Integrating blood flow restriction with low-load resistance exercise in a UK specialist military primary care rehabilitation facility

Hayhurst, D; Coppack, Russell J; Ingram, Charles G.; Conway, Dean; Cassidy, R P; Ladlow, Peter

doi:10.1136/bmjmilitary-2021-001897

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…BFR therapy was able to elicit favourable changes in rehabilitation outcomes at considerably less load than conventional resistance training methods. An ADMR-led multicentre RCT, the ADAPTation to therapeutic resistance training study (ADAPT), is due to start in mid-2022, which will expand on this work in an RRU setting 18…”

Section: Innovationmentioning

confidence: 99%

The BMJ Military Health Military Rehabilitation special issue

O’Sullivan¹,

Ladlow

Coppack

et al. 2022

BMJ Mil Health

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Section: Innovationmentioning

confidence: 99%

The BMJ Military Health Military Rehabilitation special issue

O’Sullivan¹,

Ladlow

Coppack

et al. 2022

BMJ Mil Health

Self Cite

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“…Another more recent systematic review which included 10 RCTs on BFRT in lower limb musculoskeletal conditions, concluded that LL-BFRT leads to increases in muscle strength and volume, and reduces pain at a comparable level to conventional LL-RT and HL-RT [6]. A recent systematic review and meta-analysis including five studies on knee osteoarthritis found that there was low to moderate quality evidence of no difference between LL-BFRT and traditional HL-RT for pain, function, strength, and muscle size increases [140]. Similarly, a systematic review and meta-analysis including 5 RCTs on patients with osteoarthritis and rheumatoid arthritis, found no difference between LL-BFRT and moderate and HL-RT on muscle strength, muscle mass and functionality measures, with LL-BFRT more effect for increasing strength than LL-RT [141].…”

Section: Bfrt Musculoskeletal Rehabilitation Outcomesmentioning

confidence: 99%

Blood Flow Restriction Training for Tendinopathy Rehabilitation: A Potential Alternative to Traditional Heavy-Load Resistance Training

Burton¹

2022

Rheumato

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Tendinopathy is a chronic tendon disease which can cause significant pain and functional limitations for individuals, and which collectively places a tremendous burden on society. Resistance training has long been considered the treatment of choice in the rehabilitation of chronic tendinopathies, with both eccentric and heavy slow resistance training demonstrating positive clinical effects. The application of progressive tendon loads during rehabilitation is essential to not compromise tendon healing, with the precise dosage parameters of resistance training and external loading a critical consideration. Blood-flow restriction training (BFRT) has become an increasingly popular method of resistance training in recent years and has been shown to be an effective method for enhancing muscle strength and hypertrophy in healthy populations and in musculoskeletal rehabilitation. Traditional resistance training for tendinopathy requires the application of heavy training loads, whereas BFRT utilises significantly lower loads and training intensities, which may be more appropriate for certain clinical populations. Despite evidence confirming the positive muscular adaptations derived from BFRT and the clinical benefits found for other musculoskeletal conditions, BFRT has received a dearth of attention in tendon rehabilitation. Therefore, the purpose of this narrative review was threefold: firstly, to give an overview and analysis of the mechanisms and outcomes of BFRT in both healthy populations and in musculoskeletal rehabilitation. Secondly, to give an overview of the evidence to date on the effects of BFRT on healthy tendon properties and clinical outcomes when applied to tendon pathology. Finally, a discussion on the clinical utility of BFRT and its potential applications within tendinopathy rehabilitation, including as a compliment to traditional heavy-load training, is presented.

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Integrating blood flow restriction with low-load resistance exercise in a UK specialist military primary care rehabilitation facility

Cited by 2 publications

References 5 publications

The BMJ Military Health Military Rehabilitation special issue

The BMJ Military Health Military Rehabilitation special issue

Blood Flow Restriction Training for Tendinopathy Rehabilitation: A Potential Alternative to Traditional Heavy-Load Resistance Training

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