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BFRT for Severe Lower Extremity Muscle Atrophy

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Cincinnati Sportsmedicine Research and Education Foundation

关键词

抽象

Muscle weakness or atrophy is a common condition following acute and chronic musculoskeletal injuries. Strength training is an imperative component in clinical rehabilitation of musculoskeletal injuries. Heavy exercise loads (approximately 70% of one repetition maximum) is necessary to elicit muscle hypertrophy and strength gains. However, patients with severe muscle atrophy are frequently unable to tolerate these loads due to pain. Blood flow resistance training with low resistance loads may be used to safely develop muscle strength.

描述

Blood flow restriction training (BFRT) is a safe type of low intensity resistance exercise that has demonstrated enhanced muscle growth, muscle strength, oxygen delivery and utilization (VO2Max). With BFRT, lighter loads can be used to build muscle while sparing the joints from heavy loading and without overly fatiguing the central nervous system.

The objectives of BFRT are 1) to increase the effectiveness of physical therapy, 2) safely increase muscle mass, reduce arterial stiffness, increase bone density, increase Vo2Max, improve carotid arterial compliance and enhance response of the autonomic nervous system, 3) improve muscle endurance in 1/3 the time, improve strength and hypertrophy after surgery, improve muscle recruitment and increase anabolic growth signaling.

日期

最后验证: 03/31/2020
首次提交: 04/13/2020
提交的预估入学人数: 04/20/2020
首次发布: 04/21/2020
上次提交的更新: 04/20/2020
最近更新发布: 04/21/2020
实际学习开始日期: 04/13/2020
预计主要完成日期: 04/29/2022
预计完成日期: 11/30/2022

状况或疾病

Severe Muscle Atrophy
Muscle Weakness

干预/治疗

Other: BFRT with 4 exercises and low resistance loads

-

手臂组

干预/治疗
Experimental: BFRT with 4 exercises and low resistance loads
Blood flow resistance training will be performed with a standard blood pressure cuff that is placed and inflated by a clinician. The patient will perform 4 exercises with low resistance loads that will produce a muscle burn to enhance promotion of strength. Training will be supervised in the clinic. The cuff is deflated between exercises.
Other: BFRT with 4 exercises and low resistance loads
BFRT is done with 4 exercises with low load resistance of 30% 1 repetition maximum

资格标准

有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- Patients with > 20% deficit in isometric quadriceps and/or hamstrings strength

- Patients willing to complete at least 9 BFRT training sessions

- Patients willing to provide informed consent (or parental consent)

Exclusion Criteria:

- Pregnancy

- History of varicose veins

- History of blood clots or active blood clot

- Taking oral contraceptives

- History of heart attack

- Unstable cardiac disease

- Taking heart failure medication

- Uncontrolled hypertension (> 140/90)

- Uncontrolled tachycardia (> 100 bpm)

结果

主要结果指标

1. Isometric quadriceps and hamstrings muscle strength [Strength will be measured for each patient before training begins and then after 9 training sessions have been completed, for the duration of the study, up to 100 weeks]

Isometric knee flexor and extensor strength will be measured with an isokinetic dynamometer before training and after each series of 9 training sessions

次要成果指标

1. Patient rating [The intensity of muscle burn will be determined during each training session. The overall satisfaction will be determined after the last training session for each patient, for the duration of the study, up to 100 weeks.]

Patients will rate the intensity of muscle burn produced during training and overall satisfaction with the final result

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