Home-Based Exercise With Blood Flow Restriction to Improve Quadriceps Muscle and Physical Function After Total Knee Arthroplasty: A Case Report

Physical Therapy
Matthew A KilgasSteven J Elmer

Abstract

After total knee arthroplasty (TKA), persistent quadriceps muscle atrophy and weakness impairs physical function. Blood flow restriction (BFR) exercise is emerging as a potential method to improve muscle size and strength in clinical populations with orthopedic limitations. There are no randomized controlled studies documenting BFR exercise after TKA. This case report describes the use of home-based BFR exercise to increase quadriceps size, strength, and physical function after TKA. A 59-year-old man (6 months post-TKA) performed body weight and walking exercises with BFR 5×/wk for 8 weeks. Blood flow in the TKA leg was restricted using a thigh cuff inflated to 50% of limb occlusion pressure. Lean leg mass, vastus lateralis thickness, knee extensor strength, and physical function were measured at baseline (6 months post-TKA), posttraining (8 months post-TKA), and long-term follow-up (14 months post-TKA). After training, lean leg mass, vastus lateralis thickness, and knee extensor strength in the TKA leg increased by 4%, 14%, and 55%, respectively. Compared with baseline, posttraining knee extensor strength symmetry (TKA/uninvolved leg) increased from 64% to 98%. The patient's performance improved for the 30-second chair stand, ...Continue Reading

References

Jan 1, 1994·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·M K LewisI Fogelman
Dec 17, 2002·Arthritis and Rheumatism·Najia ShakoorJohn P Case
Feb 3, 2005·Clinical Orthopaedics and Related Research·Philip C NobleKenneth B Mathis
Aug 20, 2005·The Journal of Orthopaedic and Sports Physical Therapy·Ryan L MiznerLynn Snyder-Mackler
Apr 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Steven KurtzMichael Halpern
May 2, 2008·The Journal of Orthopaedic and Sports Physical Therapy·Whitney MeierPaul C Lastayo
Aug 20, 2008·Nature Clinical Practice. Neurology·Corinne G C HorlingsBastiaan R Bloem
Jun 24, 2009·Archives of Internal Medicine·Elena LosinaJeffrey N Katz
Dec 31, 2009·Journal of Geriatric Physical Therapy·Whitney A MeierPaul C LaStayo
Sep 10, 2013·Acta Physiologica Hungarica·Juan Martín-HernándezA J Herrero
Oct 15, 2014·The Journal of Arthroplasty·Alasdair MackieCraig Gerrand
Sep 6, 2015·American Journal of Physiology. Heart and Circulatory Physiology·Marty D SprangerScott A Smith
Mar 6, 2017·British Journal of Sports Medicine·Luke HughesStephen David Patterson

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