Ponce-Fuentes Felipe, Cuyul-Vásquez Iván, Ó Conaire Eoin
Escuela de Kinesiología, Facultad de Medicina y Ciencias de la Salud, Universidad Mayor, Temuco, Chile.
Departamento de Procesos Terapéuticos, Facultad de Ciencias de la Salud, Universidad Católica de Temuco, Temuco, Chile.
Physiother Theory Pract. 2025 Jun;41(6):1316-1324. doi: 10.1080/09593985.2024.2402305. Epub 2024 Sep 15.
The addition of blood flow restriction therapy (BFRT) to exercise in patients with olecranon fracture treated surgically has not been described in the literature.
To describe the effects and safety of BFRT exercises in the postoperative rehabilitation of a patient with olecranon fracture.
A 27-year-old male with a surgically treated olecranon fracture completed a 12-week postoperative physical therapy programme. The assessment was performed at the start of rehabilitation, 4 and 12 weeks. The patient had elbow pain, decreased active range of motion (AROM), reduced handgrip strength, and limited physical function. The patient was treated with low-intensity resistance exercises with BFRT. The BFRT was applied with three exercises per stage, at 50% of the limb occlusion pressure and 75 repetitions per exercise. At discharge from physical therapy, improvements were observed in pain intensity (5.9-1.4 cm), AROM of elbow flexion (88°-137°) and extension (-22°--2°), AROM of forearm pronation (18°-68°) and supination (34°-78°), handgrip strength (8 kg-47 kg), physical function (22.9%-89.6%), and disability (72.7%-13.6%). These changes reached the minimal clinically important difference at the time of discharge for all measures, except for extension, pronation, and supination AROM.
The addition of BFRT to exercise was effective in improving pain, elbow, and wrist AROM, handgrip strength, function, and disability in a patient with surgically treated olecranon fracture. Despite the inherent limitations of our design, we believe these preliminary findings are compelling to warrant future investigations.
文献中尚未描述在接受手术治疗的鹰嘴骨折患者的运动中添加血流限制疗法（BFRT）的情况。
描述BFRT运动对一名鹰嘴骨折患者术后康复的效果和安全性。
一名接受手术治疗的鹰嘴骨折的27岁男性完成了为期12周的术后物理治疗计划。在康复开始时、第4周和第12周进行评估。该患者有肘部疼痛、主动活动范围（AROM）减小、握力降低和身体功能受限。患者接受了低强度阻力运动加BFRT治疗。BFRT每个阶段进行三项运动，施加肢体闭塞压力的50%，每项运动重复75次。在物理治疗出院时，观察到疼痛强度（5.9 - 1.4厘米）、肘部屈曲AROM（88° - 137°）和伸展（-22° - -2°）、前臂旋前AROM（18° - 68°）和旋后（34° - 78°）、握力（8千克 - 47千克）、身体功能（22.9% - 89.6%）和残疾程度（72.7% - 13.6%）均有改善。除了伸展、旋前和旋后AROM外，所有测量指标在出院时均达到了最小临床重要差异。
在运动中添加BFRT对改善接受手术治疗的鹰嘴骨折患者的疼痛、肘部和腕部AROM、握力、功能和残疾程度有效。尽管我们的设计存在固有局限性，但我们认为这些初步发现令人信服，值得未来进行研究。
