Comparison of Blood Flow Restriction Training versus Non-Occlusive Training in Patients with Anterior Cruciate Ligament Reconstruction or Knee Osteoarthritis: A Systematic Review
Patients undergoing anterior cruciate ligament (ACL) reconstruction and patients suffering from knee osteoarthritis (KOA) have been shown to have quadriceps muscle weakness and/or atrophy in common. The physiological mechanisms of blood flow restriction (BFR) training could facilitate muscle hypertr...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2020-12-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/10/1/68 |
| _version_ | 1797543352100454400 |
|---|---|
| author | Cristina Bobes Álvarez Paloma Issa-Khozouz Santamaría Rubén Fernández-Matías Daniel Pecos-Martín Alexander Achalandabaso-Ochoa Samuel Fernández-Carnero Antonio Martínez-Amat Tomás Gallego-Izquierdo |
| author_facet | Cristina Bobes Álvarez Paloma Issa-Khozouz Santamaría Rubén Fernández-Matías Daniel Pecos-Martín Alexander Achalandabaso-Ochoa Samuel Fernández-Carnero Antonio Martínez-Amat Tomás Gallego-Izquierdo |
| author_sort | Cristina Bobes Álvarez |
| collection | DOAJ |
| description | Patients undergoing anterior cruciate ligament (ACL) reconstruction and patients suffering from knee osteoarthritis (KOA) have been shown to have quadriceps muscle weakness and/or atrophy in common. The physiological mechanisms of blood flow restriction (BFR) training could facilitate muscle hypertrophy. The purpose of this systematic review is to investigate the effects of BFR training on quadriceps cross-sectional area (CSA), pain perception, function and quality of life on these patients compared to a non-BFR training. A literature research was performed using Web of Science, PEDro, Scopus, MEDLINE, Dialnet, CINAHL and The Cochrane Library databases. The main inclusion criteria were that papers were English or Spanish language reports of randomized controlled trials involving patients with ACL reconstruction or suffering from KOA. The initial research identified 159 publications from all databases; 10 articles were finally included. The search was conducted from April to June 2020. Four of these studies found a significant improvement in strength. A significant increase in CSA was found in two studies. Pain significantly improved in four studies and only one study showed a significant improvement in functionality/quality of life. Low-load training with BFR may be an effective option treatment for increasing quadriceps strength and CSA, but more research is needed. |
| first_indexed | 2024-03-10T13:44:21Z |
| format | Article |
| id | doaj.art-312cd115d9ad495799162a97fb11d467 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T13:44:21Z |
| publishDate | 2020-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-312cd115d9ad495799162a97fb11d4672023-11-21T02:45:07ZengMDPI AGJournal of Clinical Medicine2077-03832020-12-011016810.3390/jcm10010068Comparison of Blood Flow Restriction Training versus Non-Occlusive Training in Patients with Anterior Cruciate Ligament Reconstruction or Knee Osteoarthritis: A Systematic ReviewCristina Bobes Álvarez0Paloma Issa-Khozouz Santamaría1Rubén Fernández-Matías2Daniel Pecos-Martín3Alexander Achalandabaso-Ochoa4Samuel Fernández-Carnero5Antonio Martínez-Amat6Tomás Gallego-Izquierdo7Physiotherapy Center, Alcalá de Henares University, 28801 Madrid, SpainPhysiotherapy Center, Alcalá de Henares University, 28801 Madrid, SpainResearch Institute of Physiotherapy and Pain, Alcalá de Henares University, 28801 Madrid, SpainResearch Institute of Physiotherapy and Pain, Alcalá de Henares University, 28801 Madrid, SpainResearch Institute of Physiotherapy and Pain, Alcalá de Henares University, 28801 Madrid, SpainResearch Institute of Physiotherapy and Pain, Alcalá de Henares University, 28801 Madrid, SpainDepartment of Health Sciences, Universidad de Jaén, 23071 Andalucía, SpainResearch Institute of Physiotherapy and Pain, Alcalá de Henares University, 28801 Madrid, SpainPatients undergoing anterior cruciate ligament (ACL) reconstruction and patients suffering from knee osteoarthritis (KOA) have been shown to have quadriceps muscle weakness and/or atrophy in common. The physiological mechanisms of blood flow restriction (BFR) training could facilitate muscle hypertrophy. The purpose of this systematic review is to investigate the effects of BFR training on quadriceps cross-sectional area (CSA), pain perception, function and quality of life on these patients