Can a daily pill and a simple physical therapy delay moyamoya strokes?

This trial tests whether aspirin and a non-invasive physical therapy called ischemic conditioning can slow the progression of moyamoya disease, a rare brain vessel disorder that can cause strokes and cognitive decline. The study enrolls adults with moyamoya disease or syndrome who have not had a major stroke, and compares these treatments against placebos over one year. The goal is to see if these approaches can prevent disease progression and reduce the risk of cerebrovascular events like transient ischemic attacks and strokes.