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Blood flow restriction training therapy

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https://www.readbyqxmd.com/read/30077275/the-role-of-blood-flow-restriction-therapy-following-knee-surgery-expert-opinion
#1
Nicholas N DePhillipo, Mitchell I Kennedy, Zach S Aman, Andrew S Bernhardson, Luke T O'Brien, Robert F LaPrade
Blood flow restriction (BFR) therapy is becoming increasingly popular in musculoskeletal injury rehabilitation. In particular, this form of therapy is being utilized more often in the postoperative setting following knee surgery, including anterior cruciate ligament reconstruction. BFR therapy provides patients and clinicians an alternative treatment option to standard muscle strengthening and hypertrophy guidelines in the setting of postoperative pain, weakness, and postoperative activity restrictions that contribute to muscle atrophy...
August 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29925502/2018-consensus-statement-on-exercise-therapy-and-physical-interventions-orthoses-taping-and-manual-therapy-to-treat-patellofemoral-pain-recommendations-from-the-5th-international-patellofemoral-pain-research-retreat-gold-coast-australia-2017
#2
Natalie J Collins, Christian J Barton, Marienke van Middelkoop, Michael J Callaghan, Michael Skovdal Rathleff, Bill T Vicenzino, Irene S Davis, Christopher M Powers, Erin M Macri, Harvi F Hart, Danilo de Oliveira Silva, Kay M Crossley
Patellofemoral pain affects a large proportion of the population, from adolescents to older adults, and carries a substantial personal and societal burden. An international group of scientists and clinicians meets biennially at the International Patellofemoral Research Retreat to share research findings related to patellofemoral pain conditions and develop consensus statements using best practice methods. This consensus statement, from the 5th International Patellofemoral Research Retreat held in Australia in July 2017, focuses on exercise therapy and physical interventions (eg, orthoses, taping and manual therapy) for patellofemoral pain...
September 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29477554/blood-flow-restriction-training-after-achilles-tendon-rupture
#3
Bobby G Yow, David J Tennent, Thomas C Dowd, Jeremy P Loenneke, Johnny G Owens
Blood flow restriction (BFR) training is a technique shown to be safe and effective at increasing muscular strength and endurance in healthy fitness populations and is under study for its use in postinjury rehabilitation. BFR stimulates muscular strength and hypertrophy gains at much lower loads than traditional methods, allowing patients to begin the rehabilitation process much sooner. We report on 2 patients who incorporated BFR training into their traditional rehabilitation program after Achilles tendon ruptures...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28853118/occlusion-training-pilot-study-for-postoperative-lower-extremity-rehabilitation-following-primary-total-knee-arthroplasty
#4
Christopher L Gaunder, Michael P Hawkinson, David J Tennent, Creighton C Tubb
With continued emphasis on the value of healthcare, factors such as quality of life and patient reported outcomes are critical in evaluating high-demand procedures such as knee replacement surgery. Equally important to the surgery itself is maximizing the effectiveness and efficiency of the treatment, both preoperatively and postoperatively, which can have a significant effect the final outcome. Technical outcomes of total knee replacement are generally considered excellent; however, many patients continue to have postoperative pain, functional limitations, and low treatment satisfaction...
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28259850/blood-flow-restriction-training-in-clinical-musculoskeletal-rehabilitation-a-systematic-review-and-meta-analysis
#5
REVIEW
Luke Hughes, Bruce Paton, Ben Rosenblatt, Conor Gissane, Stephen David Patterson
BACKGROUND AND OBJECTIVE: Low-load exercise training with blood flow restriction (BFR) can increase muscle strength and may offer an effective clinical musculoskeletal (MSK) rehabilitation tool. The aim of this review was to systematically analyse the evidence regarding the effectiveness of this novel training modality in clinical MSK rehabilitation. DESIGN: This is a systematic review and meta-analysis of peer-reviewed literature examining BFR training in clinical MSK rehabilitation (Research Registry; researchregistry91)...
