Synergistic effects of early sequential enhanced external counterpulsation and electric tilt table training on functional recovery in ischemic stroke: study protocol of a randomized controlled trial - Scorecard - MDSpire
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Combined Impact of Early Sequential Enhanced External Counterpulsation and Electric Tilt Table Training on Functional Recovery in Patients with Ischemic Stroke: A Protocol for a Randomized Controlled Trial

  • By

  • Liu Shi

  • Jiagui Ma

  • Xilian Hu

  • Zhaohui Jin

  • Zhenying Zhang

  • Zishuang Liu

  • Yanyan Yin

  • Xiaojing Sun

  • Cheng Yang

  • Weitao Wang

  • Yanjun Liu

  • Tiejun Liu

  • July 14, 2026

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Clinical Scorecard: Combined Impact of Early Sequential Enhanced External Counterpulsation and Electric Tilt Table Training on Functional Recovery in Patients with Ischemic Stroke: A Protocol for a Randomized Controlled Trial

At a Glance

CategoryDetail
ConditionIschemic Stroke
Key MechanismsEnhanced external counterpulsation (EECP) improves vascular function and cardiac output; Electric tilt table (ETT) training enhances motor and balance function.
Target PopulationPatients with ischemic stroke within 3 months of onset.
Care SettingRehabilitation hospital

Key Highlights

  • EECP may alleviate symptomatic orthostatic hypotension (OH) during ETT training.
  • The trial will assess neurological function using the NIHSS at week 7.
  • Secondary outcomes include motor function, balance, swallowing, and activities of daily living.

Guideline-Based Recommendations

Diagnosis

  • Patients diagnosed with ischemic stroke.

Management

  • Sequential application of EECP followed by ETT training.

Monitoring & Follow-up

  • Safety monitoring throughout the study period.

Risks

  • Symptomatic orthostatic hypotension may interrupt rehabilitation sessions.

Patient & Prescribing Data

104 participants with ischemic stroke.

Interventions delivered 5 days per week for 7 weeks.

Clinical Best Practices

  • Incorporate EECP as a pre-conditioning strategy to enhance tolerance to verticalization.
  • Utilize ETT training to promote early mobilization in bedridden patients.

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