Blood Flow Restriction Training Applied With High-Intensity Exercise Does Not Improve Quadriceps Muscle Function After Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2020;8(11):10 Am J Sports Med. 2020 Mar;48(4): 825-837.What this means for my practice?
Study results suggest that blood flow restriction, during concentric or eccentric exercise, does not provide any significant advantages in function, quadriceps muscle strength or quadriceps muscle size vs. concentric or eccentric exercise alone in patients recovering from ACL reconstruction surgery. However, results may have been affected by the variation in autograft types used during surgery. Moreover, the study had a small sample size and was underpowered to detect differences in the primary outcome. Future trials are necessary.
Study Summary
Thirty-eight patients undergoing rehabilitation following anterior cruciate ligament reconstruction surgery were randomized to receive 8 weeks of eccentric or concentric quadriceps exercise training, with or without blood flow restriction during exercise, after the completion of a standardized 10 week post-operative protocol. The primary outcome of interest was the change from baseline in isometric and isokinetic quadriceps muscle strength. Secondary outcomes of interest included the change in rectus femoris muscle volume and central activation ratio. Outcomes were assessed after completion of the exercise program, and again upon patient return to activity. Results revealed no significant differences between all four groups in the change from baseline in all outcomes, at all time-points. Similarly, when analyzing those who received blood flow restriction compared to those who did not receive blood flow restriction, no significant differences in all outcomes were observed.
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