July 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27749358/blood-flow-restriction-training-after-knee-arthroscopy-a-randomized-controlled-pilot-study
#6
RANDOMIZED CONTROLLED TRIAL
David J Tennent, Christina M Hylden, Anthony E Johnson, Travis C Burns, Jason M Wilken, Johnny G Owens
INTRODUCTION: Quadriceps strength after arthroscopic knee procedures is frequently diminished several years postoperation. Blood flow restriction (BFR) training uses partial venous occlusion while performing submaximal exercise to induce muscle hypertrophy and strength improvements. The purpose of this study was to evaluate BFR as a postoperative therapeutic intervention after knee arthroscopy. METHODS: A randomized controlled pilot study comparing physical therapy with and without BFR after knee arthroscopy was conducted...
May 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/26111922/kaatsu-training-to-enhance-physical-function-of-older-adults-with-knee-osteoarthritis-design-of-a-randomized-controlled-trial
#7
RANDOMIZED CONTROLLED TRIAL
Thomas W Buford, Roger B Fillingim, Todd M Manini, Kimberly T Sibille, Kevin R Vincent, Samuel S Wu
As the U.S. population ages, efficacious interventions are needed to manage pain and maintain physical function among older adults with osteoarthritis (OA). Skeletal muscle weakness is a primary contributory factor to pain and functional decline among persons with OA, thus interventions are needed that improve muscle strength. High-load resistance exercise is the best-known method of improving muscle strength; however high-compressive loads commonly induce significant joint pain among persons with OA. Thus interventions with low-compressive loads are needed which improve muscle strength while limiting joint stress...
July 2015: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/25770798/blood-flow-restriction-rehabilitation-for-extremity-weakness-a-case-series
#8
Christina Hylden, Travis Burns, Daniel Stinner, Johnny Owens
BACKGROUND: Blood flow restricted (BFR) training, the brief and partial restriction of venous outflow of an extremity during low load resistance exercises, is a safe and effective method of improving strength in healthy, active individuals. A relatively unexplored potential of this adjunctive modality lies in treating patients with severe musculoskeletal trauma, persistent chronic quadriceps and hamstring weakness despite traditional therapy, and low improvement during early postoperative strengthening...
2015: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/24772421/endothelial-function-increases-after-a-16-week-diet-and-exercise-intervention-in-overweight-and-obese-young-women
#9
Lisa M Cotie, Andrea R Josse, Stuart M Phillips, Maureen J MacDonald
Weight loss improves endothelial function in overweight individuals. The effects of weight loss through combined aerobic and resistance training and caloric restriction on in vivo vascular measures and blood markers associated with the regulation of endothelial function have not been comprehensively examined. Therefore, we investigated brachial artery endothelial function and potential regulatory blood markers in twenty overweight women (30.3 ± 2.0 years) who participated in 16 weeks of aerobic (5 d/wk) and resistance training (2 d/wk) (combined: ≥ 250 kcal/d) and caloric restriction (-500 kcal/d versus requirement)...
2014: BioMed Research International
https://www.readbyqxmd.com/read/23962386/neuromuscular-response-to-varying-pressures-created-by-tightness-of-restriction-cuff
#10
RANDOMIZED CONTROLLED TRIAL
Murat Karabulut, Guillermo Perez
Variation in regional body composition between genders may change the degree of pressure created by the tightness of cuff used during blood flow restriction training resulting in changes in the level of neuromuscular activation. This study investigates the effects of tightness of cuff and skin and subcutaneous fat thickness on electromyography (EMG) amplitude (RMS) and median frequency (MDF) during exercises and strength testing. Subjects performed knee-extension exercises with varying tightness of cuff while using EMG to measure changes in neuromuscular response...
