Central European Journal of Sport Sciences and Medicine

ISSN: 2300-9705     eISSN: 2353-2807    OAI    DOI: 10.18276/cej.2020.3-04
CC BY-SA   Open Access   DOAJ  DOAJ

Lista wydań / Vol. 31, No. 3/2020
Functional strength exercise and blood-flow restriction protocols: a systematic review

Autorzy: Nicole J. Hernandez
Physical Therapy, Campbell University, Buies Creek, NC, United States

Bradley J. Myers
Physical Therapy, Campbell University, Buies Creek, NC, United States

Yuri Feito
Exercise Science and Sport Management, Kennesaw State University, Kennesaw, GA, United States

Jennifer A. Bunn
Physical Therapy, Campbell University, Buies Creek, NC, United States
Słowa kluczowe: resistance training; arterial occlusion; low intensity; muscle hypertrophy
Data publikacji całości:2020
Liczba stron:12 (47-58)
Cited-by (Crossref) ?:

Abstrakt

Objective: To assess current literature focused on the influence of functional training with blood flow restriction (BFR) on muscular adaptation in adults below the age of 65 years. Methods: A systematic literature search was performed with the following databases: PubMed, CINAHL Complete EBSCOhost, and ScienceDirect. Two researchers filtered the articles according to the criteria and quality, supported by the Consolidated Standards of Reporting Trials (CONSORT) tool. Studies were limited to those with participants with a mean age between18 and 65 years. Articles were peer-reviewed, available in English, and utilized either multi-joint resistance exercises or functional exercise as the intervention. Results: The search yielded 16 studies on uninjured, older adult, injured and athletic subjects. Regardless of the population, the studies tended to favor BFR training for improvements of strength, but this was highly dependent on cuff pressure and training load. Conclusions: Current literature suggests that BFR with functional and or multi-joint strength training is successful in improving strength, hypertrophy, function and in pain reduction. Favorable results with functional BFR included procedures using relative and well-controlled occlusion pressure. More research is necessary to understand the effect of BFR on self-reported outcomes and hypertrophy in athletic and older adults.
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Bibliografia

