About this trial
The aim of this study is to investigate the efficacy of blood flow restriction (BFR) therapy in post-operative rehabilitation following knee arthroscopy for primary ACL reconstruction. BFR has been shown to effect time to return to activity and strength postoperatively. This study aims to analyze the effects of BFR therapy in patients who underwent primary ACL reconstruction surgery compared to controls. Participants will be randomized into either a treatment (BFR Cuff) or control (no BFR cuff) group. All participants will follow standard of care (SOC) physical therapy protocol for 12 weeks after surgery according to their treatment group. Strength and patient outcome measures will be recorded throughout the 2 year study period.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients undergoing primary knee arthroscopy for ACL reconstruction without meniscus repair
Completing initial 12 weeks of physical therapy at the Steadman Hawkins Clinic in Denver
Patients with access to smartphone device
Disqualifiers
Bilateral knee surgeries to be performed within 12 weeks of each other
Patients received meniscus repairs, chondral lesion repair/transplants,
Prior surgery on the same knee
Deep Vein Thrombosis (DVT)
Trial design
Parallel
Treatments tested in this trial
BFR Cuff
DeviceThe BFR cuff will be applied to the proximal thigh of the surgical leg while the patient completes specified physical therapy exercises.80% occlusion pressure will be determined by PT's in clinic through the use of a Delphi unit. Subjects will then be able to use the Saga Fitness app to adjust this pressure if it differs from the automatic calibrated pressure.
Treatment groups
Trial outcomes
Primary outcomes
Knee extensor strength
Strength of knee extensors via handheld dynamometry (HHD) and reported as a measure of limb symmetry index (LSI) comparing operative limb to non-operative lim
Secondary outcomes
hamstrings musculature strength
Strength of knee flexors via handheld dynamometry (HHD) and reported as a measure of limb symmetry index (LSI) comparing operative limb to non-operative limb.
single leg squat test
Performance on a Repeated Single Leg Squat test to 45 deg knee flexion over the course of 90 seconds reported as a measure of LSI
Tegner Activity Scale
Tegner Activity Scale: Range 0 (disability because of knee problems) - 10 (national or international level soccer)
LEFS
Range 0 (extreme difficulty) -100 (nodifficulty);MDIC = Δ 123
Sponsors and contacts
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