Blood Flow Restriction Training After Patellar INStability (BRAINS Trial)
Abstract
Patellar dislocations are more common in military personnel and athletes than in the civilian population. In the short-term, muscular impairment after patellar dislocation impacts military readiness and in the long-term, patellar dislocation often leads to posttraumatic osteoarthritis (PTOA) within 5 to 15 years after injury. Physical therapy is the standard of care after patellar dislocation; however, despite the risks of PTOA and functional impairment after patellar dislocation, the conservative treatment of these injuries has remained largely unchanged over the past 20 years. There is no consensus on best practices and current treatment algorithms do not address both biologic and biomechanical mechanisms of PTOA. The purpose of this study is to determine if blood flow restriction training (BFRT) will improve outcomes after patellar dislocation. The proposed study directly relates to the FY19 PRMRP Topic Area of Post-Traumatic Osteoarthritis (PTOA). The proposed multidisciplinary study addresses two Areas of Encouragement related to PTOA: 1) Studies to evaluate and develop best practices for multidisciplinary team approaches and treatment algorithms for post-traumatic osteoarthritis, and 2) Development of innovative rehabilitation approaches for preventing or mitigating PTOA. The results of this study will benefit military personnel and civilian patient populations to improve clinical outcomes after patellar dislocation, promoting a safe return to activity while also reducing degenerative changes to both the cartilage and muscle. The low cost and simplicity of the interventions will allow for immediate implementation in clinical practice in military and civilian settings.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jul 01, 2023
- Accession Number
- AD1214490
Entities
People
- Brian Noehren
- Caitlin Conley
- Cale Jacobs
- Katherine Thompson
- Xiajuan Li
Organizations
- University of Kentucky