前交叉韧带重建术后患者高血流限制训练康复效果的系统综述

Effect of high blood flow restriction training on patients after anterior cruciate ligament reconstruction:a systematic review

目的 系统综述前交叉韧带重建术(ACLR)后患者实施高血流限制训练(BFRT)的康复效果。方法 采用主题词检索方式,在PubMed、Web of Science、Embase、Cochrane Library、中国知网、CBM、万方数据库和维普数据库中检索相关文献,自建库至2024年5月1日。采用物理治疗证据数据库量表对纳入文献进行方法学质量评估,提取相关数据进行系统综述。结果 纳入7篇,涉及受试者183例,来自6个国家,干预地点主要是医院康复科和康复中心。发表时间集中于2016年至2023年。BFRT组在常规康复训练时对下肢进行加压,组间放气休息0.5~2 min或不放气。BFRT组的改善作用体现在肌肉力量、肌肉形态和身体功能等方面,能促进肌力增加、肌肉肥大,改善膝关节功能。干预总时长和训练强度会影响改善效果。结论 高BFRT可以改善ACLR术后膝关节周围肌肉状况、促进功能恢复。为确保训练的安全性和康复效果,采用低强度肌力训练,每组15~30次重复动作,每次训练4~5组,每周训练2~3次,训练总时长≥3周。

Objective To systematically review the effect of high blood flow restriction training(BFRT)on patients after anterior cruciate ligament reconstruction(ACLR).Methods Relevant literature was searched in PubMed,Web of Science,Embase,Cochrane Library,CNKI,CBM,Wanfang data,and VIP databases using subject term search methods from the inception to May 1st,2024.The methodological quality of the included literatures was assessed using Physiotherapy Evidence Database(PEDro)scale,and relevant data were extracted for systematic review.Results A total of seven articles were finally included,involving 183 subjects from six countries.The intervention sites were mainly hospital rehabilitation departments and rehabilitation centers.The publication dates ranged from 2016 to 2023.In BFRT group,lower limbs were compressed during conventional rehabilitation training,with intermittent of 0.5 to 2 minutes or without deflation.BFRT would increase muscle strength,muscle hypertrophy,and improved knee joint function.Total duration of intervention and training intensity affected the improvement.Conclusion High BFRT can improve the condition of the muscles around the knee joint and promote functional recovery after ACLR.To ensure the safety and effectiveness of the training,low-intensity strength training should be employed,with 15 to 30 repetitions per set,four to five sets per session,two to three sessions per week,and a total training duration of at least three weeks.