Objective To systematically evaluate the efficacy of blood flow restriction training (BFRT) for lower limb dysfunction in stroke patients. Methods Randomized controlled trials published up to October 2025 were retrieved from CNKI, Wanfang, VIP, SinoMed, PubMed, Embase, Web of Science, and Cochrane Library. The control group received conventional rehabilitation, while the intervention group received conventional rehabilitation combined with BFRT. Results Eleven studies involving 522 patients were