Evidence map›Paper›PMID 38591459›Full record

SynthesisThe American journal of sports medicine2024

Comparison of Blood Flow Restriction Interventions to Standard Rehabilitation After an Anterior Cruciate Ligament Injury: A Systematic Review.

Valentina Colombo, Tamara Valenčič, Kat Steiner, Jakob Škarabot, Jonathan Folland, Oliver O'Sullivan, Stefan Kluzek

2 registry-linked trialsAbstract readSystematic ReviewComparative Study
In one paragraph

Synthesis in The American journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06797102 nacompletednot on this map

Comparative Effects of Neuromuscular Training Vs Close Chain Exercises in Athletes With Post Operative ACL Injury

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2024Enrolled36ConditionsSports Physical TherapyArmsNeuromuscular Exercises, Close Chain Exercises
NCT07384780 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Isokinetic Exercise Combined With Blood Flow Restriction: High-Load Vs Low-Load Training : A Randomized Controlled Trial in Post-ACL Reconstruction Populations

TypeinterventionalSponsorGulf Medical UniversityRan2026 to 2026Enrolled60ConditionsACL Reconstruction, ACL RepairArmsHigh Load Isokinetic Training with Blood Flow Restriction, Low Load Isokinetic Training with Blood Flow Restriction
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. The effects of resistance exercise with blood flow restriction on muscle performance, muscle mass, and function in older adults: a systematic review.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Article
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.

Valentina ColomboAcademic Unit of Injury, Recovery and Inflammation Sciences, School of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0001-9090-609X
Tamara ValenčičSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.ORCID 0000-0002-7346-1137
Kat SteinerBodleian Health Care Libraries, University of Oxford, Oxford, UK.
Jakob ŠkarabotSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.ORCID 0000-0002-0118-1216
Jonathan FollandSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.ORCID 0000-0003-3678-6044
Oliver O'SullivanAcademic Unit of Injury, Recovery and Inflammation Sciences, School of Medicine, University of Nottingham, Nottingham, UK.
Stefan KluzekAcademic Unit of Injury, Recovery and Inflammation Sciences, School of Medicine, University of Nottingham, Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlood flow restriction training (BFR-t) data are heterogeneous. It is unclear whether rehabilitation with BFR-t after an anterior cruciate ligament (ACL) injury is more effective in improving muscle strength and muscle size than standard rehabilitation. PURPOSE: To review outcomes after an ACL injury and subsequent reconstruction in studies comparing rehabilitation with and without BFR-t. STUDY

designSystematic review. Level of evidence, 3.

methodsA search of English-language human clinical studies published in the past 20 years (2002-2022) was carried out in 5 health sciences databases, involving participants aged 18-65 undergoing rehabilitation for an ACL injury. Outcomes associated with muscle strength, muscle size, and knee-specific patient-reported outcome measures (PROMs) were extracted from studies meeting inclusion criteria and compared.

resultsThe literature search identified 279 studies, of which 5 met the selection criteria. Two studies suggested that BFR-t rehabilitation after an ACL injury improved knee or thigh muscle strength and muscle size compared with rehabilitation consisting of comparable and higher load resistance training, with two studies suggesting the opposite. The single study measuring PROMs showed improvement compared to traditional rehabilitation, with no difference in muscle strength or size.

conclusionBFR-t after an ACL injury seems to benefit muscle strength, muscle size, and PROM scores compared with standard rehabilitation alone. However, only 1 large study included all these outcomes, which has yet to be replicated in other settings. Further studies utilizing similar methods with a common set of outcome measures are required to confirm the effects of BFR-t on ACL rehabilitation.

Indexed as

Anterior Cruciate Ligament InjuriesMuscle StrengthResistance TrainingAnterior Cruciate Ligament ReconstructionBlood Flow Restriction TherapyHumansMuscle, SkeletalPatient Reported Outcome Measuresanterior cruciate ligamentblood flow restrictionmuscle physiologyphysical therapy

Identifiers

PMID38591459
PMCPMC11608515

What OpenQuestion holds

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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.