Blood flow restriction versus standard physical therapy after ankle ligament reconstruction
Official title: Evaluating the Efficacy of Blood Flow Restriction Therapy in a Randomized Clinical Trial for Postoperative Rehabilitation Following Ankle Ligament Reconstruction
Run by Texas Tech University Health Sciences Center · NCT07451210 · Data updated 2026-11-12
This project will test whether adding blood flow restriction (BFR) to regular physical therapy helps adults recovering from ankle ligament reconstruction regain muscle and function faster.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 105 (estimated) |
| Sponsor | Texas Tech University Health Sciences Center Academic / other |
| Locations | 5 sites (Lubbock, Texas and 4 other locations) |
| Status | Recruiting |
| Started | March 1, 2026 |
| Main results expected | June 30, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | March 17, 2026 |
| Trial ID | NCT07451210 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–65 who have had ankle ligament reconstruction and can attend and pay for or have insurance coverage for at least six weeks of physical therapy, and who do not have major cardiac, clotting, autoimmune, neurologic, pregnancy, cancer, or worker's compensation exclusions.
✕Probably not a fit
Patients with major cardiac or connective tissue disorders, clotting problems or recent DVT/stroke, autoimmune disease, pregnancy, active cancer, professional athletes, or those on worker's compensation are excluded and unlikely to derive benefit from participation.
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-blinded trial compares standard physical therapy (SoC) to physical therapy with blood flow restriction (BFR) for patients after ankle ligament reconstruction. Participants receive a minimum of six weeks of supervised physical therapy delivered by certified therapists, with outcome measures taken at the start and at the end of the therapy period. Key outcomes include muscle atrophy (circumference), strength and fatigability via manual muscle testing, ankle function using the FADI, pain using a visual analog scale, and resting cardiovascular measures. The study is conducted at participating sites in Lubbock, Texas.
Why it matters
Potential benefit: If successful, adding BFR could speed muscle recovery, reduce pain, and improve ankle function after reconstruction.
How similar studies have gone: Smaller orthopedic rehabilitation studies of BFR have shown promising gains in muscle size and strength, but high-quality evidence specifically after ankle ligament reconstruction is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age 18-65 years. 2. Post ankle ligament reconstruction surgery (medial or lateral, with or without ankle scope). 3. Capability of paying for physical therapy or having insurance coverage for at least 6 weeks of therapy. Exclusion Criteria: 1. Major cardiac or connective tissue disorders (e.g., Ehlers-Danlos syndrome, Marfan syndrome). 2. Autoimmune disorders. 3. History of stroke or deep vein thrombosis (DVT). 4. Bleeding or coagulation disorders. 5. Congenital or developmental musculoskeletal disorders (e.g., cerebral palsy, Parkinson's disease). 6. Pregnancy (current or planning to become pregnant in the next 4 months) 7. Malignancy (cancer). 8. Professional athletes. 9. Workers compensation insurance status as worker's compensation often does not cover the necessary duration of physical therapy (minimum of 4 weeks). 10. Be currently enrolled or have been enrolled in another interventional clinical research study within the past 30 days (at time of consent); or 11. Be deemed unsuitable for inclusion in the study at the discretion of the Investigators 12. Cognitively not able to consent or participate in research (dementia; severe developmental delay; language/communication limitations; brain injury; etc.)
Where it's running
-
The Center for Orthopedic Surgery
Lubbock, Texas, United States Recruiting -
Texas Tech University Health Sciences Center
Lubbock, Texas, United States Recruiting -
Physical Therapy Today (PTT)
Lubbock, Texas, United States Active not recruiting -
University Medical Center
Lubbock, Texas, United States Active not recruiting -
Northstar Surgery Center
Lubbock, Texas, United States Active not recruiting
Study contacts
- Principal investigator: Jerry Grimes, MD — Texas Tech University Health Sciences Center
- Study coordinator: Jenny Hudnall, MS BME
- Email: jennifer.hudnall@ttuhsc.edu
- Phone: 806-743-2260
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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.