When rehabbing an athlete after an injury or surgery, there are lots of protocols that are out there and tools at the disposal of the physical therapist and athletic trainer. It can get overwhelming sometimes, especially for those of us as physicians who are diagnosing the problem but aren’t actual doing the rehab. I’m not sure if it’s me but it seems like in the last decade, compared to the first decade of my practice, I’m getting asked about using all sorts of different treatment methods for my patients in their rehab.
Blood Flow Restriction, or BFR, Training is one of those tools that seems to come up more often these days than not, and I get more and more requests to utilize it in my pediatric and adolescent aged patients. But where is the science for these patients and what do we know about BFR and its safety in kids? Does it help with patient outcomes? How exactly does it work? Today on the pod, we’ll cover these questions and more.
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Links from this Episode:
— Lorenz D. Blood Flow Restriction: Cause for Optimism, But Let’s Not Abandon The Fundamentals. Int J Sports Phys Ther. 2021 Jun 2;16(3):962-967. doi: 10.26603/001c.23725. PMID: 34123546; PMCID: PMC8169004. https://pubmed.ncbi.nlm.nih.gov/34123546/
— Lorenz DS, Bailey L, Wilk KE, Mangine RE, Head P, Grindstaff TL, Morrison S. Blood Flow Restriction Training. J Athl Train. 2021 Sep 1;56(9):937-944. doi: 10.4085/418-20. PMID: 34530434; PMCID: PMC8448465. https://pubmed.ncbi.nlm.nih.gov/34530434/
— Bond CW, Hackney KJ, Brown SL, Noonan BC. Blood Flow Restriction Resistance Exercise as a Rehabilitation Modality Following Orthopaedic Surgery: A Review of Venous Thromboembolism Risk. J Orthop Sports Phys Ther. 2019 Jan;49(1):17-27. doi: 10.2519/jospt.2019.8375. Epub 2018 Sep 12. PMID: 30208794. https://pubmed.ncbi.nlm.nih.gov/30208794/
— Curran MT, Bedi A, Mendias CL, Wojtys EM, Kujawa MV, Palmieri-Smith RM. Blood Flow Restriction Training Applied With High-Intensity Exercise Does Not Improve Quadriceps Muscle Function After Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial. Am J Sports Med. 2020 Mar;48(4):825-837. doi: 10.1177/0363546520904008. PMID: 32167837. https://pubmed.ncbi.nlm.nih.gov/32167837/
— Luebbers PE, Witte EV, Oshel JQ, Butler MS. Effects of Practical Blood Flow Restriction Training on Adolescent Lower-Body Strength. J Strength Cond Res. 2019 Oct;33(10):2674-2683. doi: 10.1519/JSC.0000000000002302. PMID: 29084094. https://pubmed.ncbi.nlm.nih.gov/29084094/
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The Host of this Program:
Dr. Mark Halstead received his medical degree from the University of Wisconsin Medical School. He stayed at the University of Wisconsin for his pediatric residency, followed by a year as the chief resident. Following residency, he completed a pediatric and adult sports medicine fellowship at Vanderbilt University. He has been an elected member to the American Academy of Pediatrics (AAP) Council on Sports Medicine and Fitness and the Board of Directors of the American Medical Society for Sports Medicine (AMSSM). He has served as a team physician or medical consultant to numerous high schools, Vanderbilt University, Belmont University, Washington University, St. Louis Cardinals, St. Louis Blues, St. Louis Athletica, and St. Louis Rams. He serves and has served on many local, regional and national committees as an advisor for sports medicine and concussions. Dr. Halstead is a national recognized expert in sport-related concussions and pediatric sports medicine.
The Guest Featured Inside this Program
Dr. Dan Lorenz is the Director of Sports Medicine at Ortho Kansas and Lawrence Memorial Hospital in Lawrence, Kansas. He received his Bachelor of science in Health Sciences with an Emphasis in Athletic Training followed by a Masters in physical therapy from Grand Valley State University. He then completed his doctorate in physical therapy at the University of St. Augustine. He completed the Duke University Sports physical therapy Fellowship and was an assistant athletic trainer and physical therapist for the Kansas City Chiefs from 2005-2007. He was named the National Strength and Conditioning Association Sports Medicine and Rehabilitation Professional of the Year in 2018.