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.

Does Blood Flow Restriction Resistance Training Improve Knee-Extensor Strength, Function, and Reduce Patient-Reported Pain? A Critically Appraised Topic

2021 ◽  
pp. 1-6
Author(s):  
Matthew Zaremba ◽  
Joel Martin ◽  
Marcie Fyock-Martin
Keyword(s):  
Blood Flow ◽  
Resistance Training ◽  
Knee Injury ◽  
Strength Function ◽  
Knee Extensor ◽  
Blood Flow Restriction ◽  
Flow Restriction ◽  
Patient Reported ◽  
And Function ◽  
Knee Pathology

Clinical Scenario: Knee pathologies often require rehabilitation to address the loss of knee-extensor (KE) strength, function, and heightened pain. However, in the early stages of rehabilitation, higher loads may be contraindicated. Blood flow restriction (BFR) resistance training does not require high loads and has been used clinically to promote strength improvements in a variety of injured populations. BFR resistance training may be an effective alternative to high-intensity resistance training during early rehabilitation of knee pathologies. Clinical Question: Following a knee injury, does BFR resistance training improve KE strength and function, and reduce patient-reported pain? Summary of Key Findings: Four randomized controlled trial studies met the inclusion criteria. Each included study evaluated the use of BFR resistance training on knee pathologies and the effects on KE strength, functional outcomes, and pain compared with high- or low-load resistance training. All 4 studies reported significant improvements in KE strength, function, and pain through a variety of outcome measures, following BFR resistance training use as the treatment. Clinical Bottom Line: There is consistent evidence to support the use of BFR resistance training as a treatment intervention following knee injury and as a means to improve KE strength and function and to reduce pain. Strength of Recommendation: Grade A evidence supporting the use of BFR resistance training for improvement in KE strength and function, and the reduction of patient-reported pain following an acute or chronic knee pathology.

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%.

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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