Evidence map›Paper›PMID 42082041›Full record

ArticleExperimental gerontology2026

Feasibility and acceptability of remote ischemic conditioning combined with low-intensity resistance training in older adults with mobility impairments: A randomized controlled pilot trial protocol.

Stephanie Milosovic, Andrew Albright, Tiffany Hilton, Natanael Casiano-Agosto, Senthil Selvaraj, J Kyle Covington, Catherine Lang, Sarah Peskoe, Xin Zhang, Cathleen Colon-Emeric and 1 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Experimental gerontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Stephanie MilosovicDivision of Physical Therapy, Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA. Electronic address: stephanie.milosovic@duke.edu.
Andrew AlbrightDivision of Physical Therapy, Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Tiffany HiltonDivision of Physical Therapy, Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Natanael Casiano-AgostoDivision of Physical Therapy, Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Senthil SelvarajDivision of Cardiology, Department of Medicine, Duke University School of Medicine, Durham, NC, USA; Duke Molecular Physiology Institute, Duke University, Durham, NC, USA.
J Kyle CovingtonDivision of Physical Therapy, Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Catherine LangProgram in Physical Therapy, Washington University in St. Louis, St. Louis, MO, USA.
Sarah PeskoeDivision of Biostatistics, Department of Biostatistics & Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Xin ZhangDuke Molecular Physiology Institute, Duke University, Durham, NC, USA; Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Cathleen Colon-EmericDivision of Geriatric Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
William Todd CadeDivision of Physical Therapy, Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA; Duke Molecular Physiology Institute, Duke University, Durham, NC, USA.

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI CATHLEEN S COLON-EMERIC, Susan Nicole Hastings · 2006 to 2026
$24.6M
NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

backgroundRehabilitation outcomes in older individuals with mobility impairments are often suboptimal due to limited capacity for high-intensity exercise. Remote ischemic conditioning is a low-cost, non-invasive technique that may enhance physiological adaptations to exercise.

objectiveTo assess the feasibility and acceptability of combining remote ischemic conditioning with low-intensity resistance exercise training in older individuals with mobility impairments, and to evaluate the feasibility of collecting plasma biomarkers.

designA randomized, blocked feasibility trial with n = 20 participants aged ≥65 years with mobility impairment, comparing high-dose remote ischemic conditioning with low-intensity resistance exercise training versus low-dose remote ischemic conditioning with low-intensity resistance exercise training over a 6-week intervention period.

methodsParticipants will undergo baseline and post-intervention assessments, including body composition, muscle strength, physical function, vascular function, exercise tolerance, and acceptability, resilience, and quality of life questionnaires. Blood samples will be collected pre- and post-remote ischemic conditioning and exercise sessions for the quantification of plasma lactate, cytokines, growth factors, oxidative stress, vascular health, and extracellular vesicles. OUTCOMES: Primary outcomes include feasibility (recruitment, retention, adherence) and acceptability (interviews, questionnaires) of the intervention. Secondary outcomes include the feasibility of biomarker collection and collecting physical activity, physical function, muscle strength and mass, exercise tolerance, quality of life, resilience, vascular function, and biomarker outcomes over the course of the study intervention.

conclusionThis pilot study aims to inform the design of a larger clinical trial by evaluating the feasibility of a novel remote ischemic conditioning with low-intensity resistance exercise training intervention and identifying responsive outcome measures.

Indexed as

Ischemic PreconditioningMobility LimitationResistance TrainingAgedBiomarkersExercise ToleranceFeasibility StudiesFemaleHumansMaleMuscle StrengthPilot ProjectsQuality of LifeRandomized Controlled Trials as TopicBiomarkersExerciseIschemic “and” conditioningOlder “and” individuals

Identifiers

PMID42082041
PMCPMC13557194

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.