Bicep Tendon Rupture
Conditions
Keywords
blood flow restriction, Rehabilitation, Physical therapy
Brief summary
The goal of this investigation is to determine if using BFR during postoperative therapy would lead to increased and expedited strength gains. Additionally, the investigators would like to determine if BFR is beneficial in preventing muscle atrophy and fatty infiltration in the setting of bicep tendon tears, due to the altered tension-length relationship following surgery. The study will also look at patient reported outcomes metrics and pain scores to determine if BFR has a significant impact on the patient experience surrounding distal biceps tear and surgical repair
Interventions
Use of a tourniquet set to 50% of limb occlusion pressure while performing post operative physical therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18-80 * Undergoing distal biceps tendon repair
Exclusion criteria
* Revision Biceps tendon repair, * Irrepairable tendon injury, * Biceps repairs with biologic augmentation, * Patients with concomitant neurovascular injury, * Inability to tolerate BFR treatment, * Unable to complete full course of physical therapy, * Peripheral vascular disease, * History of Venous thromboembolism (VTE)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Strength | 1 week post-operatively | measured via dynamometer (pounds) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range of Motion | 1 week post-operatively | via goniometer (degrees) |
| Perceived Pain | 1 week post-operatively | via visual analog scale (VAS) pain scale: (scale 0 - 10, higher score indicates more pain) |
| Patient reported outcome scores | 1 week post-operatively | via Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) score |
Countries
United States