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Muscle activation during horizontal leg press at different blood flow restriction pressures
Conrado Guerra de Sá1, Flavio de Souza Araujo1, Lucas Rocha Eliziario da Silva1
1Universidade Federal Do Vale Do São Francisco, Petrolina-PE, Brazil.
Journal of Bodywork and Movement Therapies
|September 16, 2025
Summary
Blood flow restriction (BFR) during low-intensity leg press exercise did not significantly alter muscle activation compared to no restriction. Different BFR pressure percentages yielded similar results, suggesting comparable muscle engagement across conditions.
Area of Science:
- Exercise Physiology
- Biomechanics
- Muscle Physiology
Background:
- Blood flow restriction (BFR) training is increasingly used to enhance muscle adaptation.
- Understanding the impact of varying BFR pressures on muscle activation during resistance exercise is crucial for optimizing training protocols.
- Low-intensity exercise with BFR is an area of interest for potentially achieving hypertrophic and strength gains with reduced joint stress.
Purpose of the Study:
- To compare muscle activation during leg press exercise under different blood flow restriction (BFR) pressure percentages (30%, 50%, 80%) versus no restriction.
- To investigate the effects of BFR at varying intensities on muscle activity during low-load, high-repetition leg press.
- To determine if different BFR pressures influence the electromyographic (EMG) activity of the quadriceps muscles (rectus femoris, vastus lateralis, vastus medialis).
Main Methods:
- Sixteen sedentary young men performed randomized leg press sessions (4 sets of 15 reps at 40% of 1RM).
- Experimental conditions included no BFR and BFR at 30%, 50%, and 80% of maximal occlusion pressure.
- Surface electromyography (sEMG) recorded activity of rectus femoris, vastus lateralis, and vastus medialis, normalized using the dynamic peak RMS method.
Main Results:
- Electromyographic (EMG) activity showed significant differences between sets for VM (Set 3 > Set 1) and RF (Set 1 > Set 2) at 50% BFR.
- No significant differences in muscle activation were found between the various BFR pressure percentages and the no-restriction condition.
- Overall, muscle activation patterns were similar across all tested BFR intensities and the control condition during the leg press exercise.
Conclusions:
- Similar muscle activation levels were observed between leg press exercise performed with and without varying percentages of blood flow restriction at the same low intensity.
- The application of different BFR pressures (30%, 50%, 80%) did not lead to significantly different muscle activation compared to the non-restricted condition.
- These findings suggest that at this specific low intensity and volume, BFR may not substantially alter the neuromuscular recruitment patterns during the leg press exercise.
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