BFR resistance training vs BFR cycling for knee pain in athletes with patellofemoral pain
Official title: Comparative Effects of Blood Flow Restriction Resistance Training Versus Blood Flow Restriction Cycling on Pain, Quadriceps Strength, and Functional Outcomes in Athletes With Patellofemoral Pain: A Randomized Controlled Trial
Run by Ibadat International University, Islamabad · NCT07585305 · Data updated 2026-11-12
A 8-week randomized trial tests whether low-load blood flow restriction resistance training or low-resistance BFR cycling better reduces knee pain and improves leg strength and function in athletes with patellofemoral pain.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 40 Years |
| Sex | All |
| Enrollment | 48 (estimated) |
| Sponsor | Ibadat International University, Islamabad Academic / other |
| Locations | 1 site (Islamabad) |
| Status | Recruiting |
| Started | May 10, 2026 |
| Main results expected | July 10, 2026 |
| Study ends | July 25, 2026 |
| Registry record updated | June 26, 2026 |
| Trial ID | NCT07585305 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Athletes aged 18-40 with clinically diagnosed patellofemoral pain syndrome and pain provoked by at least two functional activities, willing to consent, and able to participate in an 8-week program.
✕Probably not a fit
Individuals with recent knee surgery, significant knee injuries, contraindications to BFR, or pregnancy may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, single-blind trial compares two blood flow restriction (BFR) training modalities in 60 athletes aged 18-40 with patellofemoral pain syndrome. Group A performs BFR resistance training (leg press and seated knee extension at 30% 1RM) 3 times weekly, while Group B does BFR cycling with low resistance under similar supervision. Both groups receive limb occlusion at 80% of limb occlusion pressure during sessions over 8 weeks, with outcomes measured at baseline and week 8, including pain (NPRS), quadriceps strength, and Kujala knee function. Data will be analyzed using appropriate within- and between-group tests to determine differences in pain, strength, and functional outcomes. The study aims to determine if one BFR modality offers superior symptom relief or functional gains for athletes with PFP.
Why it matters
Potential benefit: If successful, the trial could identify a more tolerable or more effective BFR approach to improve pain and function in athletes with patellofemoral pain.
How similar studies have gone: Prior BFR research supports gains at low loads for strength, but direct comparisons of BFR modalities in patellofemoral pain are limited, making this approach relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Male and female athletes aged 18-40 years 2. Clinically diagnosed with patellofemoral pain syndrome 3. Anterior or retropatellar knee pain of at least 3 months duration 4. Pain provoked by at least two functional activities (e.g., squatting, stair climbing, running, prolonged sitting) 5. Willingness to participate and provide written informed consent Exclusion Criteria: 1. History of knee surgery or significant knee trauma in the past 6 months 2. Presence of ligament, meniscal, or cartilage injuries 3. Neurological, vascular, or systemic inflammatory conditions 4. Contraindications to BFR training (e.g., deep vein thrombosis, uncontrolled hypertension) 5. Pregnancy
Where it's running
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Ibadat International University, Islamabad (Iiui)
Islamabad, Pakistan Recruiting
Study contacts
- Principal investigator: Hafsah Gul Khattak, DPT, MS-NMPT — Ibadat International University, Islamabad (Iiui)
- Study coordinator: Haroon Khan, MS. Sports Physical Therapy
- Email: haroonkhan2k00@gmail.com
- Phone: +923000526711
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.