Quadriceps strengthening with and without blood flow restriction in the treatment of patellofemoral pain: a double-blind randomised trial

British Journal of Sports Medicine
Lachlan GilesJill L Cook

Abstract

Quadriceps strengthening exercises are part of the treatment of patellofemoral pain (PFP), but the heavy resistance exercises may aggravate knee pain. Blood flow restriction (BFR) training may provide a low-load quadriceps strengthening method to treat PFP. Seventy-nine participants were randomly allocated to a standardised quadriceps strengthening (standard) or low-load BFR. Both groups performed 8 weeks of leg press and leg extension, the standard group at 70% of 1 repetition maximum (1RM) and the BFR group at 30% of 1RM. Interventions were compared using repeated-measures analysis of variance for Kujala Patellofemoral Score, Visual Analogue Scale for 'worst pain' and 'pain with daily activity', isometric knee extensor torque (Newton metre) and quadriceps muscle thickness (cm). Subgroup analyses were performed on those participants with painful resisted knee extension at 60°. Sixty-nine participants (87%) completed the study (standard, n=34; BFR, n=35). The BFR group had a 93% greater reduction in pain with activities of daily living (p=0.02) than the standard group. Participants with painful resisted knee extension (n=39) had greater increases in knee extensor torque with BFR than standard (p<0.01). No between-group differen...Continue Reading

Citations

Apr 10, 2018·Current Sports Medicine Reports·Kevin T MattocksJeremy P Loenneke
Apr 6, 2019·European Journal of Applied Physiology·Christoph CentnerDaniel König
May 2, 2019·The Journal of Orthopaedic and Sports Physical Therapy·Rod Whiteley
Oct 15, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Bryan G VopatKevin A Hodge
Nov 28, 2019·Current Reviews in Musculoskeletal Medicine·Daniel Sisk, Michael Fredericson
Nov 30, 2019·Sports Medicine·Matthew Buckthorpe, Francesco Della Villa
Apr 21, 2020·Journal of Back and Musculoskeletal Rehabilitation·Joachim Van CantJean-François Esculier
Sep 3, 2019·The Journal of Orthopaedic and Sports Physical Therapy·Richard W WillyChristine M McDonough
Nov 1, 2020·Current Reviews in Musculoskeletal Medicine·Shane M McClintonBryan C Heiderscheit
Dec 18, 2020·Sports Medicine·Matthew BuckthorpeFrancesco Della Villa
Dec 29, 2020·Trends in Endocrinology and Metabolism : TEM·Nina SaatmannDominik H Pesta
May 20, 2020·Journal of Shoulder and Elbow Surgery·Eric N BowmanOrr Limpisvasti
Nov 21, 2020·Clinical Biomechanics·Tadeu Aldrovando Brihy de AlbuquerquePaulo Roberto Garcia Lucareli
Oct 28, 2020·British Journal of Sports Medicine·Marinus WintersMichael Skovdal Rathleff
Mar 22, 2020·Brazilian Journal of Physical Therapy·Iván Cuyul-VásquezHector Gutiérrez-Espinoza
Mar 7, 2021·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Daniel CaetanoPaulo Carvalho
Mar 18, 2021·American Journal of Physical Medicine & Rehabilitation·Shuoqi LiMohammed Rafiq Abdul Kadir
Apr 4, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Frank R NoyesLindsey Sipes
May 4, 2021·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Jun Seob SongJeremy P Loenneke
May 25, 2021·Journal of Human Kinetics·Moisés Picón-MartínezGilberto Laurentino
Jul 16, 2021·Frontiers in Physiology·Mikhail Santos CerqueiraWouber Hérickson Brito Vieira
Jul 26, 2021·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Henrike Greaves Richard Jones
Sep 17, 2021·Journal of Athletic Training·Daniel S LorenzScot Morrison
May 14, 2021·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Danyelle C S Pelet, Fábio L Orsatti

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