Can blood‐flow restriction resistance training enhance remote strength transfer? A systematic review with meta‐analysis

Objectives This systematic review with meta‐analysis aimed to examine the effect of blood flow restriction resistance training (BFR‐RT) on strength gains in untrained limbs (remote strength transfer [RST]). Literature Survey A search for studies was performed using six databases (PubMed/MEDLINE, Sco...

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Veröffentlicht in:PM & R 2024-12, Vol.16 (12), p.1395-1405
Hauptverfasser: Rodríguez, Miguel Ángel, Crespo, Irene, Quintana‐Cepedal, Marcos, Fernández‐del Valle, María, Valle, Miguel, Olmedillas, Hugo
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container_end_page 1405
container_issue 12
container_start_page 1395
container_title PM & R
container_volume 16
creator Rodríguez, Miguel Ángel
Crespo, Irene
Quintana‐Cepedal, Marcos
Fernández‐del Valle, María
Valle, Miguel
Olmedillas, Hugo
description Objectives This systematic review with meta‐analysis aimed to examine the effect of blood flow restriction resistance training (BFR‐RT) on strength gains in untrained limbs (remote strength transfer [RST]). Literature Survey A search for studies was performed using six databases (PubMed/MEDLINE, Scopus, Web of Science, Cochrane Library, SPORTDiscus, and ScienceDirect) up to February 2024. Methodology Studies that assessed the RST phenomenon following BFR‐RT and measured muscle strength were included. Meta‐analyses of standardized mean differences (SMDs) were performed using a random‐effects model to determine the effect of BFR‐RT on RST. Synthesis Eight studies were included in this systematic review, of which six were involved in the meta‐analyses. BFR‐RT was not found to enhance RST in comparison with RT (SMD 0.27, 95% confidence interval [CI]: −0.02 to 0.56; p = .07). These findings did not vary when the comparison was examined in upper limbs or measured using an isometric contraction. Conclusions BFR‐RT does not enhance RST in comparison with traditional RT at the same load according to the meta‐analyses. Therefore, the usage of BFR is not recommended for RST.
doi_str_mv 10.1002/pmrj.13200
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A systematic review with meta‐analysis</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Rodríguez, Miguel Ángel ; Crespo, Irene ; Quintana‐Cepedal, Marcos ; Fernández‐del Valle, María ; Valle, Miguel ; Olmedillas, Hugo</creator><creatorcontrib>Rodríguez, Miguel Ángel ; Crespo, Irene ; Quintana‐Cepedal, Marcos ; Fernández‐del Valle, María ; Valle, Miguel ; Olmedillas, Hugo</creatorcontrib><description>Objectives This systematic review with meta‐analysis aimed to examine the effect of blood flow restriction resistance training (BFR‐RT) on strength gains in untrained limbs (remote strength transfer [RST]). Literature Survey A search for studies was performed using six databases (PubMed/MEDLINE, Scopus, Web of Science, Cochrane Library, SPORTDiscus, and ScienceDirect) up to February 2024. Methodology Studies that assessed the RST phenomenon following BFR‐RT and measured muscle strength were included. Meta‐analyses of standardized mean differences (SMDs) were performed using a random‐effects model to determine the effect of BFR‐RT on RST. Synthesis Eight studies were included in this systematic review, of which six were involved in the meta‐analyses. BFR‐RT was not found to enhance RST in comparison with RT (SMD 0.27, 95% confidence interval [CI]: −0.02 to 0.56; p = .07). These findings did not vary when the comparison was examined in upper limbs or measured using an isometric contraction. Conclusions BFR‐RT does not enhance RST in comparison with traditional RT at the same load according to the meta‐analyses. Therefore, the usage of BFR is not recommended for RST.</description><identifier>ISSN: 1934-1482</identifier><identifier>ISSN: 1934-1563</identifier><identifier>EISSN: 1934-1563</identifier><identifier>DOI: 10.1002/pmrj.13200</identifier><identifier>PMID: 39651571</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Humans ; Muscle Strength - physiology ; Muscle, Skeletal - blood supply ; Muscle, Skeletal - physiology ; Regional Blood Flow - physiology ; Resistance Training - methods ; Upper Extremity - physiology</subject><ispartof>PM &amp; R, 2024-12, Vol.16 (12), p.1395-1405</ispartof><rights>2024 American Academy of Physical Medicine and Rehabilitation.