The effectiveness and safety of blood flow restriction training for the post-operation treatment of distal radius fracture

作者全名："Fan, Yi; Bai, Dingqun; Cheng, Chongyuan; Tian, Guihua"

作者地址："[Fan, Yi; Bai, Dingqun; Cheng, Chongyuan; Tian, Guihua] Chongqing Med Univ, Affiliated Hosp 1, Dept Rehabil Med, Chongqing, Peoples R China; [Tian, Guihua] Chongqing Med Univ, Affiliated Hosp 1, Dept Rehabil Med, 1 Youyi Rd, Chongqing 400016, Peoples R China"

通信作者："Tian, GH (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Rehabil Med, 1 Youyi Rd, Chongqing 400016, Peoples R China."

来源：ANNALS OF MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001036755800001

JCR分区：Q1

影响因子：4.9

年份：2023

卷号：55

期号：2

开始页：　

结束页：　

文献类型：Article

关键词：Rehabilitation therapy; blood flow restriction; distal radial fracture; wrist function; >

摘要："Introduction Distal radius fracture (DRF) is a common injury in the upper extremities. Blood flow restriction (BFR) has been proven to be effective in improving function in low-load training, which is suitable for post-op rehabilitation. We explored the effectiveness and safety of BFR therapy in DRF patients who underwent surgery. Materials and methods Thirty-five patients were randomly assigned to either the BFR or the regular training (RT; no BFR therapy) groups. All patients completed the same 4-week postoperative rehabilitation program, including anti-inflammatory treatments, strengthening and range of motion (ROM) training. In the BFR group, the pressure was 120 mmHg in strengthening training course. Pain, circumferences of wrists and forearms, ROM, muscle strength, and D-dimer levels were evaluated at weeks 0, 2, and 4. Radius union scoring system (RUSS) was measured at weeks 4 and 12. Finally, wrist functionality (Cooney modification) was evaluated at week 12. Results The BFR group had significantly decreased pain levels compared with the RT group (p < 0.01, effect size= 2.33, -2.44 at weeks 2 and 4). Swelling was effectively relieved in both groups. The wrist swelling was less in the BFR group (p < 0.01, effect size = -2.17 at week 4). The isometric strength of wrist extension (p < 0.01, effect size = 1.5, 3.02 at weeks 2 and 4), flexion (p < 0.01, effect size = 1.33, 2.53 at weeks 2 and 4), and functionality significantly increased in the BFR group (p < 0.01, effect size = 2.80 at week 12). No risk of VT in the BFR group was found. BFR did not threaten bone healing. Conclusions In patients with DRF who underwent corrective surgery, BFR therapy effectively relieved pain and swelling, increased muscle strength and wrist function, and had no additional risks for bone healing and VT. KEY MESSAGES BFR therapy can significantly reduce pain, strengthen muscles, and improve function. BFR therapy did not significantly improve passive ROM, and further research is needed to determine its ability to reduce swelling. BFR therapy is safe and effective for DRF patients after ORIF, but requires individualized protocols and frequent assessments. Further research is needed for other orthopedic surgeries."

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