Related Experiment Video
Updated: Jun 28, 2026
Diagnosis of Musculus Gastrocnemius Tightness - Key Factors for the Clinical Examination
Published on: July 7, 2016
Effects of blood flow restriction training on patients with chronic ankle instability: a systematic review and
Meng Liu1, Sha Pu Lu Bi1, Yuhang Cao2,3
1School of Physical Education and Health, Nanning Normal University, Nanning, 530100, China.
Objective:
To systematically review the effects of blood flow restriction training (BFRT) on postural control and ankle function in patients with chronic ankle instability (CAI).
Methods:
We systematically searched PubMed, Embase, The Cochrane Library, Web of Science, EBSCO, and Scopus databases up to February 2, 2025. This study was registered in PROSPERO (CRD42025642187). The search aimed to collect randomized controlled trials examining the effects of BFRT on patients with CAI. Four outcomes including Y balance test reach distance, Cumberland Ankle Instability Tool scores, ankle muscle strength, and ankle muscle activation were selected. Quality of the included studies was assessed using the Cochrane Risk of Bias Tool Version 1, and meta-analysis was performed with RevMan 5.3.
Results:
A total of eight randomized controlled trials were included, involving 243 patients with CAI. Compared to the control group, BFRT significantly improved Y balance anterior reach distance (MD = 4.90, 95% CI: 1.73 to 8.08, P = 0.002), Cumberland Ankle Instability Tool scores (MD = 3.09, 95% CI: 1.59 to 4.59, P < 0.001), ankle dorsiflexor strength (SMD = 0.90, 95% CI: 0.03 to 1.77, P = 0.04), ankle plantar-flexor strength (SMD = 1.12, 95% CI: 0.20 to 2.04, P = 0.02), and tibialis anterior muscle activation (MD = 11.13, 95% CI: 4.12 to 18.14, P = 0.002).
Conclusion:
Current evidence showed that BFRT significantly improved Y-balance anterior reach distance, CAIT scores, ankle dorsiflexor and plantarflexor strength, and tibialis anterior activation. These findings supported its effectiveness in improving postural control and ankle function in patients with CAI. However, some included studies are of low quality, requiring larger, high-quality studies for validation.
Related Concept Videos
01:11Assessing Blood pressure in the Leg
Preparation:
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
01:27Assessment of the Cardiovascular System III: Palpation
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation