دورية أكاديمية

Survey of blood flow restriction therapy for rehabilitation in Sports Medicine patients.

التفاصيل البيبلوغرافية
العنوان: Survey of blood flow restriction therapy for rehabilitation in Sports Medicine patients.
المؤلفون: Castle JP; Department of Orthopaedic Surgery, Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI, 48202, USA., Tramer JS; Department of Orthopaedic Surgery, Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI, 48202, USA., Turner EHG; Department of Orthopaedic Surgery, Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI, 48202, USA., Cotter D; Department of Orthopaedic Surgery, Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI, 48202, USA., McGee A; Department of Orthopaedic Surgery, Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI, 48202, USA., Abbas MJ; Department of Orthopaedic Surgery, Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI, 48202, USA., Gasparro MA; Department of Orthopaedic Surgery, Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI, 48202, USA., Lynch TS; Department of Orthopaedic Surgery, Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI, 48202, USA., Moutzouros V; Department of Orthopaedic Surgery, Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI, 48202, USA.
المصدر: Journal of orthopaedics [J Orthop] 2023 Mar 13; Vol. 38, pp. 47-52. Date of Electronic Publication: 2023 Mar 13 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: COAA Country of Publication: India NLM ID: 101233220 Publication Model: eCollection Cited Medium: Print ISSN: 0972-978X (Print) Linking ISSN: 0972978X NLM ISO Abbreviation: J Orthop Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Calicut, India] : COAA, [2004]-
مستخلص: Background: Blood flow restriction (BFR) therapy has demonstrated benefits across a spectrum of musculoskeletal injuries, including improved strength, endurance, function, and reduction in pain perception. There is, however, no standardized application of BFR therapy among orthopaedic surgeons within the United States (US).
Hypothesis: The indication and protocol for BFR therapy vary significantly across providers in the US.
Methods: An online survey of 21 multiple-choice questions was sent to 3,281 surgeons listed on a large orthopaedic registry. A cross-sectional study was performed on all surgeons who successfully completed the questionnaire. Surgeons were queried on current or planned use of BFR, indications, contraindications, and peri-operative and non-operative management of sports-related injuries.
Results: Overall, 250 physicians completed the survey, with 149 (59.8%) reporting current BFR use and 75.2% initiating use in the last 1-5 years. Most protocols (78.8%) utilize the modality 2-3 times per week while 15.9% use it only once weekly. Anterior cruciate ligament reconstruction (ACLR) rehabilitation was the most reported indication for initiating BFR therapy (95.7%) along with medial patellofemoral ligament reconstruction (70.2%), multiligamentous knee reconstruction (68.8%), meniscus repair (62.4%), collateral ligament reconstruction (50.4%), Achilles tendon repairs (30.5%), and meniscectomy (27%). Only 36.5% reported using BFR after upper extremity procedures, such as distal biceps repair (19.7%), ulnar collateral ligament elbow reconstruction (17%), rotator cuff (16.8%), and shoulder labrum repair (15.3%). For non-operative injuries, 65.8% of surgeons utilized BFR. Of those not currently using BFR therapy, 33.3% intended to implement its use in the future.
Conclusion: BFR therapy has increased in popularity with most physicians implementing its use in the last 5 years. BFR was commonly utilized after ACLR.
Clinical Relevance: BFR allows light-load resistance to simulate high-intensity resistance training. This study describes US orthopaedic surgeons' common practice patterns and patient populations that utilize BFR therapy.
Competing Interests: There are no conflicts of interest to report.
(© 2023 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.)
References: Clin Orthop Relat Res. 2020 Mar;478(3):593-606. (PMID: 31860546)
Med Sci Sports Exerc. 2018 May;50(5):897-905. (PMID: 29266093)
Int J Sports Phys Ther. 2020 Dec;15(6):882-891. (PMID: 33344004)
Am J Sports Med. 2021 Aug;49(10):2716-2728. (PMID: 34110960)
J Strength Cond Res. 2015 Apr;29(4):1071-6. (PMID: 25264670)
J Sci Med Sport. 2016 Aug;19(8):669-75. (PMID: 26463594)
Phys Ther. 2019 Aug 1;99(8):1010-1019. (PMID: 30951598)
Sports Med. 2016 Jan;46(1):23-33. (PMID: 26446893)
Clin J Sport Med. 2017 May;27(3):245-252. (PMID: 27749358)
J Sport Rehabil. 2019 Nov 1;28(8):897-901. (PMID: 30300054)
Acta Orthop Scand. 2003 Feb;74(1):62-8. (PMID: 12635796)
Am J Sports Med. 2020 Mar;48(4):825-837. (PMID: 32167837)
Sports Med. 2018 Feb;48(2):361-378. (PMID: 29043659)
J Strength Cond Res. 2019 Jul;33 Suppl 1:S167-S179. (PMID: 30011262)
Sports Health. 2019 Mar/Apr;11(2):149-156. (PMID: 30638439)
J Clin Med. 2020 Dec 27;10(1):. (PMID: 33375515)
Int J Sports Med. 2015 May;36(5):395-9. (PMID: 25700103)
Am J Phys Med Rehabil. 2021 Apr 1;100(4):337-344. (PMID: 33727516)
Sports Health. 2019 Jan/Feb;11(1):69-83. (PMID: 30475660)
J Foot Ankle Surg. 2018 May - Jun;57(3):635-638. (PMID: 29477554)
Phys Ther. 2019 Nov 25;99(11):1495-1500. (PMID: 31392999)
Sports Med. 2019 Nov;49(11):1787-1805. (PMID: 31301034)
Orthop J Sports Med. 2018 Dec 03;6(12):2325967118811063. (PMID: 30534575)
Appl Physiol Nutr Metab. 2019 Feb;44(2):216-220. (PMID: 30001503)
Sports Med. 2019 Jan;49(1):95-108. (PMID: 30306467)
Am J Sports Med. 2020 Jun;48(7):1773-1785. (PMID: 31710505)
Int J Sports Med. 2019 Sep;40(10):650-656. (PMID: 31342480)
Phys Ther Sport. 2018 Nov;34:121-128. (PMID: 30268966)
J Sports Sci. 2018 Jan;36(2):123-130. (PMID: 28143359)
Br J Sports Med. 2017 Jul;51(13):1003-1011. (PMID: 28259850)
فهرسة مساهمة: Keywords: Anterior cruciate ligament; Blood flow restriction; Non-operative management; Rehabilitation
تواريخ الأحداث: Date Created: 20230327 Latest Revision: 20240402
رمز التحديث: 20240402
مُعرف محوري في PubMed: PMC10030811
DOI: 10.1016/j.jor.2023.03.007
PMID: 36969302
قاعدة البيانات: MEDLINE
الوصف
تدمد:0972-978X
DOI:10.1016/j.jor.2023.03.007