Blood Flow Restriction Training in Patients With Lower Extremity Fractures

NCT ID: NCT06496035

Last Updated: 2025-11-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-01

Study Completion Date

2026-05-31

Brief Summary

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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.

Detailed Description

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This study will examine the effect of blood flow restriction (BFR) training in patients with lower extremity fractures. Patients with tibial shaft fractures will be assigned to either the BFR group or control group. The BFR group will perform exercises with a blood flow restriction device, which occludes venous blood flow in the limb, while performing strengthening exercises as directed by a Doctor of Physical Therapy. The control group will perform the exercises without the device, as is current standard practice in physical therapy. Blood flow restriction training has been shown to prevent strength loss and muscle atrophy after surgery or injury, and studies suggest that it increases biomarkers of bone metabolism and tissue healing. The goal of this study is to examine the use of BFR in trauma patients using a defined protocol, and compare fracture healing, muscle strength, muscle girth, and subjective physical function between groups.

Conditions

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Tibial Fractures Lower Extremity Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be assigned to experimental group performing exercise with blood flow restriction, or to the control group performing exercises without the device
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Masking is not possible due to evident use or nonuse of device, and documentation in patient's chart.

Study Groups

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Blood flow restriction training

Patients will perform exercises as directed by a Doctor of Physical Therapy with the use of blood flow restriction device

Group Type EXPERIMENTAL

Blood Flow Restriction with low load exercise

Intervention Type DEVICE

Cuff/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.

Traditional physical therapy

Patients perform physical therapy exercises guided by a Doctor of Physical Therapy without the use of a blood flow restriction device, as is current standard practice.

Group Type ACTIVE_COMPARATOR

Therapeutic Exercise

Intervention Type OTHER

Exercise performed at appropriate load as guided by physical therapist

Interventions

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Blood Flow Restriction with low load exercise

Cuff/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.

Intervention Type DEVICE

Therapeutic Exercise

Exercise performed at appropriate load as guided by physical therapist

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult with closed tibial shaft fracture
* Ability to begin physical therapy treatment within 2 weeks post-operatively

Exclusion Criteria

* History of osteoporosis or osteopenia
* Impaired circulation in the limb
* Active deep vein thrombosis
* Clotting disorders or other elevated risk of embolism
* Sickle cell anemia
* Infection in extremity
* Renal compromise
* Severe uncontrolled hypertension (SBP\>180)
* Lymphedema
* Under age 18
* Pregnancy
* Prisoner
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Denver Health and Hospital Authority

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Megan E Smith, PT, DPT

Role: PRINCIPAL_INVESTIGATOR

Denver Health

Locations

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Denver Health Medical Center

Denver, Colorado, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Megan E Smith, PT, DPT

Role: CONTACT

6513191730

Mathew A Haager, PT, DPT

Role: CONTACT

5639407061

Facility Contacts

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Megan E Smith, PT, DPT

Role: primary

651-319-1730

Mathew A Haager, PT, DPT

Role: backup

5639407061

Other Identifiers

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24-0894

Identifier Type: -

Identifier Source: org_study_id

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