Biomechanical Effects of Blood Flow Restriction Training after ACL Reconstruction.
Adult
Anterior Cruciate Ligament Injuries
/ surgery
Anterior Cruciate Ligament Reconstruction
/ rehabilitation
Biomechanical Phenomena
Cross-Sectional Studies
Exercise Therapy
/ methods
Female
Hip
/ physiology
Humans
Kinetics
Knee
/ physiology
Male
Regional Blood Flow
Rotation
Thigh
/ blood supply
Tibia
/ physiology
Time and Motion Studies
Journal
Medicine and science in sports and exercise
ISSN: 1530-0315
Titre abrégé: Med Sci Sports Exerc
Pays: United States
ID NLM: 8005433
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
pubmed:
23
7
2020
medline:
3
6
2021
entrez:
23
7
2020
Statut:
ppublish
Résumé
After anterior cruciate ligament reconstruction surgery, returning the knee to previous levels of strength and function is challenging, with the failure to do so associated with an increased risk of reinjury and long-term degenerative problems. Blood flow restriction (BFR) is gaining popularity as a rehabilitation technique; however, its effects on the mechanics of these exercises have not been fully explored. In this study, we aimed to determine the acute effects of BFR on the performance of a step-up exercise protocol and to assess the acceptability of the technique. Twenty individuals (12 female/8 male; mean age, 30.6 yr) who had recently undergone anterior cruciate ligament reconstruction and 20 controls (11 female/9 male, mean age 28.0 yr) performed a step-up exercise protocol with and without BFR. Lower limb kinematics and kinetics were measured and compared between groups and conditions. Testing was completed in June 2019. Participants in both groups had increased external rotation of the tibia of 2° (P < 0.001) and reductions in knee flexion and rotation torques around the joint of around 50% (P < 0.001) when using BFR compared with nonrestricted step-up exercise. The intervention was found to increase the difficulty of the exercise and induce moderate levels of discomfort (P < 0.001). The present study provides cautious support for the use of BFR, showing that there are minimal changes in knee joint mechanics when performing the same exercise without BFR, and that the changes do not increase joint torques at the knee. From an acute biomechanical perspective, the intervention appears safe to use under qualified supervision; however, effects of repetitive use and long-term outcomes should be monitored.
Identifiants
pubmed: 32694365
doi: 10.1249/MSS.0000000000002437
pii: 00005768-202101000-00014
pmc: PMC8191295
mid: NIHMS1707383
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
115-123Subventions
Organisme : NIAMS NIH HHS
ID : P30 AR072572
Pays : United States
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