Evidence map›Paper›PMID 40455786›Full record

SynthesisPloS one2025

The effects of low-load resistance training combined with blood flow restriction on knee rehabilitation in middle-aged and elderly patients: A systematic review and meta-analysis.

Juan Chen, Lei Wu, Chenna Li, Hao Yan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
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

4 authors.

Juan ChenSchool of Rehabilitation Engineering, China Civil Affairs University, Beijing, China.ORCID https://orcid.org/0009-0002-6107-7127
Lei WuSchool of Rehabilitation Engineering, China Civil Affairs University, Beijing, China.
Chenna LiSchool of Rehabilitation Engineering, China Civil Affairs University, Beijing, China.
Hao YanSchool of Strength and Conditioning Training, Beijing Sport University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This meta-analysis evaluates the effectiveness of low-load resistance training combined with blood flow restriction in knee rehabilitation.

methodsRandomized controlled trials investigating the effects of blood flow restriction training on knee injury rehabilitation were systematically searched in the PubMed, EBSCO, and Web of Science databases for studies published between January 2000 and May 2024. The Cochrane Risk of Bias Tool was used to assess study quality, and statistical analyses were performed using Review Manager 5.3 software.

results(1) Compared to low-load control training, blood flow restriction training showed no significant difference in pain scores (standardized mean difference = -0.10, P = 0.46) but significantly improved muscle strength (standardized mean difference = 1.11, P < 0.00001). (2) When compared to high-intensity resistance training, blood flow restriction training demonstrated no significant differences in muscle strength (standardized mean difference = -0.11, P = 0.74) or pain scores (standardized mean difference = -0.84, P = 0.17). (3) Preoperative blood flow restriction training did not significantly improve postoperative pain scores (standardized mean difference = 0.77, P = 0.37); however, among 241 patients undergoing preoperative training, blood flow restriction training significantly enhanced postoperative muscle strength (standardized mean difference = 0.97, P = 0.03).

conclusionsAlthough blood flow restriction training has limited effects on reducing pain, it significantly improves muscle strength, particularly in preoperative rehabilitation and low-load training settings, making it a valuable alternative in clinical knee rehabilitation strategies.

Indexed as

Blood Flow Restriction TherapyKnee InjuriesKnee JointResistance TrainingAgedFemaleHumansMaleMiddle AgedMuscle StrengthRandomized Controlled Trials as Topic

Identifiers

PMID40455786
PMCPMC12129158

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.