December 2013: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/23647407/the-application-of-blood-flow-restriction-training-into-western-medicine-isn-t-it-about-time
#11
Jeremy P Loenneke, Robert S Thiebaud, Takashi Abe
No abstract text is available yet for this article.
October 2013: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/23074449/primary-angioplasty-for-the-treatment-of-acute-st-segment-elevated-myocardial-infarction-an-evidence-based-analysis
#12
(no author information available yet)
One of the longest running debates in cardiology is about the best reperfusion therapy for patients with evolving acute myocardial infarction (MI). Percutaneous transluminal coronary angioplasty (ANGIOPLASTY) is a surgical treatment to reopen a blocked coronary artery to restore blood flow. It is a type of percutaneous (through-the-skin) coronary intervention (PCI) also known as balloon angioplasty. When performed on patients with acute myocardial infarction, it is called primary angioplasty. Primary angioplasty is an alternative to thrombolysis, clot-dissolving drug therapy, for patients with acute MI associated with ST-segment elevation (STEMI), a change recorded with an electrocardiogram (ECG) during chest pain...
2004: Ontario Health Technology Assessment Series
https://www.readbyqxmd.com/read/23074418/constraint-induced-movement-therapy-for-rehabilitation-of-arm-dysfunction-after-stroke-in-adults-an-evidence-based-analysis
#13
(no author information available yet)
OBJECTIVE: The purpose of this evidence-based analysis is to determine the effectiveness and cost of CIMT for persons with arm dysfunction after a stroke. CLINICAL NEED: CONDITION AND TARGET POPULATION A stroke is a sudden loss of brain function caused by the interruption of blood flow to the brain (ischemic stroke) or the rupture of blood vessels in the brain (hemorrhagic stroke). A stroke can affect any number of areas including the ability to move, see, remember, speak, reason, and read and write...
2011: Ontario Health Technology Assessment Series
https://www.readbyqxmd.com/read/22982712/blood-flow-restriction-an-evidence-based-progressive-model-review
#14
REVIEW
J P Loenneke, T Abe, J M Wilson, R S Thiebaud, C A Fahs, L M Rossow, M G Bemben
To remain independent and healthy, an important factor to consider is the maintenance of skeletal muscle mass. Inactivity leads to measurable changes in muscle and bone, reduces exercise capacity, impairs the immune system, and decreases the sensitivity to insulin. Therefore, maintaining physical activity is of great importance for skeletal muscle health. One form of structured physical activity is resistance training. Generally speaking, one needs to lift weights at approximately 70% of their one repetition maximum (1RM) to have noticeable increases in muscle size and strength...
September 2012: Acta Physiologica Hungarica
https://www.readbyqxmd.com/read/20725821/-conservative-treatment-of-achilles-tendinopathy
#15
K Knobloch, T Hüfner
Hind foot tendinopathies mainly involve the Achilles tendon. Color and Power-Doppler ultrasound visualizes pathological neovessels in painful tendons, which are associated with pain mediating nerve fibres. These neovessels are characterized by an increased capillary blood flow at the point of pain. Painful eccentric training can significantly reduce pain and improve function in Achilles tendinopathy (evidence level Ib). Shock wave therapy in combination with eccentric training is superior to eccentric training alone (evidence level Ib)...
September 2010: Der Unfallchirurg
https://www.readbyqxmd.com/read/18379217/prevention-of-disuse-muscular-weakness-by-restriction-of-blood-flow
#16
RANDOMIZED CONTROLLED TRIAL
Atsushi Kubota, Keishoku Sakuraba, Keisuke Sawaki, Takahiro Sumide, Yoshifumi Tamura
PURPOSE: The aim of the present study was to compare the effects of periodic restriction of blood flow to lower extremities with those of isometric exercise on disuse muscular atrophy and weakness induced by immobilization and unloading. METHODS: The left ankle of each of 15 healthy males was immobilized for 2 wk using cast, and subjects were instructed to walk using crutches with non-weight bearing during this period. Subjects were divided into three groups: a restriction of blood flow (RBF) group (application of external compressive force of 200 mm Hg for 5 min followed by 3 min of rest, repeated five times in a single session, two sessions per day for 14 d); an isometric training (IMT) group (20 "exercises" of 5-s isometric contraction of the knee extensor, flexor, and ankle plantar flexor muscles followed by rest, twice a day, daily for 2 wk); and a control (CON) group (no intervention)...
