Blood Flow-Restricted Training for Lower Extremity Muscle Weakness due to Knee Pathology: A Systematic Review

被引:40
作者
Barber-Westin, Sue [1 ,2 ]
Noyes, Frank R. [1 ,2 ]
机构
[1] Mercy Hlth, Cincinnati Sportsmed & Orthopaed Ctr, 10663 Montgomery Rd, Cincinnati, OH 45242 USA
[2] Noyes Knee Inst, Cincinnati, OH USA
来源
SPORTS HEALTH-A MULTIDISCIPLINARY APPROACH | 2019年 / 11卷 / 01期
关键词
blood flow resistance training; quadriceps strengthening; resistance training; VASCULAR OCCLUSION; STRENGTH; EXERCISE; EFFICACY; RECONSTRUCTION; ATROPHY; RETURN; SPORT; RISK; MASS;
D O I
10.1177/1941738118811337
中图分类号
G8 [体育];
学科分类号
040301 [体育人文社会学];
摘要
Context: Blood flow-restricted training (BFRT) has been suggested to treat lower extremity muscle weakness. The efficacy of BFRT for muscle problems related to knee pathology is unclear. Objective: To determine whether BFRT (1) improves muscle strength and cross-sectional area (CSA) for chronic knee-related lower extremity atrophy and (2) prevents muscle atrophy after knee surgery. Data Sources: A systematic review of the literature from 1974 to 2017 was conducted using the PubMed and Cochrane databases. Study Selection: Controlled trials that used BFRT to treat chronic knee-related lower extremity muscle atrophy or to prevent muscle atrophy after knee surgery that measured the effects on quadriceps or hamstrings muscle strength or CSA were included. Study Design: Systematic review. Level of Evidence: Level 2. Data Extraction: Data were extracted as available from 9 studies (8 level 1, 1 level 2). Assessment of study quality was rated using the Physiotherapy Evidence Database or Methodological Index for Non-Randomized Studies instruments. Results: BFRT was used after anterior cruciate ligament reconstruction and routine knee arthroscopy and in patients with knee osteoarthritis or patellofemoral pain. There were a total of 165 patients and 170 controls. Vascular occlusion and exercise protocols varied; all studies except 1 incorporated exercises during occlusion, most of which focused on the quadriceps. Six of 7 studies that measured quadriceps strength reported statistically significant improvements after training. Few benefits in quadriceps CSA were reported. Hamstrings strength was only measured in 2 studies. There were no complications related to training. Conclusion: Published limited data show BFRT to be safe and potentially effective in improving quadriceps muscle strength in patients with weakness and atrophy related to knee pathology. The use of short-duration vascular occlusion and light-load resistance exercises appears safe after knee surgery or in arthritic knees. This treatment option requires further investigation to refine protocols related to cuff pressure and exercise dosage and duration.
引用
收藏
页码:69 / 83
页数:15
相关论文
共 48 条
[1]
[Anonymous], 1988, STAT POWER ANAL BEHA
[2]
2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern [J].
Ardern, Clare L. ;
Glasgow, Philip ;
Schneiders, Anthony ;
Witvrouw, Erik ;
Clarsen, Benjamin ;
Cools, Ann ;
Gojanovic, Boris ;
Griffin, Steffan ;
Khan, Karim M. ;
Moksnes, Havard ;
Mutch, Stephen A. ;
Phillips, Nicola ;
Reurink, Gustaaf ;
Sadler, Robin ;
Silbernagel, Karin Gravare ;
Thorborg, Kristian ;
Wangensteen, Arnlaug ;
Wilk, Kevin E. ;
Bizzini, Mario .
BRITISH JOURNAL OF SPORTS MEDICINE, 2016, 50 (14) :853-864
[3]
Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors [J].
Ardern, Clare L. ;
Taylor, Nicholas F. ;
Feller, Julian A. ;
Webster, Kate E. .
BRITISH JOURNAL OF SPORTS MEDICINE, 2014, 48 (21) :1543-U46
[4]
Exercises with partial vascular occlusion in patients with knee osteoarthritis: a randomized clinical trial [J].
Bryk, Flavio Fernandes ;
dos Reis, Amir Curcio ;
Fingerhut, Deborah ;
Araujo, Thomas ;
Schutzer, Marcela ;
Leite Cury, Ricardo de Paula ;
Duarte, Aires, Jr. ;
Fukuda, Thiago Yukio .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2016, 24 (05) :1580-1586
[5]
Functional assessment and muscle strength before and after reconstruction of chronic anterior cruciate ligament lesions [J].
de Jong, Suzanne N. ;
van Caspel, Danny R. ;
van Haeff, Michiel J. ;
Saris, Daniel B. F. .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2007, 23 (01) :21-28
[6]
Benefits of Resistance Training with Blood Flow Restriction in Knee Osteoarthritis [J].
Ferraz, Rodrigo Branco ;
Gualano, Bruno ;
Rodrigues, Reynaldo ;
Kurimori, Ceci Obara ;
Fuller, Ricardo ;
Lima, Fernanda Rodrigues ;
De Sa-Pinto, Ana Lucia ;
Roschel, Hamilton .
MEDICINE & SCIENCE IN SPORTS & EXERCISE, 2018, 50 (05) :897-905
[7]
Fritz CO, 2012, J EXP PSYCHOL GEN, V141, P2, DOI 10.1037/a0024338
[8]
Concurrent Training with Blood Flow Restriction does not Decrease Inflammatory Markers [J].
Frota de Souza, Thiago Mattos ;
Libardi, Cleiton Augusto ;
Cavaglieri, Claudia Regina ;
Gaspari, Arthur Fernandes ;
Brunelli, Diego Trevisan ;
de Souza, Giovana Verginia ;
Ugrinowitsch, Carlos ;
Li, Li Min ;
Traina Chacon-Mikahil, Mara Patricia .
INTERNATIONAL JOURNAL OF SPORTS MEDICINE, 2018, 39 (01) :29-36
[9]
Gaunder Christopher L, 2017, US Army Med Dep J, P39
[10]
Quadriceps strengthening with and without blood flow restriction in the treatment of patellofemoral pain: a double-blind randomised trial [J].
Giles, Lachlan ;
Webster, Kate E. ;
McClelland, Jodie ;
Cook, Jill L. .
BRITISH JOURNAL OF SPORTS MEDICINE, 2017, 51 (23) :1688-+