Volume 27, Issue 141, November 2023

Combined effect of blood flow restriction training and proprioceptive training on conservatively managed multiligament knee injury patient: A case report

Shilpa Chourasia¹, Kiran Mendhe², Urja Tahalramani^3♦

¹Dr. Shilpa Chourasia, Associate Professor and HOD, Department of Musculoskeletal Physiotherapy, V.S.P.M’s College of Physiotherapy, Nagpur, Maharashtra, India
²Dr. Kiran Mendhe, Associate Professor, Department of Musculoskeletal Physiotherapy, V.S.P.M’s College of Physiotherapy, Nagpur, Maharashtra, India. ORCID: 0000-0003-1803-5861
³Dr. Urja Tahalramani, Department of Musculoskeletal Physiotherapy, V.S.P.M’s College of Physiotherapy, Nagpur, Maharashtra, India. ORCID: 0000-0002-4873-1094

^♦Corresponding author
Post-graduate, Department of Musculoskeletal Physiotherapy, V.S.P.M’s College of Physiotherapy, Nagpur, Maharashtra, India

ABSTRACT

Purpose: The study aimed to determine the combined effect of blood flow restriction training and proprioceptive training on conservatively managed multi-ligament knee injury patients. Background: A multiple ligament knee injury is defined as a tear of at least two of the major four ligaments: The anterior cruciate ligament (ACL), the posterior cruciate ligament (PCL), the posteromedial corner (PMC), and the posterolateral corner (PLC). Multiple ligament knee injuries can occur as a result of both high-energy trauma, such as automobile collisions or falls from extreme heights, and low-energy trauma, such as sports injuries. Muscle weakness is typical in multiple ligament knee injuries; high-load resistance training is the most effective method of strengthening muscular strength and achieving muscle hypertrophy. On the other hand, high-load, high-intensity exercises may not be therapeutically appropriate in certain individuals requiring muscular building. Clinical findings: Clinical evaluation revealed quadriceps muscle atrophy and balance impairments. Results: The study found improvements in girth measurement, static and dynamic balance scores, and the Lysholm knee scoring scale. Conclusion: The case study demonstrated the benefits of proprioception neuromuscular facilitation and blood flow restriction training for the treatment of multi-ligament knee injuries, implying that this approach may be beneficial for people in terms of improving girth and function and that it can be used in conjunction with traditional rehabilitation.

Keywords: Blood flow restriction training, multi-ligament injury, proprioceptive neuromuscular facilitation

Medical Science, 2023, 27, e373ms3242

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DOI: https://doi.org/10.54905/disssi.v27i141.e373ms3242

Published: 3 November 2023