March 2008: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/16210441/rehydration-with-glycerol-endocrine-cardiovascular-and-thermoregulatory-responses-during-exercise-in-the-heat
#17
COMPARATIVE STUDY
Stavros A Kavouras, Lawrence E Armstrong, Carl M Maresh, Douglas J Casa, Jorge A Herrera-Soto, Timothy P Scheett, James Stoppani, Gary W Mack, William J Kraemer
The impact of rehydration with glycerol on cardiovascular and thermoregulatory responses during exercise in the heat was studied in eight highly trained male cyclists. Each subject completed three dehydration-rehydration experimental trials that differed only in the rehydration treatment, each separated by 7 days. Before each experimental day, subjects dehydrated to -4% of their body weight by exercise and water restriction. The experimental treatments were as follows: no fluid (NF), glycerol bolus (1 g/kg body wt) followed by water (G), and water alone (W)...
February 2006: Journal of Applied Physiology
https://www.readbyqxmd.com/read/16141746/cardiovascular-adaptations-to-exercise-training-after-uncomplicated-acute-myocardial-infarction
#18
Masayuki Motohiro, Fumio Yuasa, Toshihiko Hattori, Tsutomu Sumimoto, Masaharu Takeuchi, Mutsuhito Kaida, Toshimitsu Jikuhara, Makoto Hikosaka, Tetsuro Sugiura, Toshiji Iwasaka
OBJECTIVE: This study examined the cardiovascular adaptations of an exercise training program and evaluated the role of peripheral vasodilator capacity in contributing to these adaptations after myocardial infarction. DESIGN: A total of 44 consecutive patients with uncomplicated myocardial infarction underwent 3 wks of exercise training. Controls (n = 12) with comparable myocardial infarction were selected from our database and were restricted to a program with minimal activity...
September 2005: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/12635796/low-load-resistance-muscular-training-with-moderate-restriction-of-blood-flow-after-anterior-cruciate-ligament-reconstruction
#19
RANDOMIZED CONTROLLED TRIAL
Haruyasu Ohta, Hisashi Kurosawa, Hiroshi Ikeda, Yoshiyuki Iwase, Naohiro Satou, Shinji Nakamura
We performed a prospective study to determine the effects of introducing low-load muscular training with moderate restriction of blood flow during the first 16 weeks after reconstruction of the anterior cruciate ligament. 44 subjects (average age 29 (18-52) years) were randomized into a group that trained restriction of blood flow (group R, n = 22) and a group that trained without restriction (group N, n = 22). Both groups followed the same training schedule. Evaluations of knee extensor and flexor torques before surgery and 16 weeks after it showed a significant increase in muscular strength in group R as compared to group N...
February 2003: Acta Orthopaedica Scandinavica
https://www.readbyqxmd.com/read/9857947/optimizing-exercise-training-for-subgroups-of-patients-with-chronic-heart-failure
#20
REVIEW
A J Coats
Patients with heart failure and severe left ventricular dysfunction are limited in their ability to tolerate exercise. Recent research has demonstrated that it is not a restricted cardiac output which limits exercise but an abnormality in the performance of a more peripheral component in the pathway of delivery of oxygen to the exercising muscles. Deficiencies in peripheral blood flow and skeletal muscle function and an exaggerated sensitivity to exercise-derived metabolic signals lead to early and profound exercise-induced fatigue and dyspnoea, the mechanisms of which we are only now beginning to understand...
November 1998: European Heart Journal
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