QUADRICEPS MUSCLE REHABILITATION PROTOCOL USING BLOOD FLOW RESTRICTION RESISTANCE TRAINING IN PATIENTS AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION SURGERY

Trí Phương Hoàng, Vương Huy Đổng Phan, Đức Viễn Trần, Minh Thái Đoàn, Thiên Sang Thông, Phước Hùng Đỗ

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Abstract

Objectives: To describe the current status and develop a rehabilitation protocol for the quadriceps muscle using blood flow restriction resistance training (BFRRT) in patients after anterior cruciate ligament (ACL) reconstruction surgery. Subjects and Methods: A cross-sectional descriptive study was conducted among 32 healthcare staff at the Sports Medicine Unit, Ho Chi Minh City Orthopedics and Rehabilitation Hospital from February 2022 to October 2023. Results: 100% of healthcare professionals agreed that physical therapy is necessary for post-operative rehabilitation, and more than 78% agreed to implement the BFRRT method. A detailed rehabilitation protocol for the quadriceps muscle using BFRRT was developed, from explaining the principles to monitoring the patient's condition, emphasizing safety and measures to handle complications such as deep vein thrombosis or rhabdomyolysis. Conclusion: The BFRRT method after ACL reconstruction surgery is highly agreed upon and can be implemented, however, further research is needed to evaluate its effectiveness.

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References

McMurray NS, Bates NA, Fischer S, Schilaty ND, Hewett TE. Investigation of Primary and Second Anterior Cruciate Ligament Tears Using a Geographic Database. Int J Sports Phys Ther. 2020;15(4):593-602.
2. Thanh ND, Dong PVH. The Current Situation of Anterior Cruciate Ligament in Sports and Effective Treatment Methods in Ho Chi Minh City (Vietnam). European Journal of Medical and Health Sciences. 2020;2(5).
3. Widner M, Dunleavy M, Lynch S. Outcomes Following ACL Reconstruction Based on Graft Type: Are all Grafts Equivalent? Curr Rev Musculoskelet Med. 2019;12(4):460-5.
4. Kuenze CM, Foot N, Saliba SA, Hart JM. Drop-Landing Performance and Knee-Extension Strength After Anterior Cruciate Ligament Reconstruction. J Athl Train. 2015;50(6):596-602.
5. Takarada Y, Takazawa H, Sato Y, Takebayashi S, Tanaka Y, Ishii N. Effects of resistance exercise combined with moderate vascular occlusion on muscular function in humans. J Appl Physiol (1985). 2000;88(6):2097-106.
6. Hughes L, Paton B, Rosenblatt B, Gissane C, Patterson SD. Blood flow restriction training in clinical musculoskeletal rehabilitation: a systematic review and meta-analysis. British journal of sports medicine. 2017;51(13):1003-11.
7. Minniti MC, et al. The safety of blood flow restriction training as a therapeutic intervention for patients with musculoskeletal disorders: a systematic review. The American journal of sports medicine. 2020;48(7):1773-85.
8. Anderson KD, Rask DM, Bates TJ, Nuelle JA. Overall safety and risks associated with blood flow restriction therapy: a literature review. Military medicine. 2022;187(9-10):1059-64.