The effects of restriction pressures on the acute responses to blood flow restriction exercise

Ilett, Michael J., Rantalainen, Timo, Keske, Michelle A., May, Anthony K. and Warmington, Stuart A. 2019, The effects of restriction pressures on the acute responses to blood flow restriction exercise, Frontiers in physiology, vol. 10, pp. 1-11, doi: 10.3389/fphys.2019.01018.

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Title The effects of restriction pressures on the acute responses to blood flow restriction exercise
Author(s) Ilett, Michael J.
Rantalainen, TimoORCID iD for Rantalainen, Timo
Keske, Michelle A.ORCID iD for Keske, Michelle A.
May, Anthony K.ORCID iD for May, Anthony K.
Warmington, Stuart A.ORCID iD for Warmington, Stuart A.
Journal name Frontiers in physiology
Volume number 10
Article ID 1018
Start page 1
End page 11
Total pages 11
Publisher Frontiers in Physiology
Place of publication Lausanne, Switzerland
Publication date 2019-08
ISSN 1664-042X
Keyword(s) Science & Technology
Life Sciences & Biomedicine
blood flow restriction
muscle fatigue
limb occlusion pressure
restriction pressure
Summary Purpose: No current guidelines or recommendations exist informing the selection of restriction pressure during blood flow restriction exercise (BFRE). Moreover, the effects of specific relative restriction pressures on the acute muscle, metabolic and cardiopulmonary responses to BFRE are unclear. The purpose of this study was to characterize these acute responses at different levels of restriction pressure. Methods: Participants (n = 10) completed rhythmic isometric knee extension exercise across five experimental trials in a balanced randomized order. Three were BFRE trials {B-40 [restriction pressure set to 40% LOP (total limb occlusion pressure)]; B-60 (60% LOP); and B-80 (80% LOP)} with a workload equivalent to 20% maximal voluntary force (MVC), one was non-BFRE at 20% MVC (LL) and one was non-BFRE at 80% MVC (HL). Measurements recorded were torque, muscle activity via electromyography (EMG), tissue oxygenation via near infrared spectroscopy, whole body oxygen consumption, blood lactate and heart rate. Results: For the LL and B-40 trials, most measures remained constant. However, for the B-60 and B-80 trials, significant fatigue was demonstrated by a reduction in MVC torque across the trial (p < 0.05). Blood lactate increased from baseline in HL, B-60, and B-80 (p < 0.05). Submaximal EMG was greater in B-60 and B-80 than LL, but lower compared with HL (p < 0.05). Tissue oxygenation decreased in HL, B-40, B-60, and B-80 (p < 0.05), which was lower in the B-80 trial compared to all other trials (p < 0.01). Whole body oxygen consumption was not different between the BFRE trials (p > 0.05). Conclusion: We demonstrate graded/progressive acute responses with increasing applied pressure during BFRE, from which we speculate that an effective minimum “threshold” around 60% LOP may be necessary for BFRE to be effective with training. While these data provide some insight on the possible mechanisms by which BFRE develops skeletal muscle size and strength when undertaken chronically across a training program, the outcomes of chronic training programs using different levels of applied restriction pressures remain to be tested. Overall, the present study recommends 60–80% LOP as a suitable “minimum” BFRE pressure.
Language eng
DOI 10.3389/fphys.2019.01018
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, Ilett, Rantalainen, Keske, May and Warmington
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