BFR Training Improves Patients' Reported Outcomes, Strength, and Range of Motion After Casting for Colles' Fracture.

Autor:	Yang M; School of Elite Sport, Shanghai University of Sport, Shanghai, CHINA., Liang B; Department of Orthopaedics, Nanjing First Hospital, Nanjing, CHINA., Zhao X; Department of Orthopaedics, Nanjing First Hospital, Nanjing, CHINA., Wang Y; Department of Orthopaedics, Nanjing First Hospital, Nanjing, CHINA., Xue M; Zimmer Biomet Inc., CHINA., Wang D; School of Elite Sport, Shanghai University of Sport, Shanghai, CHINA.
Jazyk:	angličtina
Zdroj:	Medicine and science in sports and exercise [Med Sci Sports Exerc] 2023 Nov 01; Vol. 55 (11), pp. 1985-1994. Date of Electronic Publication: 2023 Jun 01.
DOI:	10.1249/MSS.0000000000003228
Abstrakt:	Purpose: This study compared traditional rehabilitation as a treatment modality after plaster cast treatment of Colles' fracture with a combination of individualized blood flow restriction (BFR) and traditional rehabilitation. Methods: Twenty-eight participants were randomized into a BFR group and a non-BFR group after plaster cast treatment of Colles' fracture. The BFR group completed traditional rehabilitation with a medical grade tourniquet applied to the upper arm, and the non-BFR group underwent traditional rehabilitation only. Patients were followed up with radiographic outcomes (palmar tilt and radial inclination) to ensure the stability of the fracture. Clinical assessment of patient-rated wrist evaluation (PRWE) score, grip strength, pinch strength, wrist range of motion (ROM), and muscle stiffness was conducted at cast removal and 6 wk after cast removal. Two-way repeated-measures ANOVA determined significant interactions between time and group in the aforementioned variables. An independent-sample t -test assessed the differences in baseline variables and radiographic outcomes. Results: Significant interactions between time and group were noted for PRWE score ( F = 11.796, P = 0.002, η2p = 0.339), grip strength ( F = 5.445, P = 0.029, η2p = 0.191), and wrist ROM (ulnar deviation; F = 7.856, P = 0.010, η2p = 0.255). No significant interactions between time and group were found in measurements of pinch strength or wrist ROM (flexion, extension, radial deviation, pronation, supination). An independent-sample t -test showed no significant difference in baseline variables and radiographic outcomes between the groups before or after intervention. Conclusions: This study found that combining individualized BFR with traditional rehabilitation resulted in greater increases in PRWE score, grip strength, and wrist ROM (ulnar deviation) than traditional rehabilitation alone. Therefore, adding individualized BFR to traditional rehabilitation might be a better option for treatment for similar patients. (Copyright © 2023 by the American College of Sports Medicine.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu