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Effect of Low-Load Blood Flow Restriction Training and High-Load Resistance Training on Quadriceps Strength, Dynamic Stability, and Functional Performance.

Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
February 11, 2025
I Putu Gde Surya Adhitya et al. (5 authors)
Journal ArticleAnimal Study
Study Details

Study Goal

The researchers aimed to compare the effects of low load-blood flow restriction training (LL-BFRt), sham LL-BFRt, and high load-resistance training (HL-Rt) on quadriceps strength, dynamic stability, and functional performance.

Results Summary

Both LL-BFRt and HL-Rt significantly improved quadriceps strength, dynamic stability (SEBT), and functional performance (SLHT) over 8 weeks, with no significant improvements in the sham LL-BFRt group. The improvements in LL-BFRt and HL-Rt were comparable, suggesting both methods are effective.

Population

63 basketball and rugby players in Bali, Indonesia.

Effective Dosage

45-minute sessions twice per week.

Duration

8 weeks.

Interactions

None mentioned.

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low load-blood flow restriction training (LL-BFRt)
increase
Quadriceps strength (QS)
63 basketball and rugby players
9.2-33.5 Newton
significantly improved
#1
low load-blood flow restriction training (LL-BFRt)
increase
star excursion balance test (SEBT)
63 basketball and rugby players
1.2-11.1 cm
significantly improved
#2
low load-blood flow restriction training (LL-BFRt)
increase
single-leg hop test (SLHT)
63 basketball and rugby players
1.3-9.8 cm
significantly improved
#3
high load-resistance training (HL-Rt)
increase
Quadriceps strength (QS)
63 basketball and rugby players
15.4-35.9 Newton
significantly improved
#4
high load-resistance training (HL-Rt)
increase
star excursion balance test (SEBT)
63 basketball and rugby players
2.2-9.0 cm
significantly improved
#5
high load-resistance training (HL-Rt)
increase
single-leg hop test (SLHT)
63 basketball and rugby players
4.5-15.8 cm
significantly improved
#6
sham LL-BFRt
no change
Quadriceps strength (QS), star excursion balance test (SEBT), and single-leg hop test (SLHT)
63 basketball and rugby players
-
no significant improvement
#7
Abstract

OBJECTIVE: Blood flow restriction (BFR) is a method used to affix a pneumatic cuff to the uppermost part of a leg. Blood flow restriction is often combined with low load-blood flow restriction training (LL-BFRt) to enhance strength and promote muscle hypertrophy. Therefore, this research aimed to examine the effect of LL-BFRt, sham LL-BFRt, and high load-resistance training (HL-Rt) on quadriceps strength (QS), dynamic stability, and functional performance. DESIGN: Single-blinded randomized trial method. SETTING: A private physical therapy clinic in Bali, Indonesia. PARTICIPANTS: Data were collected from 63 basketball and rugby players assigned to 3 intervention groups, namely, LL-BFRt, sham LL-BFRt, and HL-Rt, through block randomization. INDEPENDENT VARIABLES: Each participant received intervention consisting of 45-minute sessions twice per week for 8 weeks. OUTCOME MEASURES: Quadriceps strength, star excursion balance test (SEBT), and single-leg hop test (SLHT) were evaluated in baseline, 4 weeks, and 8 weeks of the intervention period. RESULTS: In LL-BFRt and HL-Rt groups, QS, SEBT, and SLHT scores were significantly improved during 8-week intervention period, except in sham LL-BFRt group. Furthermore, there was a significant improvement in LL-BFRt (QS: 9.2-33.5 Newton; SEBT: 1.2-11.1 cm; SLHT: 1.3-9.8 cm, P-values < 0.05) and HL-Rt groups (QS: 15.4-35.9 Newton; SEBT: 2.2-9.0 cm; SLHT: 4.5-15.8 cm, P < 0.05) compared with sham LL-BFRt. CONCLUSIONS: The improvements attained by participants using LL-BFRt and HL-Rt were comparable and capable of improving QS, SEBT, and SLHT more than sham LL-BFRt. TRIAL REGISTRATION: NCT05951036.

Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Research Impact Scores
APT Score0.05
Weight Score1.95
Normalized Score0.70
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