scholarly journals Strength training with blood flow restriction – a novel therapeutic approach for older adults with sarcopenia? A case report

2019 ◽  
Vol Volume 14 ◽  
pp. 1461-1469 ◽  
Author(s):  
Karynne Grutter Lopes ◽  
Daniel Alexandre Bottino ◽  
Paulo Farinatti ◽  
Maria das Graças Coelho de Souza ◽  
Priscila Alves Maranhão ◽  
...  
2020 ◽  
Author(s):  
Evan T Cohen ◽  
Nicole Cleffi ◽  
Marianne Ingersoll ◽  
Herb I Karpatkin

Abstract Objective Blood flow restriction (BFR) training, in which an inflatable cuff partially occludes blood flow around the proximal portion of a limb, coupled with low-intensity resistance training (LIRT) has resulted in gains comparable to traditional progressive resistive exercise in healthy populations. The use of BFR with LIRT may enable people with multiple sclerosis (MS) to improve strength without an increase in fatigue. The purpose of this case report is to describe the use of a BFR/LIRT program for a person with MS. Methods (Case Description) The patient was a 54-year-old woman with a 13-year history of primary progressive MS with an Extended Disability Severity Score of 3.0 out of 10. She received a BFR/LIRT program for both lower extremities (LE) biweekly for 12 weeks. Outcomes measured at baseline and at 6 and 12 weeks included the 12-item Multiple Sclerosis Walking Scale (MSWS-12), Fatigue Severity Scale (FSS), Patient-Specific Functional Scale (PSFS) (goals: running for exercise and pleasure for 45 minutes, 100% confidence in negotiating a flight of stairs, confidently and safely drive without restriction), and 14 LE strength tests. Results The intervention was well tolerated without adverse events. After 6 weeks, the MSWS-12 score improved; however, it did not exceed minimum detectable change (MDC). FSS was unchanged. All PSFS goals improved beyond MDC, and improvements in strength exceeded MDC in 2 out of 14 tests. After 12 weeks, MSWS-12 improvements persisted and the FSS score improved, but neither exceeded MDC. The PSFS improvements persisted. There were improvements exceeding MDC for 8 out of 14 strength tests. The remaining 6 strength tests improved but did not exceed MDC. Conclusion The patient had measurable improvements following the use of a BFR/LIRT program. BFR/LIRT may be an option for strength training in people with MS; however, research is needed to determine its safety and effectiveness across the population of people with MS. Impact Traditional physical therapist interventions for people with MS have been shown to be beneficial; however, their usefulness has been limited by fatigue. A growing body of literature has demonstrated the effects of a BFR/LIRT program on strength and other measures of physical function in healthy populations and those with chronic disease. This case report adds missing information to the existing literature and suggests directions for research on the effectiveness of BFR/LIRT in people with primary progressive MS.


2014 ◽  
Vol 70 (8) ◽  
pp. 950-958 ◽  
Author(s):  
Tomohiro Yasuda ◽  
Kazuya Fukumura ◽  
Yusuke Uchida ◽  
Hitomi Koshi ◽  
Haruko Iida ◽  
...  

Author(s):  
Darío Rodrigo-Mallorca ◽  
Andrés Felipe Loaiza-Betancur ◽  
Pablo Monteagudo ◽  
Cristina Blasco-Lafarga ◽  
Iván Chulvi-Medrano

Low-intensity training with blood flow restriction (LI-BFR) has been suggested as an alternative to high-intensity resistance training for the improvement of strength and muscle mass, becoming advisable for individuals who cannot assume such a load. The systematic review aimed to determine the effectiveness of the LI-BFR compared to dynamic high-intensity resistance training on strength and muscle mass in non-active older adults. A systematic review was conducted according to the Cochrane Handbook and reportedly followed the PRISMA statement. MEDLINE, EMBASE, Web of Science Core Collection, and Scopus databases were searched between September and October 2020. Two reviewers independently selected the studies, extracted data, assessed the risk of bias and the quality of evidence using the GRADE approach. Twelve studies were included in the qualitative synthesis. Meta-analysis pointed out significant differences in maximal voluntary contraction (MVC): SMD 0.61, 95% CI [0.10, 1.11], p = 0.02, I2 71% p < 0.0001; but not in the repetition maximum (RM): SMD 0.07, 95% CI [−0.25, 0.40], p = 0.66, I2 0% p < 0.53; neither in the muscle mass: SMD 0.62, 95% CI [−0.09, 1.34], p = 0.09, I2 59% p = 0.05. Despite important limitations such as scarce literature regarding LI-BFR in older adults, the small sample size in most studies, the still differences in methodology and poor quality in many of them, this systematic review and meta-analysis revealed a positive benefit in non-active older adults. LI- BFR may induce increased muscular strength and muscle mass, at least at a similar extent to that in the traditional high-intensity resistance training.


2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Thiago S.P. de Souza ◽  
Patrick A.de S. Pfeiffer ◽  
Jordan do N. Pereira ◽  
Elisio A. Pereira Neto ◽  
Thaysa S. Dutra ◽  
...  

2015 ◽  
Vol 37 (2) ◽  
pp. 221-228 ◽  
Author(s):  
Ana L. S. Gil ◽  
Gabriel R. Neto ◽  
Maria S. C. Sousa ◽  
Ingrid Dias ◽  
Jeferson Vianna ◽  
...  

2019 ◽  
Vol 41 (1) ◽  
pp. 42273 ◽  
Author(s):  
Gabriel Rodrigues Neto ◽  
Júlio Cesar Gomes da Silva ◽  
Lucas Freitas ◽  
Hidayane Gonçalves da Silva ◽  
Danillo Caldas ◽  
...  

2016 ◽  
Vol 62 (Suppl.1) ◽  
pp. 237-242 ◽  
Author(s):  
TOSHIHARU NATSUME ◽  
HAYAO OZAKI ◽  
TAKASHI NAKAGATA ◽  
SHUICHI MACHIDA ◽  
HISASHI NAITO

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