Camilla Zeitlin , Matthew Shepherd , Simon David Lack , Bradley Stephen Neal
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引用次数: 0
Abstract
Objective
Evaluate the efficacy of blood flow restriction training (BFRT) in people with knee conditions.
Methods
We searched Medline, Web of Science, and Sport DISCUS from inception until October 2023, seeking randomised controlled trials (RCTs) involving participants with any knee condition and BFRT in at least one intervention arm. We used a random-effects model meta-analysis to pool methodologically homogeneous data and the Grading of Recommendations, Assessment, Development, and Evaluations approach to categorise certainty of evidence.
Results
15 RCTs involving 418 participants were eligible, investigating people post-anterior cruciate ligament reconstruction (n = 7) and cartilage surgery (n = 2), or with knee osteoarthritis (n = 3) and patellofemoral pain (n = 3). There is very low certainty evidence that adding BFRT to resistance training is superior to resistance training for pain outcomes (small SMD 0.47, 95 % CI 0.09, 0.85). There is very low certainty evidence that adding BFRT to resistance training is equivalent to resistance training for function and strength outcomes.
Conclusions
BFRT offers a significant effect on short-term pain that is of questionable clinical relevance, and no significant effects on function or quadriceps strength. Future high-quality RCTs are required to appropriately explore clinical efficacy, and clinicians should exercise caution in offering BFRT to people with knee conditions.
期刊介绍:
Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science.
The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.