Blood Flow Restriction Therapy Following Microfracture Surgery for Osteochondritis Dissecans in a Collegiate Athlete

2018 ◽  
Vol 23 (6) ◽  
pp. 230-233 ◽  
Author(s):  
Emily E. Kruithof ◽  
Spencer A. Thomas ◽  
Patricia Tripp
Keyword(s):  
Blood Flow ◽  
Femoral Condyle ◽  
Return To Sport ◽  
Loose Body ◽  
Rehabilitation Program ◽  
Sudden Onset ◽  
Blood Flow Restriction ◽  
Current Evidence ◽  
Flow Restriction ◽  
Medial Pain

A 19-year-old college football wide receiver (height: 193 cm, mass: 94 kg) reported sudden onset medial pain in his right knee during practice. Diagnostic imaging revealed medial femoral condyle osteochondral defects with loose bodies and a grade I medial collateral sprain (MCL). The medical and therapeutic intervention included arthroscopic microfracture, chondroplasty, loose body removal, and a 6-month rehabilitation program that included the use of blood flow restriction therapy. Current evidence estimates a 7–11-month recovery following microfracture surgery for the management of articular cartilage lesions, with a return-to-sport rate of only 50–60%.

A Comprehensive Nonoperative Rehabilitation Program Including Blood Flow Restriction for a Talus Fracture in a Professional Hockey Player: A Case Report

2020 ◽  
Vol 25 (3) ◽  
pp. 121-130
Author(s):  
Stephanie Di Lemme ◽  
Jon Sanderson ◽  
Richard G. Celebrini ◽  
Geoffrey C. Dover
Keyword(s):  
Blood Flow ◽  
Rehabilitation Program ◽  
Blood Flow Restriction ◽  
Talus Fracture ◽  
Flow Restriction ◽  
Hockey Player ◽  
First Case ◽  
Fracture Management ◽  
Professional Hockey ◽  
And Function

A 22-year-old male professional hockey player sustained a nondisplaced talus fracture. We present a comprehensive nonsurgical rehabilitation that includes blood flow restriction (BFR) training. Pain and function measures improved throughout the rehabilitation. Lower limb circumference did not change postinjury. The patient returned to play in less than 7 weeks, while current talar fracture management protocols indicate surgical fixation and 6 weeks of immobilization. BFR training may be useful in injury rehabilitation, negating muscle atrophy and increasing muscle strength while allowing the patient to exercise at relatively low loads. This is the first case of BFR training implemented in early fracture rehabilitation of an athlete.

Blood Flow Restriction Training Improves Functional Tests Associated with Return to Sport After Injury

2017 ◽  
Vol 49 (5S) ◽  
pp. 53
Author(s):  
Mia MacDonald ◽  
Kathryn Lucas ◽  
Maddie Marquez ◽  
Brian Noehren
Keyword(s):  
Blood Flow ◽  
Return To Sport ◽  
Blood Flow Restriction ◽  
Functional Tests ◽  
Flow Restriction

scholarly journals Perceived Barriers to Blood Flow Restriction Training

2021 ◽  
Vol 2 ◽  
Author(s):  
Nicholas Rolnick ◽  
Kyle Kimbrell ◽  
Mikhail Santos Cerqueira ◽  
Ben Weatherford ◽  
Christopher Brandner
Keyword(s):  
Blood Flow ◽  
Systematic Approach ◽  
Blood Flow Restriction ◽  
Perceived Barriers ◽  
Current Evidence ◽  
Future Research ◽  
Evidence Based ◽  
Flow Restriction ◽  
Cardiovascular Capacity

