Skip to content

News Around Knee Surgery & Sports Medicine

Knee Deep in Pain? 5 Mistakes to Avoid

If you have experienced pain in your knees and you have wondered how to ease your discomfort, think about your…

Read More

Patellar Dislocation in Children: What Parents Need to Know

The first time your child experiences a patellar dislocation, also called a kneecap dislocation, it can be a scary experience…

Read More

2 Reasons Parenting Puts You at Risk for Knee Problems

You love your little ones endlessly, but parenting is no walk in the park. In addition to putting a tremendous…

Read More

Ready to get better? Schedule an appointment today

We have appointments available almost every day are are happy to assist you with your immediate needs.

Blood Flow Restriction Systematic Review


In patients with chronic arthritis or recovering from major operations such as Anterior Cruciate Ligament Reconstruction (ACLR), lower extremity muscle weakness is common and often difficult to overcome.  Resistance training at higher loads is necessary for strength gains and muscle hypertrophy but may be difficult for some of these patients with the accompanying pain associated with such injuries.  Blood flow restriction training (BFRT) has been suggested to treat lower extremity muscle weakness but it is undetermined whether its use in patients with knee pathology is effective.

This systematic review looked at 9 studies on BFRT after ACLR and routine knee arthroscopy in patients with knee osteoarthritis or patellofemoral pain.  The aim of the review was to determine whether BFRT (1) improves quadriceps and hamstring muscle strength and cross-sectional area for chronic knee-related lower extremity atrophy and (2) prevents muscle atrophy after surgery.

Overall, results showed statistically significant improvements in quadriceps strength after training.  There were few benefits seen in quadriceps cross-sectional area.  Hamstring strength was only measured in 2 studies.  There were no complications related to training.

Review of published data on BFRT shows potentially effective in improving quadriceps strength in patients with knee-related weakness and atrophy.  The use of short-duration vascular accession and low-load resistance exercises appears safe after knee surgery or in arthritic knees.  This treatment option requires further investigation to refine protocols related to cuff pressure and exercise dosage and duration.

Study link

Scroll To Top