compared to a non-BFR training. A literature research was performed using Web of Science, PEDro, Scopus, MEDLINE, Dialnet, CINAHL and The Cochrane Library databases. The main inclusion criteria were that papers were English or Spanish language reports of randomized controlled trials involving patients with ACL reconstruction or suffering from KOA. The initial research identified 159 publications from all databases; 10 articles were finally included. The search was conducted from April to June 2020. Four of these studies found a significant improvement in strength. A significant increase in CSA was found in two studies. Pain significantly improved in four studies and only one study showed a significant improvement in functionality/quality of life. Low-load training with BFR may be an effective option treatment for increasing quadriceps strength and CSA, but more research is needed.https://www.mdpi.com/2077-0383/10/1/68blood flow restrictionblood flow restricted trainingkaatsuocclusion trainingblood flow occlusiveanterior cruciate ligament reconstruction |
| spellingShingle | Cristina Bobes Álvarez Paloma Issa-Khozouz Santamaría Rubén Fernández-Matías Daniel Pecos-Martín Alexander Achalandabaso-Ochoa Samuel Fernández-Carnero Antonio Martínez-Amat Tomás Gallego-Izquierdo Comparison of Blood Flow Restriction Training versus Non-Occlusive Training in Patients with Anterior Cruciate Ligament Reconstruction or Knee Osteoarthritis: A Systematic Review Journal of Clinical Medicine blood flow restriction blood flow restricted training kaatsu occlusion training blood flow occlusive anterior cruciate ligament reconstruction |
| title | Comparison of Blood Flow Restriction Training versus Non-Occlusive Training in Patients with Anterior Cruciate Ligament Reconstruction or Knee Osteoarthritis: A Systematic Review |
| title_full | Comparison of Blood Flow Restriction Training versus Non-Occlusive Training in Patients with Anterior Cruciate Ligament Reconstruction or Knee Osteoarthritis: A Systematic Review |
| title_fullStr | Comparison of Blood Flow Restriction Training versus Non-Occlusive Training in Patients with Anterior Cruciate Ligament Reconstruction or Knee Osteoarthritis: A Systematic Review |
| title_full_unstemmed | Comparison of Blood Flow Restriction Training versus Non-Occlusive Training in Patients with Anterior Cruciate Ligament Reconstruction or Knee Osteoarthritis: A Systematic Review |
| title_short | Comparison of Blood Flow Restriction Training versus Non-Occlusive Training in Patients with Anterior Cruciate Ligament Reconstruction or Knee Osteoarthritis: A Systematic Review |
| title_sort | comparison of blood flow restriction training versus non occlusive training in patients with anterior cruciate ligament reconstruction or knee osteoarthritis a systematic review |
| topic | blood flow restriction blood flow restricted training kaatsu occlusion training blood flow occlusive anterior cruciate ligament reconstruction |
| url | https://www.mdpi.com/2077-0383/10/1/68 |
| work_keys_str_mv | AT cristinabobesalvarez comparisonofbloodflowrestrictiontrainingversusnonocclusivetraininginpatientswithanteriorcruciateligamentreconstructionorkneeosteoarthritisasystematicreview AT palomaissakhozouzsantamaria comparisonofbloodflowrestrictiontrainingversusnonocclusivetraininginpatientswithanteriorcruciateligamentreconstructionorkneeosteoarthritisasystematicreview AT rubenfernandezmatias comparisonofbloodflowrestrictiontrainingversusnonocclusivetraininginpatientswithanteriorcruciateligamentreconstructionorkneeosteoarthritisasystematicreview AT danielpecosmartin comparisonofbloodflowrestrictiontrainingversusnonocclusivetraininginpatientswithanteriorcruciateligamentreconstructionorkneeosteoarthritisasystematicreview AT alexanderachalandabasoochoa comparisonofbloodflowrestrictiontrainingversusnonocclusivetraininginpatientswithanteriorcruciateligamentreconstructionorkneeosteoarthritisasystematicreview AT samuelfernandezcarnero comparisonofbloodflowrestrictiontrainingversusnonocclusivetraininginpatientswithanteriorcruciateligamentreconstructionorkneeosteoarthritisasystematicreview AT antoniomartinezamat comparisonofbloodflowrestrictiontrainingversusnonocclusivetraininginpatientswithanteriorcruciateligamentreconstructionorkneeosteoarthritisasystematicreview AT tomasgallegoizquierdo comparisonofbloodflowrestrictiontrainingversusnonocclusivetraininginpatientswithanteriorcruciateligamentreconstructionorkneeosteoarthritisasystematicreview |