1.Araujo, J.P., Neto, G.R., Loenneke, J.P., Bemben, M.G., Laurentino, G.C., Batista, G., Silva, J.C.G., Freitas, E.D.S, Sousa, M.S.C. (2015). The effects of water-based exercise in combination with blood flow restriction on strength and functional capacity in post-menopausal women. Age (Dordr), 37 (6), 110.
2.Brandner, C.R., May, A.K., Clarkson, M.J., Warmington, S.A. (2018). Reported side-effects and safety considerations for the use of blood flow restriction during exercise in practice and research. Techniques in Orthopaedics, 33 (2), 1.
3.Clarkson, M.J., Fraser, S.F., Bennett, P.N., McMahon, L.P., Brumby, C., Warmington, S.A. (2017). Efficacy of blood flow restriction exercise during dialysis for end stage kidney disease patients: Protocol of a randomised controlled trial. BMC Nephrology, 18 (1), 294-017-0713-4. doi:10.1186/s12882-017-0713-4.
4.Cook, C.J., Kilduff, L.P., Beaven, C.M. (2014). Improving strength and power in trained athletes with 3 weeks of occlusion training. International Journal of Sports Physiology and Performance, 9 (1), 166-172. doi:10.1123/ijspp.2013-0018.
5.Credeur, D.P., Hollis, B.C., Welsch, M.A. (2010). Effects of handgrip training with venous restriction on brachial artery vasodilation. Medicine and Science in Sports and Exercise, 42 (7), 1296-1302. doi:10.1249/MSS.0b013e3181ca7b06.
6.Garber, C.E., Blissmer, B., Deschenes, M.R., Franklin, B.A., Lamonte, M.J., Lee, I. M., Nieman, D.C., Swain, D.P. (2011). American college of sports medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Medicine and Science in Sports and Exercise, 43 (7), 1334-1359. doi:10.1249/MSS.0b013e318213fefb.
7.Giles, L., Webster, K.E., McClelland, J., Cook, J.L. (2017). Quadriceps strengthening with and without blood flow restriction in the treatment of patellofemoral pain: A double-blind randomised trial. British Journal of Sports Medicine, 51 (23), 1688-1694. doi:10.1136/bjsports-2016-096329.
8.Godawa, T.M., Credeur, D.P., Welsch, M.A. (2012). Influence of compressive gear on powerlifting performance: Role of blood flow restriction training. Journal of Strength and Conditioning Research, 26 (5), 1274-1280. doi:10.1519/JSC.0b013e3182510643.
9.Hughes, L., Paton, B., Haddad, F., Rosenblatt, B., Gissane, C., Patterson, S.D. (2018). Comparison of the acute perceptual and blood pressure response to heavy load and light load blood flow restriction resistance exercise in anterior cruciate ligament reconstruction patients and non-injured populations. Physical Therapy in Sport: Official Journal of the Association of Chartered Physiotherapists in Sports Medicine, 33, 54-61. doi:S1466-853X(18)30175-5.
10.Lixandrao, M.E., Ugrinowitsch, C., Berton, R., Vechin, F.C., Conceicao, M.S., Damas, F., Libardi, C.A., Roschel, H. (2018). Magnitude of muscle strength and mass adaptations between high-load resistance training versus low-load resistance training associated with blood-flow restriction: A systematic review and meta-analysis. Sports Medicine (Auckland, N.Z.), 48 (2), 361-378. doi:10.1007/s40279-017-0795-y.
11.Loenneke, J.P., Wilson, J.M., Marin, P.J., Zourdos, M.C., Bemben, M.G. (2012). Low intensity blood flow restriction training: A meta-analysis. European Journal of Applied Physiology, 112 (5), 1849-1859. doi:10.1007/s00421-011-2167-x.
12.Madarame, H., Ochi, E., Tomioka, Y., Nakazato, K., Ishii, N. (2011). Blood flow-restricted training does not improve jump performance in untrained young men. Acta Physiologica Hungarica, 98 (4), 465-471. doi:10.1556/APhysiol.98.2011.4.10.
13.McCully, K.K., Smith, S., Rajaei, S., Leigh, J.S. Jr, Natelson, B.H. (2003). Blood flow and muscle metabolism in chronic fatigue syndrome. Clinical Science, 104 (6). 641-647. doi:10.1042/CS20020279.
14.McGowan, C.L., Visocchi, A., Faulkner, M., Verduyn, R., Rakobowchuk, M., Levy, A.S. McCartney, N., MacDonald, M.J. (2007). Isometric handgrip training improves local flow-mediated dilation in medicated hypertensives. European Journal of Applied Physiology, 99 (3), 227234. doi:10.1007/s00421-006-0337-z.
15.Ozaki, H., Yasuda, T., Ogasawara, R., Sakamaki-Sunaga, M., Naito, H., Abe, T. (2013). Effects of high-intensity and blood flow-restricted low-intensity resistance training on carotid arterial compliance: Role of blood pressure during training sessions. European Journal of Applied Physiology, 113 (1), 167174. doi:10.1007/s00421-012-2422-9.
16.Patterson, S.D., Hughes, L., Warmington, S., Burr, J., Scott, B.R., Owens, J., Abe, T., Nielsen, J.L., Libardi, C., Laurentino, G., Neto, G., Brandner, C., Martin-Hernandez, J., Loenneke, J. (2019). Blood flow restriction exercise position stand: Considerations of methodology, application, and safety. Frontiers in Physiology, 10, 533.
17.Pelletier, R., Higgins, J., Bourbonnais, D. (2015). Is neuroplasticity in the central nervous system the missing link to our understanding of chronic musculoskeletal disorders? BMC Musculoskeletal Disorders, 16. doi: 25-015-0480-y. doi:10.1186/s12891-015-0480-y.
18.Segal, N., Davis, M.D., Mikesky, A.E. (2015). Efficacy of blood flow-restricted low-load resistance training for quadriceps strengthening in men at risk of symptomatic knee osteoarthritis. Geriatric Orthopaedic Surgery & Rehabilitation, 6 (3), 160-167. doi:10.1177/2151458515583088.
19.Segal, N.A., Williams, G.N., Davis, M.C., Wallace, R.B., Mikesky, A.E. (2015). Efficacy of blood flow-restricted, low-load resistance training in women with risk factors for symptomatic knee osteoarthritis. PM & R: The Journal of Injury, Function, and Rehabilitation, 7 (4), 376-384. doi:10.1016/j.pmrj.2014.09.014.
20.Shephard, R.J., Montelpare, W., Plyley, M., McCracken, D., Goode, R.C. (1991). Handgrip dynamometry, cybex measurements and lean mass as markers of the ageing of muscle function. British Journal of Sports Medicine, 25 (4), 204-208. doi:10.1136/bjsm.25.4.204.
21.Takarada, Y., Takazawa, H., Sato, Y., Takebayashi, S., Tanaka, Y., Ishii, N. (2000). Effects of resistance exercise combined with moderate vascular occlusion on muscular function in humans. Journal of Applied Physiology (Bethesda, Md.: 1985), 88 (6), 2097-2106. doi:10.1152/jappl.2000.88.6.2097 .
22.Takarada, Y., Tsuruta, T., Ishii, N. (2004). Cooperative effects of exercise and occlusive stimuli on muscular function in low-intensity resistance exercise with moderate vascular occlusion. The Japanese Journal of Physiology, 54 (6), 585-592. doi:10.2170/jjphysiol.54.585.
23.Tennent, D.J., Hylden, C.M., Johnson, A.E., Burns, T.C., Wilken, J.M., Owens, J.G. (2017). Blood flow restriction training after knee arthroscopy: A randomized controlled pilot study. Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine, 27 (3), 245-252. doi:10.1097/JSM.0000000000000377.
24.Teramoto, M., Golding, L.A. (2006). Low-intensity exercise, vascular occlusion, and muscular adaptations. Research in Sports Medicine (Print), 14 (4), 259-271. doi:10.1080/15438620600985860.
25.Yasuda, T., Fujita, S., Ogasawara, R., Sato, Y., Abe, T. (2010). Effects of low-intensity bench press training with restricted arm muscle blood flow on chest muscle hypertrophy: A pilot study. Clinical Physiology and Functional Imaging, 30 (5), 338-343. doi:10.1111/j.1475-097X.2010.00949.x.
26.Yasuda, T., Ogasawara, R., Sakamaki, M., Bemben, M.G., Abe, T. (2011a). Relationship between limb and trunk muscle hypertrophy following high-intensity resistance training and blood flow-restricted low-intensity resistance training. Clinical Physiology and Functional Imaging, 31 (5), 347-351. doi:10.1111/j.1475-097X.2011.01022.x.
27.Yasuda, T., Ogasawara, R., Sakamaki, M., Ozaki, H., Sato, Y., Abe, T. (2011b). Combined effects of low-intensity blood flow restriction training and high-intensity resistance training on muscle strength and size. European Journal of Applied Physiology, 111 (10), 2525-2533. doi:10.1007/s00421-011-1873-8.