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Is Low-load Resistance Training With Blood Flow Restriction Feasible During Rehabilitation of Military Personnel With Lower Limb Injuries? Phase One RCT.

RecruitingNAAges 18 Years - 55 YearsAllDefence Medical Rehabilitation Centre, UK
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In plain words

What the trial is, and whether it could suit you

Pain can be one of the primary limiting factors to progress following musculoskeletal injury and may be caused by trauma or degenerative changes. There are few exercise rehabilitation interventions able to relieve pain, thereby reducing the number of military personnel fit for operations. Low load blood flow restriction (BFR) exercise has been shown to elicit an analgesic response and promote beneficial physiological changes in a variety of clinical populations. This two phase study, aims to: * Determine the most effective and feasible BFR resistance exercise protocol for reducing pain in UK military patients. * Determine the efficacy of an optimal BFR exercise protocol for reducing pain and improving rehabilitation outcomes in UK military patients. * Identify key physiological mechanisms underpinning any beneficial effect of BFR exercise on pain. Consequently, results from this study

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Serving UK military personnel, * Aged 18-55, * Has unilateral lower limb injury whereby pain is the primary limiting factor hindering progression, as diagnosed by relevant consultant and team, * Reduced occupational employability and function, * Scheduled to attend DMRC Stanford Hall for 3 week residential rehabilitation course. Exclusion Criteria: MSK-Specific Exclusion Criteria * Any medical contraindication related to BFR\* * Non-musculoskeletal or serious pathological condition (i.e. Inflammatory arthropathy, infection or tumour) * Spinal or referred pain from non-local pain source * Any pre-diagnosed physical impairment or co-morbidities (including cardio-vascular disease) precluding the safe participation in the rehabilitation programme and/or assessment procedures * Corticosteroid or analgesic injection intervention to the affected area within the previous 7 days * Currently pregnant, or have not yet completed a return to work assessment following the birth of your child. \*Medical-Related Exclusion Criteria * History of cardiovascular disease (hypertension, peripheral vascular disease, thrombosis/embolism, ischaemic heart disease, myocardial infarction), * History of the following musculoskeletal disorders: rheumatoid arthritis, avascular necrosis or osteonecrosis, severe osteoarthritis * History of the following neurological disorders: Alzheimer's disease, amyotrophic lateral sclerosis, peripheral neuropathy, Parkinson's disease, severe traumatic brain injury, * Varicose veins in the lower limb, * Acute viral or bacterial upper or lower respiratory infection at screening, * Known or suspected lower limb chronic exertional compartment syndrome (CECS) (tourniquet raises intra-compartmental muscle pressure), * Surgical insertion of metal components at the position of cuff inflation, * History of any of the following conditions or disorders not previously listed: diabetes, active cancer, * History of elevated risk of unexplained fainting or dizzy spells during physical activity and/or exercise that causes loss of balance, * Increased risk of haemorrhagic stroke, exercise induced rhabdomyolysis, * Currently pregnant.
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What it tests

  • BFR 80
  • BFR40
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Where

1 site
Defence Medical Rehabilitation Centre, Stanford Hall
Loughborough, United Kingdom
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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