Impact of Complete Intermittent Blood Flow Restriction in Upper Limbs Strength and Neural Function.

Fábio Marzliak Pozzi de Castro, Lucas de Paula Oliveira, Rodrigo Aquino, Hugo Tourinho Filho, Enrico Fuini Puggina
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Abstract

Purpose: We aimed to investigate the chronic effects of low-load strength training (LT) with complete intermittent blood flow restriction (IBFR) on neural adaptations and strength in biceps brachii. Methods: Nineteen volunteers were randomly assigned into two different 9-week training protocols consisting of three assessment weeks and six training weeks: (a) LT with complete IBFR (LT-IBFR; n = 10) and (b) LT without complete IBFR (LT; n = 9). Strength was evaluated by predicted 1 repetition maximum (1RM) at weeks 1, 5, and 9 and neural function by root mean square (RMS) and median frequency (MDF) at sessions 1, 7, and 12 during the first three and last three repetitions. Both groups performed three sets of Scott curl with 20% of predicted 1RM interspersed with 90s rest twice a week. Results: No changes were found in predicted 1RM throughout the training protocols nor between groups. LT-IBFR group showed lower RMS in the first set than LT for the first three repetitions and higher RMS in all sets for the last three repetitions with decreases in this value across the sets with no longitudinal changes for both groups. MDF in the first three repetitions did not differentiate between groups, however, in the last three repetitions, MDF were lower for LTIBFR group in all sets and it increased across the sets for this condition with no chronical changes for both groups in both repetitions zones. These results suggest that LT-IBFR may be ineffective for increasing Q5 strength and it did not promote chronic neural adaptations.

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完全间歇性血流限制对上肢力量和神经功能的影响
目的:我们旨在研究完全间歇性血流限制(IBFR)的低负荷力量训练(LT)对肱二头肌神经适应和力量的长期影响。研究方法将 19 名志愿者随机分配到两个不同的为期 9 周的训练方案中,其中包括三个评估周和六个训练周:(a) 带有完全 IBFR 的 LT(LT-IBFR;n = 10)和 (b) 不带完全 IBFR 的 LT(LT;n = 9)。在第 1 周、第 5 周和第 9 周,通过预测的 1 次重复最大重量(1RM)对力量进行评估;在第 1 次、第 7 次和第 12 次训练的前三次和最后三次重复中,通过均方根(RMS)和中频(MDF)对神经功能进行评估。两组均以预测 1RM 的 20% 进行三组斯科特卷曲训练,中间穿插 90s 休息时间,每周两次。结果在整个训练方案中,预测的 1RM 均无变化,组间也无变化。LT-IBFR组在前三次重复中,第一组的RMS值低于LT组,而在最后三次重复中,所有组的RMS值均高于LT组,且各组的RMS值均有所下降,两组均无纵向变化。前三次重复的 MDF 在各组之间没有差异,然而,在最后三次重复中,LTIBFR 组在所有组中的 MDF 都较低,并且在这一条件下,MDF 在各组中都有所增加,两组在两个重复区都没有长期变化。这些结果表明,LT-IBFR 可能无法有效增强 Q5 力量,也不会促进慢性神经适应。
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