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2180-682b238946eb6ca69bf512d165d25f9267804b666fe951681c4c24ba1b87386e3</cites><orcidid>0000-0001-9708-7015 ; 0000-0003-4625-2759 ; 0000-0002-0440-1157 ; 0000-0003-2341-2967 ; 0000-0003-2678-1506</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpmrj.13200$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpmrj.13200$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39651571$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rodríguez, Miguel Ángel</creatorcontrib><creatorcontrib>Crespo, Irene</creatorcontrib><creatorcontrib>Quintana‐Cepedal, Marcos</creatorcontrib><creatorcontrib>Fernández‐del Valle, María</creatorcontrib><creatorcontrib>Valle, Miguel</creatorcontrib><creatorcontrib>Olmedillas, Hugo</creatorcontrib><title>Can blood‐flow restriction resistance training enhance remote strength transfer? A systematic review with meta‐analysis</title><title>PM &amp; R</title><addtitle>PM R</addtitle><description>Objectives This systematic review with meta‐analysis aimed to examine the effect of blood flow restriction resistance training (BFR‐RT) on strength gains in untrained limbs (remote strength transfer [RST]). Literature Survey A search for studies was performed using six databases (PubMed/MEDLINE, Scopus, Web of Science, Cochrane Library, SPORTDiscus, and ScienceDirect) up to February 2024. Methodology Studies that assessed the RST phenomenon following BFR‐RT and measured muscle strength were included. Meta‐analyses of standardized mean differences (SMDs) were performed using a random‐effects model to determine the effect of BFR‐RT on RST. Synthesis Eight studies were included in this systematic review, of which six were involved in the meta‐analyses. BFR‐RT was not found to enhance RST in comparison with RT (SMD 0.27, 95% confidence interval [CI]: −0.02 to 0.56; p = .07). These findings did not vary when the comparison was examined in upper limbs or measured using an isometric contraction. Conclusions BFR‐RT does not enhance RST in comparison with traditional RT at the same load according to the meta‐analyses. 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A systematic review with meta‐analysis</title><author>Rodríguez, Miguel Ángel ; Crespo, Irene ; Quintana‐Cepedal, Marcos ; Fernández‐del Valle, María ; Valle, Miguel ; Olmedillas, Hugo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2180-682b238946eb6ca69bf512d165d25f9267804b666fe951681c4c24ba1b87386e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Humans</topic><topic>Muscle Strength - physiology</topic><topic>Muscle, Skeletal - blood supply</topic><topic>Muscle, Skeletal - physiology</topic><topic>Regional Blood Flow - physiology</topic><topic>Resistance Training - methods</topic><topic>Upper Extremity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rodríguez, Miguel Ángel</creatorcontrib><creatorcontrib>Crespo, Irene</creatorcontrib><creatorcontrib>Quintana‐Cepedal, Marcos</creatorcontrib><creatorcontrib>Fernández‐del Valle, María</creatorcontrib><creatorcontrib>Valle, Miguel</creatorcontrib><creatorcontrib>Olmedillas, Hugo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>PM &amp; R</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rodríguez, Miguel Ángel</au><au>Crespo, Irene</au><au>Quintana‐Cepedal, Marcos</au><au>Fernández‐del Valle, María</au><au>Valle, Miguel</au><au>Olmedillas, Hugo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can blood‐flow restriction resistance training enhance remote strength transfer? A systematic review with meta‐analysis</atitle><jtitle>PM &amp; R</jtitle><addtitle>PM R</addtitle><date>2024-12</date><risdate>2024</risdate><volume>16</volume><issue>12</issue><spage>1395</spage><epage>1405</epage><pages>1395-1405</pages><issn>1934-1482</issn><issn>1934-1563</issn><eissn>1934-1563</eissn><abstract>Objectives This systematic review with meta‐analysis aimed to examine the effect of blood flow restriction resistance training (BFR‐RT) on strength gains in untrained limbs (remote strength transfer [RST]). Literature Survey A search for studies was performed using six databases (PubMed/MEDLINE, Scopus, Web of Science, Cochrane Library, SPORTDiscus, and ScienceDirect) up to February 2024. Methodology Studies that assessed the RST phenomenon following BFR‐RT and measured muscle strength were included. Meta‐analyses of standardized mean differences (SMDs) were performed using a random‐effects model to determine the effect of BFR‐RT on RST. 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subjects Humans
Muscle Strength - physiology
Muscle, Skeletal - blood supply
Muscle, Skeletal - physiology
Regional Blood Flow - physiology
Resistance Training - methods
Upper Extremity - physiology
title Can blood‐flow restriction resistance training enhance remote strength transfer? A systematic review with meta‐analysis
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