Date of Presentation
5-5-2022 12:00 AM
College
School of Osteopathic Medicine
Poster Abstract
Post operative recovery from Anterior Cruciate Ligament Reconstruction (ACLR) includes extensive rehabilitation of 6-9 months with return to sport/activity at 12 months
Rehabilitation is initiated shortly following surgery to limit quadriceps and hamstring atrophy, maximizing long term tibiofemoral joint stability and functional outcomes
The best way to achieve improved muscle strength and prevent atrophy is progressive overload training, however, these activities cannot be performed post operatively without risk to the reconstructed knee
Blood Flow Restriction Training (BFR) involves impairing the blood supply for short periods through the application of an air-filled bladder or cuff to restrict the venous drainage of the region of choice
BFR allows the surgically repaired limb to be safely stressed after ACLR without added reinjury potential of progressive overload training
BFR achieves this elevated stress via systemic hormone production, cell swelling, production of reactive oxygen species, and increased fast twitch fiber recruitment along with stimulation of anabolic and anti-catabolic cell signaling pathways, particularly the mTOR (mechanistic target of rapamycin) protein kinase pathway
There is inconsistency of methods, outcome measures and results in literature comparing the outcomes of BFR vs Traditional Post Operative Rehabilitation (TPR)
Keywords
Return to Sport, TOR Serine-Threonine Kinases, Rehabilitation, Surgical Procedures, Anterior Cruciate Ligament Injuries, Therapeutics
Disciplines
Medicine and Health Sciences | Orthopedics | Pathological Conditions, Signs and Symptoms | Sports Medicine | Therapeutics
Document Type
Poster
Included in
Orthopedics Commons, Pathological Conditions, Signs and Symptoms Commons, Sports Medicine Commons, Therapeutics Commons
Is Blood Flow Restriction Training Superior for the Limitation of Hamstring and Quadriceps Atrophy After Anterior Cruciate Ligament Reconstruction? A Review of Randomized Controlled Trials
Post operative recovery from Anterior Cruciate Ligament Reconstruction (ACLR) includes extensive rehabilitation of 6-9 months with return to sport/activity at 12 months
Rehabilitation is initiated shortly following surgery to limit quadriceps and hamstring atrophy, maximizing long term tibiofemoral joint stability and functional outcomes
The best way to achieve improved muscle strength and prevent atrophy is progressive overload training, however, these activities cannot be performed post operatively without risk to the reconstructed knee
Blood Flow Restriction Training (BFR) involves impairing the blood supply for short periods through the application of an air-filled bladder or cuff to restrict the venous drainage of the region of choice
BFR allows the surgically repaired limb to be safely stressed after ACLR without added reinjury potential of progressive overload training
BFR achieves this elevated stress via systemic hormone production, cell swelling, production of reactive oxygen species, and increased fast twitch fiber recruitment along with stimulation of anabolic and anti-catabolic cell signaling pathways, particularly the mTOR (mechanistic target of rapamycin) protein kinase pathway
There is inconsistency of methods, outcome measures and results in literature comparing the outcomes of BFR vs Traditional Post Operative Rehabilitation (TPR)