IN‐SEASON REHABILITATION PROGRAM USING BLOOD FLOW RESTRICTION THERAPY FOR TWO DECATHLETES WITH PATELLAR TENDINOPATHY: A CASE REPORT

Abstract Objective Blood flow restriction (BFR) training, in which an inflatable cuff partially occludes blood flow around the proximal portion of a limb, coupled with low-intensity resistance training (LIRT) has resulted in gains comparable to traditional progressive resistive exercise in healthy populations. The use of BFR with LIRT may enable people with multiple sclerosis (MS) to improve strength without an increase in fatigue. The purpose of this case report is to describe the use of a BFR/LIRT program for a person with MS. Methods (Case Description) The patient was a 54-year-old woman with a 13-year history of primary progressive MS with an Extended Disability Severity Score of 3.0 out of 10. She received a BFR/LIRT program for both lower extremities (LE) biweekly for 12 weeks. Outcomes measured at baseline and at 6 and 12 weeks included the 12-item Multiple Sclerosis Walking Scale (MSWS-12), Fatigue Severity Scale (FSS), Patient-Specific Functional Scale (PSFS) (goals: running for exercise and pleasure for 45 minutes, 100% confidence in negotiating a flight of stairs, confidently and safely drive without restriction), and 14 LE strength tests. Results The intervention was well tolerated without adverse events. After 6 weeks, the MSWS-12 score improved; however, it did not exceed minimum detectable change (MDC). FSS was unchanged. All PSFS goals improved beyond MDC, and improvements in strength exceeded MDC in 2 out of 14 tests. After 12 weeks, MSWS-12 improvements persisted and the FSS score improved, but neither exceeded MDC. The PSFS improvements persisted. There were improvements exceeding MDC for 8 out of 14 strength tests. The remaining 6 strength tests improved but did not exceed MDC. Conclusion The patient had measurable improvements following the use of a BFR/LIRT program. BFR/LIRT may be an option for strength training in people with MS; however, research is needed to determine its safety and effectiveness across the population of people with MS. Impact Traditional physical therapist interventions for people with MS have been shown to be beneficial; however, their usefulness has been limited by fatigue. A growing body of literature has demonstrated the effects of a BFR/LIRT program on strength and other measures of physical function in healthy populations and those with chronic disease. This case report adds missing information to the existing literature and suggests directions for research on the effectiveness of BFR/LIRT in people with primary progressive MS.

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

International Journal of Athletic Therapy & Training ◽

10.1123/ijatt.2019-0019 ◽

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.

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Strength training with blood flow restriction – a novel therapeutic approach for older adults with sarcopenia? A case report

Clinical Interventions in Aging ◽

10.2147/cia.s206522 ◽

2019 ◽

Vol Volume 14 ◽

pp. 1461-1469 ◽

Cited By ~ 2

Author(s):

Karynne Grutter Lopes ◽

Daniel Alexandre Bottino ◽

Paulo Farinatti ◽

Maria das Graças Coelho de Souza ◽

Priscila Alves Maranhão ◽

...

Keyword(s):

Older Adults ◽

Blood Flow ◽

Case Report ◽

Strength Training ◽

Therapeutic Approach ◽

Blood Flow Restriction ◽

Flow Restriction ◽

Novel Therapeutic

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The effect of low‐load resistance training with blood flow restriction on chronic patellar tendinopathy — A case series

Translational Sports Medicine ◽

10.1002/tsm2.151 ◽

2020 ◽

Vol 3 (4) ◽

pp. 342-352

Author(s):

Sebastian V. Skovlund ◽

Per Aagaard ◽

Patricia Larsen ◽

Rene B. Svensson ◽

Michael Kjaer ◽

...

Keyword(s):

Blood Flow ◽

Resistance Training ◽

Case Series ◽

Load Resistance ◽

Blood Flow Restriction ◽

Patellar Tendinopathy ◽

Flow Restriction ◽

Low Load

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Blood flow restriction and blood flow restriction resistance training improves muscle mass, muscle strength and mobility in an older patient with osteoarthrosis carrying the ACTN3 endurance genotype: A case report

Geriatrics and Gerontology International ◽

10.1111/ggi.13634 ◽

2019 ◽

Vol 19 (5) ◽

pp. 458-459 ◽

Cited By ~ 1

Author(s):

Fernanda Lima‐Soares ◽

Jason M Cholewa ◽

Kassiana de Araujo Pessôa ◽

Antonio H Lancha ◽

Emerson Silami‐Garcia ◽

...

Keyword(s):

Blood Flow ◽

Case Report ◽

Resistance Training ◽

Muscle Strength ◽

Muscle Mass ◽

Blood Flow Restriction ◽

Older Patient ◽

Flow Restriction ◽

Genotype A

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Blood Flow Restriction Combined with Kinaesthesia, Balance Training for Osteoarthritis Knee: A Rare Case Report

International Journal of Science and Healthcare Research ◽

10.52403/ijshr.20210425 ◽

2021 ◽

Vol 6 (2) ◽

pp. 139-146

Author(s):

Tanya Gujral ◽

Abhishek Lachyan

Keyword(s):

Blood Flow ◽

Case Report ◽

Range Of Motion ◽

Balance Training ◽

Blood Flow Restriction ◽

Geriatric Population ◽

Case Presentation ◽

Flow Restriction ◽

Osteoarthritis Knee ◽

Rare Case Report

Background: Osteoarthritis knee is a prevalent condition and comprises 50% of all musculoskeletal disorders according to WHO. Therefore there is a need to bring about adjunct exercise protocols in the field of rehabilitation to bring faster recovery even in elderly with low loads. Case Presentation: A patient, a 70-year-old female presented with complain of pain in the bilateral knee. Her problem list included crepitus, reduced knee range of motion with decreased strength, swelling, bony tenderness, morning stiffness which was managed by Blood flow restriction training (BFR) along with Kinaesthesia, Balance Training (KB). Until now in the literature, nothing has been found about the combination of these two approaches. Also, the pressure utilized in the past was too high for the geriatric population. Conclusion: The results showed decrease knee pain, improved balance, hypertrophy, and increase range of motion. Keywords: Blood flow restriction, proprioception, osteoarthritis knee, pressure, case report.

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

International Journal of Athletic Therapy & Training ◽

10.1123/ijatt.2017-0018 ◽

2018 ◽

Vol 23 (6) ◽

pp. 230-233 ◽

Cited By ~ 1

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%.

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