Effects of Blood Flow Restriction Rehabilitation After Anterior Cruciate Ligament Reconstruction
1 other identifier
interventional
50
0 countries
N/A
Brief Summary
The study is a prospective randomized control trial consisting of subjects requiring ACL reconstruction with BTB autograft. Subjects were randomly divided into two groups following their inclusion in the study. One group underwent the normal ACL rehab protocol as determined by the participating surgeons. The study group underwent normal ACL rehab modified by use of a tourniquet for blood flow restriction during selected exercises.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Mar 2016
Longer than P75 for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 18, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 10, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
July 10, 2020
CompletedFirst Submitted
Initial submission to the registry
July 13, 2020
CompletedFirst Posted
Study publicly available on registry
July 24, 2020
CompletedResults Posted
Study results publicly available
November 25, 2024
CompletedNovember 25, 2024
October 1, 2024
4.3 years
July 13, 2020
January 18, 2022
October 10, 2024
Conditions
Outcome Measures
Primary Outcomes (3)
Determine if BFR Changes Loss of LE Lean Muscle Mass
LE lean muscle mass was measured in kilograms using DEXA (iDXA, GE®)
Pre-surgery, 6 weeks post-surgery and 12 weeks post-surgery
Determine if BFR Changes Loss of Bone Mass
Bone mass was measured in grams using DEXA (iDXA, GE®)
Pre-surgery, 6 weeks post-surgery and 12 weeks post-surgery
Determine if BFR Changes Loss of Bone Mineral Density
Bone mineral density was measured in grams/cm2 using DEXA (iDXA, GE®)
Pre-surgery, 6 weeks post-surgery and 12 weeks post-surgery
Secondary Outcomes (7)
Does BFR Change the Number of Exercise Repetitions in Functional Physical Therapy Testing
Week 8 and Week 12 post-surgery
Does BFR Change the Number of Exercise Repetitions in Functional Physical Therapy Testing
8 weeks post surgery, 12 weeks post surgery
Does BFR Change the Number of Exercise Repetitions in Functional Physical Therapy Testing
8 weeks post surgery, 12 weeks post surgery
Does BFR Change the Number of Exercise Repetitions in Functional Physical Therapy Testing
8 weeks post surgery, 12 weeks post surgery
Does BFR Change the Number of Exercise Repetitions in Functional Physical Therapy Testing
8 weeks post surgery, 12 weeks post surgery
- +2 more secondary outcomes
Study Arms (2)
Control - Routine Rehab
NO INTERVENTIONParticipants in this group received standard ACL rehab with no blood flow restriction therapy.
Experimental - BFR
EXPERIMENTALParticipants in this group received standard ACL rehab with the addition of blood flow restriction therapy.
Interventions
The study group underwent normal ACL rehab modified by use of a tourniquet for blood flow restriction during selected exercises.
Eligibility Criteria
You may qualify if:
- Ages 18-35
- Received ACL surgery with a patellar tendon autograft
You may not qualify if:
- Concomitant meniscal tear or additional ligamentous injury to the knee
- Obesity (BMI\>30)
- Diabetes
- Cardiovascular, renal, liver or pulmonary disease
- Active infections
- Cancer (current or treated within the past 2 years) or coagulation disorder
- Rapid weight change within the past year
- Physically unable to participate in the intervention
- Are not currently taking, or recently (w/in 1month of participation) taken prescribed or over the counter ergogenic aids or compounds known to be banned by the NCAA. The NCAA banned substances list can be viewed from: http://www.ncaa.org/health-and-safety/policy/2014-15-ncaa-banned-drugs
- Unable to complete a minimum of 85% of the assigned rehabilitation sessions.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (30)
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PMID: 16339340BACKGROUNDAbe T, Sakamaki M, Fujita S, Ozaki H, Sugaya M, Sato Y, Nakajima T. Effects of low-intensity walk training with restricted leg blood flow on muscle strength and aerobic capacity in older adults. J Geriatr Phys Ther. 2010 Jan-Mar;33(1):34-40.
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PMID: 26826014BACKGROUNDArdern CL, Webster KE, Taylor NF, Feller JA. Return to the preinjury level of competitive sport after anterior cruciate ligament reconstruction surgery: two-thirds of patients have not returned by 12 months after surgery. Am J Sports Med. 2011 Mar;39(3):538-43. doi: 10.1177/0363546510384798. Epub 2010 Nov 23.
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PMID: 28251287BACKGROUNDBowman EN, El-shaar R, Milligan H, et al. The Proximal and Distal Effects of Blood Flow Restriction Therapy on Upper and Lower Extremity Strengthening: A Randomized Controlled Trial. Orthop J Sports Med. 2019;7(7_suppl5):2325967119S2325900337.
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PMID: 21088601BACKGROUNDKorakakis V, Whiteley R, Epameinontidis K. Blood Flow Restriction induces hypoalgesia in recreationally active adult male anterior knee pain patients allowing therapeutic exercise loading. Phys Ther Sport. 2018 Jul;32:235-243. doi: 10.1016/j.ptsp.2018.05.021. Epub 2018 May 31.
PMID: 29879638BACKGROUNDLambert B, Hedt C, Epner E, et al. BFR For Proximal Benefit: Blood Flow Restriction Therapy For The Shoulder? Med Sci Sports Exerc. 2019;51(6):972-973.
BACKGROUNDLambert B, Hedt CA, Jack RA, et al. Blood flow restriction therapy preserves whole limb bone and muscle following ACL reconstruction. Orthop J Sports Med. 2019;7(3_suppl2):2325967119S2325900196.
BACKGROUNDLambert BS, Hedt C, Moreno M, Harris JD, McCulloch P. Blood Flow Restriction Therapy for Stimulating Skeletal Muscle Growth: Practical Considerations for Maximizing Recovery in Clinical Rehabilitation Settings. Tech Orthop. 2018;33(2):89-97.
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PMID: 22105051BACKGROUNDZargi T, Drobnic M, Strazar K, Kacin A. Short-Term Preconditioning With Blood Flow Restricted Exercise Preserves Quadriceps Muscle Endurance in Patients After Anterior Cruciate Ligament Reconstruction. Front Physiol. 2018 Aug 24;9:1150. doi: 10.3389/fphys.2018.01150. eCollection 2018.
PMID: 30197599BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Bradley Lambert, PhD
- Organization
- Houston Methodist Hospital
Study Officials
- PRINCIPAL INVESTIGATOR
Patrick McCulloch, MD
The Methodist Hospital Research Institute
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal investigator
Study Record Dates
First Submitted
July 13, 2020
First Posted
July 24, 2020
Study Start
March 18, 2016
Primary Completion
July 10, 2020
Study Completion
July 10, 2020
Last Updated
November 25, 2024
Results First Posted
November 25, 2024
Record last verified: 2024-10
Data Sharing
- IPD Sharing
- Will not share