 and 40 years old.

Exclusion Criteria

Individuals who are pregnant
Individuals with balance disorders such as vestibular disorders
I have difficulty seeing.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Baseline Assessment

Participants undergo H-reflex testing and balance assessments

1 day
1 visit (in-person)

Treatment

Participants undergo RIC or sham conditioning combined with balance training over multiple sessions

5 days
5 visits (in-person)

Follow-up

Participants are monitored for changes in H-reflex amplitude and balance performance

1 week
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Balance training
  • Remote Ischemic Conditioning
  • Sham Conditioning
Trial Overview The study tests Remote Ischemic Conditioning (RIC), which involves brief periods of controlled blood flow restriction, followed by restoration. It's being studied alone and with balance training to see if it helps spinal reflexes and improves balance.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Remote Ischemic Conditioning (RIC)Experimental Treatment2 Interventions
Group II: Sham conditioningPlacebo Group2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

East Carolina University

Lead Sponsor

Trials
111
Recruited
42,400+

Published Research Related to This Trial

A systematic review of 13 randomized clinical trials involving 7183 patients found that remote ischemic conditioning (RIC) did not significantly reduce mortality rates in acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI) over a median follow-up of 1 year.
RIC also showed no significant effect on the incidence of myocardial infarction (MI) or congestive heart failure (CHF), indicating that this intervention may not provide the expected clinical benefits in these patient populations.
Remote Ischemic Conditioning in Patients with Acute Coronary Syndromes: A Systematic Review with Meta-Analysis and Trial Sequential Analysis.Sandven, I., Eritsland, J., Abdelnoor, M.[2022]
Remote ischemic conditioning (RIC) was found to be safe and feasible for 20 patients with acute ischemic stroke undergoing endovascular treatment, with no serious RIC-related adverse events reported during the study.
At the 3-month follow-up, 55% of patients achieved functional independence, suggesting potential benefits of RIC, although further research is needed to confirm its efficacy.
Remote ischemic conditioning for acute stroke patients treated with thrombectomy.Zhao, W., Che, R., Li, S., et al.[2022]

Citations

The efficacy of remote ischemic conditioning in improving ...The results indicate that RIC treatment can significantly improve functional outcomes, with a higher proportion of patients achieving an mRS ...
Effect of Remote Ischemic Conditioning vs Usual Care on ...In 2012, an estimated 37% of patients had a good prognosis through intravenous thrombolysis, and a 2016 meta-analysis estimated that about 46% ...
Research progress on remote ischemic conditioning for ...Clinical studies have confirmed that remote ischemic conditioning improves neurological recovery, reduces infarct volume, and enhances prognosis. However, the ...
Remote Ischemic Conditioning: Challenges and ...One trial investigating RIC in 1776 patients with moderate ischemic stroke found an improvement in 90-day neurological outcomes if RIC was ...
Preclinical evidence of remote ischemic conditioning in ...It has been proven that RIC reduces infarct size and improves functional outcomes. RIC can be applied either before ischemia (pre-conditioning; ...
Safety and Efficacy of Remote Ischemic Conditioning in ...RIC was safe in patients with acute ischemic stroke who received IVT. However, it did not significantly improve excellent functional outcome.
7.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39772709/
Safety and Efficacy of Remote Ischemic Conditioning in ...RIC was safe in patients with acute ischemic stroke who received IVT. However, it did not significantly improve excellent functional outcome.
Remote ischemic conditioning reduces adverse events in ...Safety assessment. Safety outcomes were objective signs of upper limb injury that including local edema, petechia, ecchymosis, or skin ...
the SERIC-EVT trial | European Heart Journal | Oxford AcademicRemote ischaemic conditioning can have a positive effect on cerebral haemodynamics, and this premise is the cerebral artery reperfusion.
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