{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:54:30Z","timestamp":1791449670112,"version":"4.3.3"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nQuadriceps weakness and muscle atrophy remain major challenges following anterior cruciate ligament (ACL) reconstruction. Blood flow restriction (BFR) therapy enables low-load resistance training and may enhance early rehabilitation outcomes. This study evaluated the clinical and radiological outcomes of adding BFR therapy to standard post-operative rehabilitation.\n\nMaterials and Methods:\nIn this prospective observational cohort study, 40 patients (18\u201345 years) undergoing arthroscopic ACL reconstruction received standard rehabilitation supplemented with BFR therapy (60\u201380% limb occlusion pressure) from post-operative day 1 for 16 weeks. The primary outcome was quadriceps cross-sectional area (CSA) on magnetic resonance imaging. Secondary outcomes included Numeric Pain Rating Scale (NPRS), thigh girth, and Lysholm score. Paired t-tests were used for analysis.\n\nResults:\nMean age was 28.25 \u00b1 7.15 years, with 90% male. NPRS increased on post-operative day 1 (P &lt; 0.0001) and significantly decreased thereafter (P \u2264 0.001). Lysholm scores improved from 70.57 \u00b1 7.37 to 88.82 \u00b1 5.38 (P &lt; 0.0001), exceeding the minimal clinically important difference. Thigh girth remained unchanged (P &gt; 0.05). Quadriceps CSA showed a non-significant reduction (approximately 6%; P = 0.123).\n\nConclusion:\nBFR therapy is a safe and well-tolerated adjunct to standard ACL rehabilitation, associated with improved functional outcomes and pain while preserving muscle mass. Larger randomized controlled trials with longer follow-up are required to validate these findings.\n\nKeywords:\nAnterior cruciate ligament reconstruction , blood flow restriction therapy , rehabilitation , quadriceps atrophy , Lysholm score , muscle preservation<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i10.8322","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:29:20Z","timestamp":1791448160000},"page":"485-492","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of Blood Flow Restriction Therapy as an Adjunct to Standard Rehabilitation Following Anterior Cruciate Ligament Reconstruction: A Prospective Observational Cohort Study"],"prefix":"10.13107","volume":"16","author":[{"given":"Happy","family":"Gahlawat","sequence":"first","affiliation":[{"name":"Department of Sports Medicine, Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaswant","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Hegde","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Himanshu","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:29:23Z","timestamp":1791448163000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/10\/outcomes-of-blood-flow-restriction-therapy-as-an-adjunct-to-standard-rehabilitation-following-anterior-cruciate-ligament-reconstruction-a-prospective-observational-cohort-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i10.8322","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}