Study of Blood Flow Restriction Therapy Compared to Standard Physical Therapy for Recovery After Ankle Ligament Surgery

What this Trial Is About

Researchers are evaluating the use of blood flow restriction BFR therapy to help patients recover after ankle ligament reconstruction surgery. This randomized clinical trial compares BFR therapy with the current standard physical therapy care to see if BFR improves muscle atrophy, strength recovery, ankle function, pain management, and cardiovascular effects. The study aims to provide clearer evidence on whether adding BFR to rehabilitation can benefit patients recovery after surgery. Participants who have undergone ankle ligament reconstruction will be randomly assigned to either a standard physical therapy group without BFR or a group receiving physical therapy combined with BFR. Both groups will start therapy at least 28 days after surgery and continue for a minimum of six weeks. The BFR therapy involves applying a special device to the affected limb during therapy sessions to restrict blood flow and support muscle strengthening exercises. Both groups will perform similar exercises, including hip and knee strengthening and ankle movements, with manual therapy as needed. Participants will be assessed at several time points, starting at the beginning of physical therapy, then between 63 and 70 days post-surgery, and optionally at the end of physical therapy if it extends beyond six weeks. Evaluations will measure muscle size, muscle fatigability using manual testing, ankle function with the Foot and Ankle Disability Index, pain levels with a visual analog scale, and cardiovascular measures like resting heart rate and blood pressure. Study physical therapists collecting these data will be unaware of each participants group to ensure unbiased results.

Evaluating the Efficacy of Blood Flow Restriction Therapy in a Randomized Clinical Trial for Postoperative Rehabilitation Following Ankle Ligament Reconstruction