Related Experiment Video
Updated: Jun 20, 2026

Vascular Occlusion Training for Inclusion Body Myositis: A Novel Therapeutic Approach
Published on: June 5, 2010
Enhancing shoulder strength through blood flow restriction training: a systematic review and meta-analysis
Hediyeh Hamedi1, Mohammad Amin Gholipour1, Tahere Seyedhoseinpoor2
1Department of Physiotherapy, Faculty of Rehabilitation Sciences, Babol University of Medical Sciences, Babol, Iran.
Background:
Blood flow restriction training (BFRT) has emerged as a promising way to enhance strength and build muscle with low-load exercises. This study was aimed to evaluate the effects of upper limb BFRT on shoulder strength.
Methods:
The literature search encompassed PubMed, Scopus, Ovid, Web of Science, EBSCO, CENTRAL, PEDro, and Google Scholar, with no language restrictions. Included studies were clinical trials investigating the application of BFRT on the upper extremity, specifically assessing shoulder strength in flexion, abduction, internal rotation, and external rotation. The certainty of the evidence was assessed using the GRADE approach.
Results:
Five studies with 158 subjects were included. The pooled analysis revealed a large effect of BFRT on enhancing flexion strength compared to the control group (Morris' dppc = 1.79, 95% CI: 1.09 to 2.49), and moderate to high effect on internal rotation strength (Morris' dppc = 0.67, 95% CI: 0.24 to 1.01). BFRT did not lead to a statistically significant enhancement in abduction and external rotation strength.
Conclusion:
This systematic review and meta-analysis suggests that BFRT has the potential to improve shoulder flexion and internal rotation strength. However, its effects on abduction and external rotation appear to be limited. While the results are encouraging, low to very low certainty of the evidence (as assessed by GRADE) indicates that more high-quality trials are needed to confirm these results.
More Related Videos
08:48Adapted Resistance Training Improves Strength in Eight Weeks in Individuals with Multiple Sclerosis
Published on: January 29, 2016
12:59Improving Strength, Power, Muscle Aerobic Capacity, and Glucose Tolerance through Short-term Progressive Strength Training Among Elderly People
Published on: July 5, 2017
Related Concept Videos
Blood Flow
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Assessment of blood pressure in brachial artery(two-step method)
Pre-Procedural Guidelines for Assessing Blood Pressure
Assessment of the Cardiovascular System III: Palpation
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...