Evaluating the use of peri-operative blood flow restriction therapy surrounding anterior cruciate ligament tear
The purpose of this study is to examine the effect of utilizing blood flow restriction (BFR) therapy both before and after anterior cruciate ligament reconstruction (ACLR) following a tear. BFR has been proposed to work by restricting arterial inflow leading to an oxygen depleted environment and the ability to induce muscle adaption at lower maximum repetition via reactive hyperemia. Muscle atrophy occurs following ACL tear and reconstruction. Thus, physical therapy is used in the peri-operative period to regain strength with the ultimate goal of returning to activity. The goal of this investigation is to determine if using BFR during perioperative therapy would lead to increased and expedited strength gains. Additionally we would like to determine if BFR helps patients to pass the standard rehabilitative functional tests and return to play sooner. We will also look at patient reported outcomes metrics and pain scores to determine if BFR has a significant impact on the patient experience surrounding ACL tear and reconstruction.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
50
Blood flow restriction cuffs will be used as an augment to physical therapy
Henry Ford Hospital
West Bloomfield, Michigan, United States
Quadriceps Strength
Quadriceps strength via handheld dynamometer
Time frame: Three months
Quadriceps Strength
Quadriceps strength via handheld dynamometer
Time frame: six months
Knee range of motion
Knee range of motion via goniometer
Time frame: three months
Knee range of motion
Knee range of motion via goniometer
Time frame: six months
Patient reported outcome measurement information system
Patient reported outcomes measurement information system score on patient physical function, scale 0-100 with higher scores better
Time frame: Three months
Patient reported outcomes measurement information system
Patient reported outcomes measurement information system score on patient physical function, scale 0-100 with higher scores better
Time frame: Six months
international knee documentation committee questionnaire
international knee documentation committee questionnaire, scale 0-100 with higher scores better
Time frame: three months
international knee documentation committee questionnaire
international knee documentation committee questionnaire, scale 0-100 with higher scores better
Time frame: six months
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Pain scores
Visual analog scale pain scores, scale 0-10 higher is more pain
Time frame: three months
Pain scores
Visual analog scale pain scores, scale 0-10 higher is more pain
Time frame: six months