Enhanced External Counterpulsation for Ischemic Stroke: Systematic Review and Meta-Analysis of Cerebral Blood Flow and Functional Outcomes

A meta-analysis of 15 studies (506 participants) evaluated enhanced external counterpulsation (EECP) as treatment for ischemic stroke, finding uncertain effects on cerebral blood flow but significant improvements in daily living activities, disability level, and neurological function. The study applies conservative statistical methods and acknowledges heterogeneity, indicating EECP may have clinical benefit despite unclear mechanisms.