The Effect of Blood Flow Restriction Therapy on Shoulder Function Following Shoulder Stabilization Surgery: A Case Series
# Background Traumatic shoulder instability is a common injury in athletes and military personnel. Surgical stabilization reduces recurrence, but athletes often return to sport before recovering upper extremity rotational strength and sport-specific abilities. Blood flow restriction (BFR) may stimul...
Saved in:
Main Authors: | , , , , , |
---|---|
Format: | Book |
Published: |
North American Sports Medicine Institute,
2022-10-01T00:00:00Z.
|
Subjects: | |
Online Access: | Connect to this object online. |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
MARC
LEADER | 00000 am a22000003u 4500 | ||
---|---|---|---|
001 | doaj_8a5ad4e0a10a49b8a7a9e55d1f97f29f | ||
042 | |a dc | ||
100 | 1 | 0 | |a John H. McGinniss |e author |
700 | 1 | 0 | |a John S. Mason |e author |
700 | 1 | 0 | |a Jamie B. Morris |e author |
700 | 1 | 0 | |a Will Pitt |e author |
700 | 1 | 0 | |a Erin M. Miller |e author |
700 | 1 | 0 | |a Michael S. Crowell |e author |
245 | 0 | 0 | |a The Effect of Blood Flow Restriction Therapy on Shoulder Function Following Shoulder Stabilization Surgery: A Case Series |
260 | |b North American Sports Medicine Institute, |c 2022-10-01T00:00:00Z. | ||
500 | |a 10.26603/001c.37865 | ||
500 | |a 2159-2896 | ||
520 | |a # Background Traumatic shoulder instability is a common injury in athletes and military personnel. Surgical stabilization reduces recurrence, but athletes often return to sport before recovering upper extremity rotational strength and sport-specific abilities. Blood flow restriction (BFR) may stimulate muscle growth without the need for heavy resistance training post-surgically. # Hypothesis/Purpose To observe changes in shoulder strength, self-reported function, upper extremity performance, and range of motion (ROM) in military cadets recovering from shoulder stabilization surgery who completed a standard rehabilitation program with six weeks of BFR training. # Study Design Prospective case series # Methods Military cadets who underwent shoulder stabilization surgery completed six weeks of upper extremity BFR training, beginning post-op week six. Primary outcomes were shoulder isometric strength and patient-reported function assessed at 6-weeks, 12-weeks, and 6-months postoperatively. Secondary outcomes included shoulder ROM assessed at each timepoint and the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), the Upper Extremity Y-Balance Test (UQYBT), and the Unilateral Seated Shotput Test (USPT) assessed at the six-month follow-up. # Results Twenty cadets performed an average 10.9 BFR training sessions over six weeks. Statistically significant and clinically meaningful increases in surgical extremity external rotation strength (*p* \< 0.001; mean difference, .049; 95% CI: .021, .077), abduction strength (*p* \< 0.001; mean difference, .079; 95% CI: .050, .108), and internal rotation strength (*p \<* 0.001; mean difference, .060; CI: .028, .093) occurred from six to 12 weeks postoperatively. Statistically significant and clinically meaningful improvements were reported on the Single Assessment Numeric Evaluation (*p* \< 0.001; mean difference, 17.7; CI: 9.4, 25.9) and Shoulder Pain and Disability Index (*p* \< 0.001; mean difference, -31.1; CI: -44.2, -18.0) from six to 12 weeks postoperatively. Additionally, over 70 percent of participants met reference values on two to three performance tests at 6-months. # Conclusion While the degree of improvement attributable to the addition of BFR is unknown, the clinically meaningful improvements in shoulder strength, self-reported function, and upper extremity performance warrant further exploration of BFR during upper extremity rehabilitation. # Level of Evidence 4, Case Series | ||
546 | |a EN | ||
690 | |a Sports medicine | ||
690 | |a RC1200-1245 | ||
655 | 7 | |a article |2 local | |
786 | 0 | |n International Journal of Sports Physical Therapy, Vol 17, Iss 6 (2022) | |
787 | 0 | |n https://doi.org/10.26603/001c.37865 | |
787 | 0 | |n https://doaj.org/toc/2159-2896 | |
856 | 4 | 1 | |u https://doaj.org/article/8a5ad4e0a10a49b8a7a9e55d1f97f29f |z Connect to this object online. |