BFR Use for Post-ACL Reconstruction Surgical Rehabilitation in Adolescents

Presentation Type

Poster

Faculty Advisor

Fredrick Gardin

Access Type

Event

Start Date

26-4-2024 11:15 AM

End Date

26-4-2024 12:15 PM

Description

Clinical Scenario: Quadriceps muscle atrophy is a common issue for patients after anterior cruciate ligament (ACL) surgery. Blood Flow Restriction (BFR) is a complementary technique to muscle strengthening to combat muscle atrophy by occluding venous flow during lower load exercises. Because of its novelty in rehabilitation there is a lack of consensus on its effectiveness with adolescent athletes. Clinical Question: To critically appraise the effectiveness of BFR training in comparison to standard rehabilitative care for adolescents post ACL reconstruction. Search Strategy: Utilizing critical appraisal techniques, the databases Medline and SPORTDiscus with Full Text were used to search the phrases anterior cruciate ligament and blood flow restriction and adolescents. Limiters included sources published from 2019 to 2024, English language, peer reviewed, and full text. Inclusion criteria included articles about BFR and ACL reconstruction with adolescent patients. Exclusion criteria excluded articles published before 2019, sources that do not address ACL rehabilitation, and duplicates. A quality assessment was performed for the sources using the Strength of Recommendation Taxonomy in which all met a criterion of at least level 2. Key Findings: With a SORT level B due to some inconsistencies in outcome and testing parameters, BFR use can provide positive results towards addressing quadriceps muscle atrophy in adolescents with ACL surgery. Clinical Bottom Line: BFR use in post-surgical rehabilitation can be a useful tool at the discretion of the clinician within rehabilitation settings for adolescent patients.

This document is currently not available here.

Share

COinS
 
Apr 26th, 11:15 AM Apr 26th, 12:15 PM

BFR Use for Post-ACL Reconstruction Surgical Rehabilitation in Adolescents

Clinical Scenario: Quadriceps muscle atrophy is a common issue for patients after anterior cruciate ligament (ACL) surgery. Blood Flow Restriction (BFR) is a complementary technique to muscle strengthening to combat muscle atrophy by occluding venous flow during lower load exercises. Because of its novelty in rehabilitation there is a lack of consensus on its effectiveness with adolescent athletes. Clinical Question: To critically appraise the effectiveness of BFR training in comparison to standard rehabilitative care for adolescents post ACL reconstruction. Search Strategy: Utilizing critical appraisal techniques, the databases Medline and SPORTDiscus with Full Text were used to search the phrases anterior cruciate ligament and blood flow restriction and adolescents. Limiters included sources published from 2019 to 2024, English language, peer reviewed, and full text. Inclusion criteria included articles about BFR and ACL reconstruction with adolescent patients. Exclusion criteria excluded articles published before 2019, sources that do not address ACL rehabilitation, and duplicates. A quality assessment was performed for the sources using the Strength of Recommendation Taxonomy in which all met a criterion of at least level 2. Key Findings: With a SORT level B due to some inconsistencies in outcome and testing parameters, BFR use can provide positive results towards addressing quadriceps muscle atrophy in adolescents with ACL surgery. Clinical Bottom Line: BFR use in post-surgical rehabilitation can be a useful tool at the discretion of the clinician within rehabilitation settings for adolescent patients.