Praetorius Arthur
Klinik für Arthroskopische Chirurgie, Sporttraumatologie und Sportmedizin, Motoriklabor Athletikum Rhein Ruhr, BG Klinikum Duisburg, Großenbaumer Allee 250, 47259, Duisburg, Deutschland.
Orthopadie (Heidelb). 2024 Nov;53(11):853-857. doi: 10.1007/s00132-024-04543-1. Epub 2024 Aug 9.
In healthy individuals, blood flow restriction training (BFRT) has shown positive effects on muscle mass, strength, fatigue resistance, as well as tendon and bone metabolism. BFRT reduces blood flow in the extremities using inflatable cuffs, creating local muscular hypoxia, which produces an anabolic metabolic environment. This promotes significant muscular and cardiovascular adaptations even at low mechanical training loads.
BFRT also shows promising initial results in pre- and postoperative applications for knee endoprostheses (KTEP). Both preoperative and postoperative BFRT can improve muscle strength and joint function, accelerate recovery, and alleviate pain. Although the method is generally safe, potential risks such as discomfort and rare side effects must be considered. Clear application protocols are still lacking, necessitating further research and individualized programs to achieve optimal training effects. BFRT thus offers an innovative way to effectively rehabilitate patients despite their low load tolerance.
在健康个体中，血流限制训练（BFRT）已显示出对肌肉质量、力量、抗疲劳能力以及肌腱和骨骼代谢有积极影响。BFRT使用充气袖带减少肢体血流，造成局部肌肉缺氧，从而产生合成代谢的代谢环境。即使在低机械训练负荷下，这也能促进显著的肌肉和心血管适应性变化。
BFRT在膝关节置换术（KTEP）的术前和术后应用中也显示出有前景的初步结果。术前和术后的BFRT都可以提高肌肉力量和关节功能，加速恢复，并减轻疼痛。虽然该方法总体安全，但必须考虑诸如不适和罕见副作用等潜在风险。目前仍缺乏明确的应用方案，需要进一步研究和个性化方案以实现最佳训练效果。因此，尽管患者负荷耐受性低，BFRT仍为有效康复患者提供了一种创新方法。
