TY - JOUR
T1 - Examination of the comfort and pain experienced with blood flow restriction training during post-surgery rehabilitation of anterior cruciate ligament reconstruction patients
T2 - A UK National Health Service trial
AU - Hughes, Luke
AU - Patterson, Stephen David
AU - Haddad, F.
AU - Rosenblatt, Benjamin
AU - Gissane, C.
AU - McCarthy, Daniel
AU - Clarke, Thomas
AU - Ferris, Graham
AU - Dawes, Joanna
AU - Paton, B.
N1 - Publisher Copyright:
© 2019
PY - 2019/9
Y1 - 2019/9
N2 - Objective: Examine the comfort and pain experienced with blow flow restriction resistance training (BFR-RT) compared to standard care heavy load resistance training (HL-RT) during anterior cruciate ligament reconstruction (ACLR) patient rehabilitation. Design: Randomised controlled trial. Setting: United Kingdom National Health Service. Participants: Twenty eight patients undergoing unilateral ACLR surgery with hamstring autograft were recruited. Following surgery participants were block randomised to either HL-RT at 70% repetition maximum (1RM) (n = 14) or BFR-RT (n = 14) at 30% 1RM and completed 8 weeks of twice weekly unilateral leg press training on both limbs. Main outcome measures: Perceived knee pain, muscle pain and rating of perceived exertion (RPE) were assessed using Borg's (1998) RPE and pain scales during training. Knee pain was also assessed 24 h post-training. Results: There were no adverse events. Knee pain was lower with BFR-RT during (p < 0.05) and at 24 h post-training (p < 0.05) with BFR-RT for all sessions. Muscle pain was higher (p < 0.05) with BFR-RT compared to HL-RT during all sessions. RPE remained unchanged (p > 0.05) for both BFR-RT and HL-RT. Conclusion: ACLR patients experienced less knee joint pain and reported similar ratings of perceived exertion during and following leg press exercise with BFR-RT compared to traditional HL-RT. BFR-RT may be more advantageous during the early phases of post-surgery ACLR rehabilitation.
AB - Objective: Examine the comfort and pain experienced with blow flow restriction resistance training (BFR-RT) compared to standard care heavy load resistance training (HL-RT) during anterior cruciate ligament reconstruction (ACLR) patient rehabilitation. Design: Randomised controlled trial. Setting: United Kingdom National Health Service. Participants: Twenty eight patients undergoing unilateral ACLR surgery with hamstring autograft were recruited. Following surgery participants were block randomised to either HL-RT at 70% repetition maximum (1RM) (n = 14) or BFR-RT (n = 14) at 30% 1RM and completed 8 weeks of twice weekly unilateral leg press training on both limbs. Main outcome measures: Perceived knee pain, muscle pain and rating of perceived exertion (RPE) were assessed using Borg's (1998) RPE and pain scales during training. Knee pain was also assessed 24 h post-training. Results: There were no adverse events. Knee pain was lower with BFR-RT during (p < 0.05) and at 24 h post-training (p < 0.05) with BFR-RT for all sessions. Muscle pain was higher (p < 0.05) with BFR-RT compared to HL-RT during all sessions. RPE remained unchanged (p > 0.05) for both BFR-RT and HL-RT. Conclusion: ACLR patients experienced less knee joint pain and reported similar ratings of perceived exertion during and following leg press exercise with BFR-RT compared to traditional HL-RT. BFR-RT may be more advantageous during the early phases of post-surgery ACLR rehabilitation.
KW - Anterior cruciate ligament
KW - Blood flow restriction
KW - Comfort
KW - Pain
UR - http://www.scopus.com/inward/record.url?scp=85068446315&partnerID=8YFLogxK
U2 - 10.1016/j.ptsp.2019.06.014
DO - 10.1016/j.ptsp.2019.06.014
M3 - Article
C2 - 31288213
AN - SCOPUS:85068446315
SN - 1466-853X
VL - 39
SP - 90
EP - 98
JO - Physical Therapy in Sport
JF - Physical Therapy in Sport
ER -