Blood flow restriction (BFR) training is increasing in popularity in the fitness and rehabilitation settings due to its role in optimizing muscle mass and strength as well as cardiovascular capacity, function, and a host of other benefits. However, despite the interest in this area of research, there are likely some perceived barriers that practitioners must overcome to effectively implement this modality into practice. These barriers include determining BFR training pressures, access to appropriate BFR training technologies for relevant demographics based on the current evidence, a comprehensive and systematic approach to medical screening for safe practice and strategies to mitigate excessive perceptual demands of BFR training to foster long-term compliance. This manuscript attempts to discuss each of these barriers and provides evidence-based strategies and direction to guide clinical practice and future research.

scholarly journals Current Clinical Concepts: Blood Flow Restriction Training

2021 ◽  
Author(s):  
Daniel Lorenz ◽  
Lane Bailey ◽  
Kevin Wilk ◽  
Bob Mangine ◽  
Paul Head ◽  
...  
Keyword(s):  
Blood Flow ◽  
Sports Medicine ◽  
Return To Sport ◽  
Musculoskeletal Injury ◽  
Sport Performance ◽  
Blood Flow Restriction ◽  
Therapeutic Exercise ◽  
Flow Restriction ◽  
Wide Range ◽  
Safety Considerations

Abstract Muscle weakness and atrophy are common impairments following musculoskeletal injury. The use of blood flow restriction (BFR) training offers the ability to mitigate weakness and atrophy without overloading healing tissues. This approach requires consideration of a wide range of parameters and the purpose of this manuscript is to provide insights into proposed mechanisms of effectiveness, safety considerations, application guidelines, and clinical guidelines for BFR training following musculoskeletal injury. BFR training appears to be a safe and effective approach to therapeutic exercise in sports medicine environments. While training with higher loads produces the most substantial increases in strength and hypertrophy, BFR training appears to be a reasonable option to bridge between earlier phases of rehabilitation when higher loads may not be tolerated by the patient and later stages that are consistent with return to sport performance.

Tolerance to Intermittent vs. Continuous Blood Flow Restriction Training: A Meta-Analysis

2021 ◽  
Author(s):  
Pierre Sinclair ◽  
Murtaza Kadhum ◽  
Bruce Paton
Keyword(s):  
Blood Flow ◽  
Perceived Exertion ◽  
Meta Analysis ◽  
Training Session ◽  
Blood Flow Restriction ◽  
Current Evidence ◽  
Strength Gain ◽  
Flow Restriction ◽  
Significant Difference ◽  
Low Load

AbstractThe proven beneficial effects of low-load blood flow restriction training on strength gain has led to further exploration into its application during rehabilitation, where the traditional use of heavy loads may not be feasible. With current evidence showing that low-load blood flow restriction training may be less well tolerated than heavy-load resistance training, this review was conducted to decipher whether intermittently deflating the pressure cuff during rest intervals of a training session improves tolerance to exercise, without compromising strength. Four databases were searched for randomized controlled trials that compared the effect of intermittent versus continuous blood flow restriction training on outcomes of exercise tolerance or strength in adults. Nine studies were identified, with six included in the meta-analysis. No significant difference in rate of perceived exertion was found (SMD-0.06, 95% CI-0.41 to 0.29, p=0.73, I 2=80%). Subgroup analysis excluding studies that introduced bias showed a shift towards favoring the use of intermittent blood flow restriction training (SMD-0.42, 95% CI-0.87 to 0.03, p=0.07, I 2=0%). There was no significant difference in strength gain. Intermittent cuff deflations during training intervals does not improve tolerance to exercise during blood flow restriction training.

Exercise with blood flow restriction as a new tool for health improvement in hypertensive elderly women: the role of purinergic enzymes

2020 ◽  
Vol 60 (11) ◽  
Author(s):  
Aline Mânica ◽  
Clodoaldo A. De SÁ ◽  
Angélica Barili ◽  
Vanessa S. Corralo ◽  
Beatriz S. Bonadiman ◽  
...  
Keyword(s):  
Blood Flow ◽  
Elderly Women ◽  
Blood Flow Restriction ◽  
Health Improvement ◽  
Flow Restriction
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