Remote Ischaemic Conditioning for Fatigue After Stroke

Inclusion Criteria: * Adults (aged \> 18 years) who have had an ischaemic or haemorrhagic stroke at least 6 weeks prior. * Symptoms of debilitating fatigue for at least 4 weeks (fatigues severity score of 28 or more). Exclusion Criteria: * History or presence of significant peripheral vascular disease in the upper limbs. * History or presence of complex neuropathic pains or peripheral neuropathy in the arms. * Presence of lymphoedema in the arms. * Presence of skin ulceration to the arms. * Hospitalisation for cardiovascular or cerebrovascular disease within the last 4 weeks. * Uncontrolled arrhythmia, hypertension, diabetes or angina. * Third degree heart block or progressive heart failure. * Acute aortic dissection, myocarditis, or pericarditis. * Acute deep vein thrombosis, pulmonary embolism or pulmonary infection. * Suspected or known dissecting aneurysm. * Uncontrolled visual or vestibular disturbance. * Known or suspected cause of fatigue e.g. obstructive sleep apnoea (Epworth \> 15), depression (PHQ-9 \> 14). * Modified Rankin Score \> 4.