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01-01-2020 | Review Article

Potential Implications of Blood Flow Restriction Exercise on Vascular Health: A Brief Review

Authors: Dahan da Cunha Nascimento, Brad J. Schoenfeld, Jonato Prestes

Published in: Sports Medicine | Issue 1/2020

Abstract

Blood flow restriction (BFR) exercise (a.k.a. occlusion training) has emerged as a viable surrogate to traditional heavy-load strength rehabilitation training for a broad range of clinical populations including elderly subjects and rehabilitating athletes. A particular benefit of BFR exercise is the lower stress upon the joints as compared to traditional heavy resistance training, with similar gains in muscle strength and size. The application of an inflatable cuff to the proximal portion of the limbs increases the pressure required for venous return, leading to changes in venous compliance and wall tension. However, it is not known if long-term benefits of BFR exercise on muscle strength and size outweigh potential short and long-term complications on vascular health. BFR exercise could lead to clinical deterioration of the vasculature along with sympathetic overactivity and decreased vascular function associated with retrograde shear stress. This raises a fundamental question: Given the concern that excessive restriction could cause injury to endothelial cells and might cause detrimental effects on endothelial function, even in healthy individuals, should we critically re-evaluate the safety of this method for the general population? From this perspective, the purpose of this manuscript is to review the effects of BFR exercise on vascular function, and to provide relevant insights for training practice as well as future directions for research.

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Title: Potential Implications of Blood Flow Restriction Exercise on Vascular Health: A Brief Review
Authors: Dahan da Cunha Nascimento
Brad J. Schoenfeld
Jonato Prestes
Publication date: 01-01-2020
Publisher: Springer International Publishing
Published in: Sports Medicine / Issue 1/2020
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI: https://doi.org/10.1007/s40279-019-01196-5

At a glance: The STEP trials

Springer Medicine

Potential Implications of Blood Flow Restriction Exercise on Vascular Health: A Brief Review

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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