About this trial
This study will look at the effect of using a blood flow restriction device during low load strengthening exercises on patients with tibial shaft fractures, compared to patients performing exercise without the device. The study will compare muscle strength, muscle size, fracture healing, and return to normal function between the two groups.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Adult with closed tibial shaft fracture
Ability to begin physical therapy treatment within 2 weeks post-operatively
Disqualifiers
History of osteoporosis or osteopenia
Impaired circulation in the limb
Active deep vein thrombosis
Clotting disorders or other elevated risk of embolism
Trial design
Parallel
Treatments tested in this trial
Blood Flow Restriction with low load exercise
DeviceCuff/tourniquet will be applied to proximal leg at hip crease and inflated to 60-80% of limb occlusion pressure to decrease venous blood flow in the limb while performing exercise.
Therapeutic Exercise
Other interventionExercise performed at appropriate load as guided by physical therapist
Treatment groups
Trial outcomes
Primary outcomes
Fracture healing
Tibial shaft fracture healing as measured by Radiographic Union Score for Tibial (RUST) fractures
Secondary outcomes
Muscle strength
Knee extension and ankle plantarflexion strength measured with a dynamometer
Muscle girth
Quadriceps and gastrocnemius muscle girth measured 15 cm above and below joint line
Physical function
Subjective measure of function measured by Lower Extremity Functional Scale (LEFS)
Sponsors and contacts
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