Efficacy of adding blood flow restriction training to the rehabilitation after operative treatment for extra-articular femoral fractures | ||
| Egyptian Journal of Physical Therapy and Rehabilitation | ||
| Articles in Press, Accepted Manuscript, Available Online from 07 July 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejptr.2025.400831.1046 | ||
| Authors | ||
| Mohamed Ibrahim Hassan Ibrahim* 1; Abdelgalil Allam Abdelgalil2; Ahmad Hamdi Azzam3; Karima Abdelaty Hassan4 | ||
| 1Physical therapist at Al-Kasr Eliny Medical School, Cairo, Egypt. | ||
| 2Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt. | ||
| 3Department of Orthopedic Surgery, Faculty of Medicine, Cairo University, Egypt. | ||
| 4Department of Physical Therapy for musculoskeletal disorders and its surgery, Faculty of Physical Therapy, Cairo University, Egypt. | ||
| Abstract | ||
| Background: Extra-articular femur fracture can significantly affect functional ability. Lately, Blood flow restriction training has gained popularity in rehabilitation. Purpose: This randomized controlled trial purposed to evaluate the effectiveness of BFR training compared to conventional rehabilitation exercise in post-surgical of extra-articular femur fractures. Methods: Sixteen patients who made open reduction internal fixation were randomly assigned to two groups: BFR group, (n = 8) did exercises with BFR, and Non BFR group, (n = 8) did therapeutic exercises with non-BFR. All outcomes were assessed pre-rehabilitation program and 6 week post-rehabilitation program, including thigh circumference, isometric muscle strength for (hip flexion, abduction, and knee extension), hip range of motion, pain intensity, functional performance(Timed and up and Go test (TUG)), and lower extremity functional scale (LEFS). Results: BFR group demonstrated greater improvements than Non BFR group in isometric strength (hip flexion and knee extension), pain reduction (VAS), functional performance (TUG), and LEFS scores (p<0.05). Both groups showed improvements in ROM and thigh circumference. Conclusion: Blood flow restriction training in post-surgical rehabilitation in extra-articular femur fractures has a higher result in muscle strength, pain reduction, and functional performance than exercise without Blood flow restriction training. | ||
| Keywords | ||
| Blood flow restriction training; femur fracture; post-surgical rehabilitation | ||
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