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Updated: Jul 17, 2026

Near-Infrared Spectroscopy During Reactive Hyperemia for the Assessment of Lower Limb Vascular Function
Published on: March 22, 2024
Regional changes in reactive hyperemic blood flow during exercise training: time-course adaptations
Mahmoud A Alomari1, Michael A Welsch2
1Department of Allied Medical Sciences, Jordan University of Science & Technology, Irbid, Jordan.
Localized exercise training rapidly improves forearm blood flow and vascular resistance. These benefits in reactive hyperemia were observed after just one week of handgrip training in healthy men.
Area of Science:
- Exercise physiology
- Cardiovascular research
- Human physiology
Background:
- Limited research exists on the temporal effects of localized exercise on regional blood flow.
- This study investigates how handgrip exercise training impacts forearm reactive hyperemia and vascular resistance.
Purpose of the Study:
- To determine the time course of changes in forearm reactive hyperemic blood flow and vascular resistance following unilateral handgrip exercise training.
- To assess the effects of localized training on vascular function in healthy men.
Main Methods:
- Strain gauge plethysmography was used to measure forearm blood flow and vascular resistance in 17 healthy men.
- Measurements were taken at rest and after arterial occlusion, weekly for 4 weeks, before and during training.
- Participants performed unilateral handgrip exercise training (5 days/week, 20 minutes, 60% MVC) on the non-dominant arm, with the dominant arm serving as a control.
Main Results:
- Handgrip exercise training increased trained arm strength (14.5%) and circumference (1.56%).
- A significant interaction between arm and visit was found for reactive hyperemic blood flow and vascular resistance.
- Reactive hyperemic blood flow increased (p=0.0013) and post-occlusion vascular resistance decreased (p=0.05) after the first week of training, with no further changes observed.
Conclusions:
- One week of unilateral handgrip exercise training leads to significant improvements in forearm reactive hyperemia and vascular resistance.
- These vascular adaptations in the trained arm plateaued after the initial week of training and did not progress further over the 4-week study period.
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