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Updated: May 31, 2026

Doppler Ultrasound-Based Leg Blood Flow Assessment During Single-Leg Knee-Extensor Exercise in an Uncontrolled Setting
Published on: December 15, 2023
Blood pressure and forearm blood flow after multiple sets of a resistive exercise for the lower limbs
Marcos Doederlein Polito1, Antonio Claudio Lucas da Nóbrega, Paulo Farinatti
1Department of Physical Education, State University of Londrina, Parana.
Purpose:
Postexercise hypotension after resistive exercises has been described, but its underlying mechanisms are not well known. This study observed the blood pressure (BP) and vascular conductance after multiple sets of a lower-body resistive exercise.
Methods:
BP and forearm blood flow (FBF; venous occlusion plethysmography) were assessed at rest and during reactive hyperemia, before and during postexercise recovery (10 and 60 min) in 16 men assigned to experimental (EG; n=9) and control (CG; n=7) groups. The EG performed the bilateral knee extension (10 sets of 15 repetitions with 90% of 15 repetitions maximum), whereas CG stayed at rest.
Results:
No between-group differences were detected at rest in any of the variables (P>0.13). In EG, the systolic BP (mmHg) assessed 10 min after the exercise was significant compared with rest condition (104.4±1.5 vs. 111.3±2.0; P=0.011). The FBF (ml/100 ml/min/mmHg) and the forearm vascular conductance (FVC; ml/min/mmHg) in the postexercise recovery were lower than at rest in EG (FBF: rest=3.08±1.03, 10 min=2.21±0.68, P=0.007 and 60 min=2.33±0.47, P=0.018; FVC: rest=0.039±0.014, 10 min=0.029±0.008, P=0.02 and 60 min=0.030±0.006, P=0.03), but not in CG (FBF: resting=2.80±0.52, 10 min=2.87±0.53, P=0.22 and 60 min=2.97±0.73, P=0.14; FVC: resting=0.035±0.006, 10 min=0.029±0.010, P=0.32 and 60 min=0.029±0.013, P=0.13). No within-group (P=0.67) or between-group (P=0.11) changes were found in FBF and FVC during reactive hyperemia along postexercise recovery.
Conclusion:
Multiple sets of a single-resistance exercise induced postexercise hypotension and decreased FBF, albeit vasodilatation capacity was probably preserved.
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Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Sites for measuring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Pre-Procedural Guidelines for Assessing Blood Pressure
Assessing Blood pressure in the Leg
Preparation:
Assessment of blood pressure in brachial artery(two-step method)
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
