Evidence map›Paper›PMID 32232065›Full record

ReviewOrthopaedic journal of sports medicine2020

Perioperative Blood Flow Restriction Rehabilitation in Patients Undergoing ACL Reconstruction: A Systematic Review.

Yining Lu, Bhavik H Patel, Craig Kym, Benedict U Nwachukwu, Alexander Beletksy, Brian Forsythe, Jorge Chahla

3 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Orthopaedic journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 32 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 7 pooled it
10.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04682392 naterminatednot on this mapstarted 2021, after this paper: background citation

The Effects of Bone Health on Landing Mechanics on Patients Post ACL Reconstruction.

TypeinterventionalSponsorCandice Dunkin, MS, LAT, ATCRan2021 to 2025Enrolled19ConditionsACL TearArmsDelfi's PTS Personalized Tourniquet System for Blood Flow Restriction Group, Standard ACL rehab
NCT05735236 naactive not recruitingnot on this mapstarted 2022, after this paper: background citation

Comparison of Methods in Post Operative Knee Arthroscopy Rehabilitation

TypeinterventionalSponsorUniversity of Colorado, DenverRan2022 to 2026Enrolled78ConditionsACL TearArmsBFR Cuff
NCT06636045 enrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Effect of Blood Flow Restriction (BFR) on Rehabilitation Protocols Following Anterior Cruciate Ligament Reconstruction (ACLR) With Quadricep Autograft

Typeobservational_patient_registrySponsorUniversity of Kansas Medical CenterRan2024 to 2027Enrolled40ConditionsAutografts, Blood Flow Restriction Therapy, Rehabilitation Outcome, Quadriceps Muscle StrengthArmsNot applicable- observational study
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 7 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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  15. Blood Flow Restriction Training in the Young Athlete.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Yining LuDivision of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
Bhavik H PatelDivision of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
Craig KymDivision of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
Benedict U NwachukwuDivision of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
Alexander BeletksyDivision of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
Brian ForsytheDivision of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
Jorge ChahlaDivision of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
Rush University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow-load blood flow restriction (BFR) training has attracted attention as a potentially effective method of perioperative clinical rehabilitation for patients undergoing orthopaedic procedures. PURPOSE: To (1) compare the effectiveness of low-load BFR training in conjunction with a standard rehabilitation protocol, pre- and postoperatively, and non-BFR interventions in patients undergoing anterior cruciate ligament reconstruction (ACLR) and (2) evaluate protocols for implementing BFR perioperatively for patients undergoing ACLR. STUDY

designSystematic review; Level of evidence, 2.

methodsA systematic review of the 3 medical literature databases was conducted to identify all level 1 and 2 clinical trials published since 1990 on BFR in patients undergoing ACLR. Patient demographics from included studies were pooled. Outcome data were documented, including muscle strength and size, and perceived pain and exertion. A descriptive analysis of outcomes from BFR and non-BFR interventions was performed.

resultsA total of 6 studies (154 patients; 66.2% male; mean ± SD age, 24.2 ± 3.68 years) were included. Of these, 2 studies examined low-load BFR as a preoperative intervention, 1 of which observed a significant increase in muscle isometric endurance (

conclusionThis systematic review found evidence on the topic of BFR rehabilitation after ACLR to be sparse and heterogeneous likely because of the relatively recent onset of its popularity. While a few authors have demonstrated the potential strength and hypertrophy benefits of perioperative BFR, future investigations with standardized outcomes, long-term follow-up, and more robust sample sizes are required to draw more definitive conclusions.

Indexed as

anterior cruciate ligament reconstructionblood flow restrictionclinical rehabilitationKAATSU

Identifiers

PMID32232065
PMCPMC7097877
OpenAlexW3013167128

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.