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Mick Hughes

Blood Flow Restriction for ACLR Rehab


A great research paper by Hughes and his colleagues.


This was a study that directly compared heavy load resistance training with BFR training post ACL rehab.


The resistance training program for both groups was an 8 week progressive overload program using only the single leg leg press machine 2x/week.


The difference was in the loading parameters:

  • BFR - 4 sets (30 reps, 15 reps, 15 reps, 15 reps) at 30% 1RM: 30 seconds rest between sets

  • HLRT - 3 sets 10 reps at 70% 1RM: 30 seconds rest between sets


This was started 3 weeks post op when sutures has been removed and clearance had been given by the surgeon.


In addition to the program a standardised rehab program was given 3x/week for them to complete at home


Both groups found significant improvements in strength and hypertrophy.


The difference was seen in pain, effusion and range of motion in which those who used BFR saw significantly greater improvements than those who used Heavy Load Resistance training


If you're interested in reading this review in more detail click here


If you're interested in learning more about ACL rehab, consider signing up to Learn.Physio online ACL Masterclasses here

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