scholarly journals Assessment of arterial occlusion pressure using pulse oximetry: A validation study

2018 ◽  
Vol 61 ◽  
pp. e398
Author(s):  
Z. Zeng ◽  
C. Centner ◽  
Gollhofer ◽  
D. König
2019 ◽  
Vol 14 (10) ◽  
pp. 1408-1414 ◽  
Author(s):  
Zhen Zeng ◽  
Christoph Centner ◽  
Albert Gollhofer ◽  
Daniel König

Purpose: Setting the optimal cuff pressure is a crucial part of prescribing blood-flow-restriction training. It is currently recommended to use percentages of each individual’s arterial occlusion pressure, which is most accurately determined by Doppler ultrasound (DU). However, the practicality of this gold-standard method in daily training routine is limited due to high costs. An alternative solution is pulse oximetry (PO). The main purpose of this study was to evaluate validity between PO and DU measurements and to investigate whether sex has a potential influence on these variables. Methods: A total of 94 subjects were enrolled in the study. Participants were positioned in a supine position, and a 12-cm-wide cuff was applied in a counterbalanced order at the most proximal portion of the right upper and lower limbs. The cuff pressure was successively increased until pulse was no longer detected by DU and PO. Results: There were no significant differences between the DU and PO methods when measuring arterial occlusion pressure at the upper limb (P = .308). However, both methods showed considerable disagreement for the lower limbs (P = .001), which was evident in both men (P = .028) and women (P = .008). No sex differences were detected. Conclusions: PO is reasonably accurate to determine arterial occlusion pressure of the upper limbs. For lower limbs, PO does not seem to be a valid instrument when assessing the optimal cuff pressure for blood-flow-restriction interventions compared with DU.


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Fernanda Lima-Soares ◽  
Kassiana A. Pessoa ◽  
Christian E. Torres Cabido ◽  
Jakob Lauver ◽  
Jason Cholewa ◽  
...  

2006 ◽  
Vol 102 (6) ◽  
pp. 1752-1757 ◽  
Author(s):  
Bahattin Tuncali ◽  
Ayse Karci ◽  
Binnur Erdalkiran Tuncali ◽  
Omur Mavioglu ◽  
Mustafa Ozkan ◽  
...  

2017 ◽  
Vol 49 (5S) ◽  
pp. 717-718
Author(s):  
Kevin T. Mattocks ◽  
Matthew B. Jessee ◽  
Brittany R. Counts ◽  
Samuel L. Buckner ◽  
J Grant Mouser ◽  
...  

2021 ◽  
pp. 1-6
Author(s):  
Vito V. Nucci ◽  
David H. Jarrett ◽  
Catherine M. Palmo ◽  
Brenna M. Razzano ◽  
Mehmet Uygur ◽  
...  

Context: Blood flow restricted exercise involves the use of external pressure to enhance fatigue and augment exercise adaptations. The mechanisms by which blood flow restricted exercise limits muscular endurance are not well understood. Objective: To determine how increasing blood flow restriction pressure impacts local muscular endurance, discomfort, and force steadiness when the contractions are already occlusive. Design: Within-participant, repeated-measures crossover design. Setting: University laboratory. Patients: A total of 22 individuals (13 males and 9 females). Intervention: Individuals performed a contraction at 30% of maximal isometric elbow flexion force for as long as possible. One arm completed the contraction with 100% of arterial occlusion pressure applied, while the other arm had 150% of arterial occlusion pressure applied. At the end of the protocol, individuals were asked to rate their perceived discomfort. Main Outcome Measures: Time to task failure, discomfort, and force steadiness. Results: Individuals had a longer time to task failure when performing the 100% arterial occlusion condition compared with the 150% arterial occlusion pressure condition (time to task failure = 82.4 vs 70.8 s; Bayes factors = 5.77). There were no differences in discomfort between the 100% and 150% conditions (median discomfort = 5.5 vs 6; Bayes factors = 0.375) nor were there differences in force steadiness (SD of force output 3.16 vs 3.31 N; Bayes factors = 0.282). Conclusion: The results of the present study suggest that, even when contractions are already occlusive, increasing the restriction pressure reduces local muscle endurance but does not impact discomfort or force steadiness. This provides an indication that mechanisms other than the direct alteration of blood flow are contributing to the increased fatigue with added restrictive pressure. Future studies are needed to examine neural mechanisms that may explain this finding.


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