Clinical trial Recruiting at 2 sites Interventional Ages 18 to 80

Exercise-induced brain changes to help leg recovery after subcortical stroke

Official title: Neuroplastic Changes Due to an Exercise Intervention That Aid in Lower Limb Recovery After Subcortical Stroke

Run by Emory University · NCT07663292 · Data updated 2026-11-12

Researchers will test whether a 12-week high-intensity cycling program can help improve walking and identify brain and blood markers that predict who benefits among people with chronic subcortical stroke.

Quick facts

Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment55 (estimated)
SponsorEmory University
Academic / other
Locations2 sites (Atlanta, Georgia and 1 other locations)
StatusRecruiting
StartedSeptember 2026
Main results expectedMarch 2027
Study endsMarch 2027
Registry record updatedAugust 20, 2026
Trial IDNCT07663292 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–80 years with chronic (>6 months) subcortical stroke and lower-limb impairment limiting walking speed to under 0.6 m/s.

Probably not a fit

Individuals who cannot safely participate in HIIT or have contraindications to MRI or intense physical activity may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study enrolled adults with chronic subcortical stroke and lower-limb disability to participate in 12 weeks of supervised high-intensity interval cycling. Participants train three times per week for 25–60 minutes per session, with heart rate targeted at 60–90% of heart rate reserve and occasional blood lactate measurements. MRI scans before and after the program, along with motor function tests, are used to explore imaging-based biomarkers that may predict response to HIIT. A total of 55 participants are expected to complete pre-, during-, and post-intervention assessments, with data collected to understand variability in response. The study is led by Emory University with collaboration from the American Heart Association and is conducted at Emory Rehabilitation Hospital and Emory University Hospital in Atlanta.

Why it matters

Potential benefit: If successful, this approach could identify biomarkers to tailor exercise programs and improve walking recovery after subcortical stroke.

How similar studies have gone: Prior work suggests exercise is safe and can improve walking speed in some stroke survivors, but predictive biomarkers remain an area of active exploration.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* chronic left or right subcortical stroke as defined by 6 months or more after a cardiovascular accident
* lower extremity motor impairment due to stroke that causes a walking speed of less than 0.6 m/s during a 10m walk,
* age 18-80 years old, and
* Screen pass of the Stress test or Physician sign-off from the participant's health care team that they are cleared for a 12 week exercise intervention

Exclusion Criteria:

* MRI contraindications, including implanted cardiac pacemakers and severe claustrophobia
* any neurodegenerative condition other than stroke that may lead to lower extremity impairment
* visual or auditory impairment that may hinder study procedures, and
* any medical condition that would preclude from participation in a physical exercise intervention program.

Where it's running

  • Emory Rehabilitation Hospital
    Atlanta, Georgia, United States
    Recruiting
  • Emory University Hospital
    Atlanta, Georgia, United States
    Recruiting

Study contacts

  • Principal investigator: Lisa Krishnamurthy, PhD — Emory University
  • Study coordinator: Lisa Krishnamurthy, PhD
  • Email: lkrish2@emory.edu
  • Phone: 404-712-5332

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.