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Tolerance to Intermittent vs. Continuous Blood Flow Restriction Training: A meta-Analysis.

Pierre Sinclair1, Murtaza Kadhum2, Bruce Paton1

  • 1Department of Institute of Sports and Exercise Health (ISEH), University College London, London, United Kingdom of Great Britain and Northern Ireland.

International Journal of Sports Medicine
|September 17, 2021
PubMed
Summary
This summary is machine-generated.

Intermittent cuff deflations during blood flow restriction training do not improve exercise tolerance or strength gain. This method may not enhance recovery compared to continuous application in rehabilitation settings.

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Area of Science:

  • Exercise Physiology
  • Rehabilitation Science
  • Sports Medicine

Background:

  • Low-load blood flow restriction training (BFRT) is recognized for its benefits in strength gain.
  • Its application in rehabilitation is explored due to limitations with heavy loads.
  • Low-load BFRT may be less tolerated than heavy-load resistance training.

Purpose of the Study:

  • To determine if intermittent cuff deflation during BFRT improves exercise tolerance.
  • To assess if intermittent cuff deflation compromises strength gains compared to continuous BFRT.

Main Methods:

  • A systematic review and meta-analysis of randomized controlled trials (RCTs) were conducted.
  • Searched four databases for studies comparing intermittent versus continuous BFRT in adults.
  • Nine studies were identified; six were included in the meta-analysis focusing on exercise tolerance and strength.

Main Results:

  • No significant difference in the rate of perceived exertion between intermittent and continuous BFRT (SMD -0.06, 95% CI -0.41 to 0.29, p=0.73).
  • Subgroup analysis excluding biased studies suggested a potential, though not statistically significant, benefit for intermittent BFRT (SMD -0.42, 95% CI -0.87 to 0.03, p=0.07).
  • No significant differences in strength gain were observed between the two methods.

Conclusions:

  • Intermittent cuff deflations during rest intervals of BFRT do not enhance exercise tolerance.
  • The strategy of intermittent cuff deflation does not appear to compromise strength gains.
  • Current evidence does not support intermittent BFRT as a superior method for improving tolerance in rehabilitation.