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- Title
Clinic and Home-Based Exercise with Blood Flow Restriction Resolves Thigh Muscle Atrophy after Anterior Cruciate Ligament Reconstruction with the Bone-Patellar Tendon-Bone Autograft: A Case Report.
- Authors
Solie, Braidy S.; Eggleston, Garrett G.; Schwery, Nicole A.; Doney, Christopher P.; Kiely, Michael T.; Larson, Christopher M.
- Abstract
Anterior cruciate ligament reconstruction (ACLR) results in thigh muscle atrophy. Of the various interventions proposed to mitigate thigh muscle atrophy, exercise with blood flow restriction (BFR) appears safe and effective. Some literature suggests daily exposure to exercise with BFR may be indicated during the early phase of ACLR rehabilitation; this case report outlines the methodology utilized to prescribe clinic- and home-based BFR within an outpatient rehabilitation program. A 15-year-old male soccer player suffered a left knee injury involving the anterior cruciate ligament and both menisci. He underwent ACLR and completed exercise with BFR as part of his clinic- and home-based rehabilitation program, which included practical blood flow restriction during home-based rehabilitation. After 16 weeks of rehabilitation, surgical limb thigh girth values were objectively larger than the non-surgical limb (surgical, 52.25 cm; non-surgical 50 cm), as well as the multi-frequency bioelectrical impedance analysis of his lower-extremity lean body mass (surgical limb, 10.37 kg; non-surgical limb, 10.02 kg). The findings of this case report suggest that the inclusion of clinic- and home-based BFR within an outpatient rehabilitation program may be indicated to resolve thigh muscle atrophy early after ACLR.
- Subjects
MUSCULAR atrophy; SOCCER; REHABILITATION centers; HOME rehabilitation; BLOOD flow restriction training; THIGH; ATHLETES; SPORTS injuries; AUTOGRAFTS; TREATMENT effectiveness; PATELLAR tendon; BIOELECTRIC impedance; ANTERIOR cruciate ligament surgery; EXERCISE therapy; BONE grafting; KNEE injuries
- Publication
Healthcare (2227-9032), 2023, Vol 11, Issue 13, p1885
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare11131885