Editorial Commentary: Blood Flow Restriction Therapy Prior to Anterior Cruciate Ligament Reconstruction: Small Effects Require Accurate Measurements |
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| Institution: | 1. Boston, Massachusetts, U.S.A.;2. Associate Editor;1. Hospital Italiano de Buenos Aires, Buenos Aires, Argentina;2. Oregon Shoulder Institute, Medford, Oregon, U.S.A.;1. Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea;2. Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University Hospital, Seoul, Republic of Korea;3. College of Medicine, Kyung Hee University, Seoul, Republic of Korea;4. Department of Orthopedic Surgery, Cheil Orthopedic Hospital, Seoul, Republic of Korea;1. Department of Orthopaedics and Rehabilitation, Larner College of Medicine, University of Vermont, Burlington, Vermont, U.S.A.;2. Centers for Advanced Orthopaedics, Washington, DC, U.S.A. |
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| Abstract: | A recent research study showed that blood flow restriction (BFR) therapy was safe and well tolerated but failed to demonstrate efficacy as a modality that provides greater gains in quadriceps strength when added to a standard home program in patients awaiting anterior cruciate ligament (ACL) reconstruction. Despite employing a validated method of measurement, the results were highly variable, indicating the need for measurements with sufficient accuracy to detect the small, but potentially meaningful, gains in quadriceps strength that’s been attributed to BFR. The results inform future investigations of BFR prior to ACL surgery by demonstrating the need for accurate methods of measurements when the anticipated effects are small. |
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