Table 1.
Study characteristics.
Author | Size | Age | Pressure of Cuff |
Interventions | Frequency of Sessions |
Development Interventions | Pathology |
---|---|---|---|---|---|---|---|
Ampomah et al. [41] |
n= 30 CON: 16 BFR: 14 |
CON: 29.9 ± 9.9 | CON: Isometric ex. | 2 ss/w Time: 10 w |
CON: Workout 25% MVIC, 3 s to task failure (leg extension, plantar flexion and elbow flexion), 30–60 s rest + 3 s (trunk extension), 25% MVIC, 15 reps. |
Recurrent Nonspecific
Low Back Pain |
|
BFR: 28.4 ± 9.2 | Increase until full restriction and decrease until capillary refill during 2–3 s. | BFR: CON + BFR. | BFR: CON + BFR. | ||||
Barbalho et al. [34] |
n = 20 * CON: 20 BFR: 20 |
CON: 66 ± 4.3 | CON: Passive mobilizations. | 1 ss/day Av. d hospital: 11 ± 2.2 |
CON: Passive mobilizations in flexion-extension of lower body, 3 s × 15 reps (2 s in flexion and in extension). | Elderly Coma Patients | |
BFR: 66 ± 4.3 | 80% arterial systolic | BFR: CON + BFR. | BFR: CON + BFR. | ||||
Barbosa et al. [43] |
n = 26 CON: 14 BFR: 12 |
CON: 60.14 ± 10.67 | CON: Strength training with cuff deflated. | Hospital: 2 ss/w Home: 3 ss/w Time: 8 w |
CON: Tennis ball squeeze (6 s, 10 reps, 1 min rest, +5 reps/2 w), Elbow flexion (3 s, 10 reps, 1 kg weeks 1 and 2, 2 kg weeks 3 and 4, 3 kg last weeks), Handgrip exercise (3 s, 20 reps, 40% 1RM). 2 min rest/ex. | Chronic Kidney Disease | |
BFR: 61.33 ± 7.82 | 50% arterial systolic pressure. | BFR: CON + BFR | BFR: CON + BFR. | ||||
Ferraz et al. [44] |
n = 48 EG1: 16 EG2: 16 BFR: 16 |
EG1: 59.9 ± 4 | EG1: High-intensity workout | 20 min/ss 2 ss/w Time: 12 w |
EG1: 1 week (4 s, 10 reps, 50% 1RM), 2 week (4 s, 10 reps, 80% 1RM), 5 week (5 s, 10 reps, 80% 1RM). | Knee Osteoarthritis | |
EG2: 60.7 ± 4 | EG2: Low-intensity workout | EG2: 1 week (4 s, 15 reps, 25% 1RM), 2 week (4 s, 15 reps, 30% 1RM), 5 week (5 s, 15 reps, 30% 1RM) | |||||
BFR: 60.3 ± 3 | 70% Full BFR | BFR: EG2 + BFR. | BFR: EG2 + BFR. | ||||
BFR: 25 ± 2.2 | 50% Full BFR | BFR: External rotation on side-lying + BFR. | BFR: CON + BFR (8 min max occlusion). | ||||
Cardoso et al. [42] |
n = 66 CON: 22 EG1: 22 BFR: 22 |
CON: 48.2 ± 13.6 | CON: Usual care | 3 ss/w Time: 12 w |
CON: Usual care pathology in patients. | End-Stage Renal Disease | |
EG1: 59.8 ± 16.1 | EG1: Aerobic ex. (bicycle ergometer) | EG1: 1 Week (60–63% HR, 11–12 Börg scale), 7 Week (64–67% HR, 12–13 Börg scale). | |||||
BFR: 49.4 ± 15.9 | 50% Full BFR | BFR: EG1 + BFR | BFR: EG1 + BFR | ||||
Chen et al. [45] |
n = 55 EG1: 19 BFR: 18 EG2: 18 |
EG1: 62.84 ± 5.54 | EG1: Isometric ex. + EG2 | EG1: 2 ss/d, 5 d/w | EG1: Isometric ex. upper body 40–50% MVC (10 reps-1 min, 1 min rest) + EG2. | Coronary Heart Disease | |
BFR: 64.44 ± 8.28 | 3 min cuff inflation-induced ischemia and 5 min deflation. | BFR: Cuff inflation training + EG2 | BFR: 3 ss/d, 5 d/w | BFR: 3 min cuff-inflation-induced ischemia and 5 min deflation in both upper limbs alternatively + EG2. | |||
EG2: 65.89 ± 5.51 | EG2: Medication | EG2: Every day | EG2: Conventional drug treatment. | ||||
Time: 3 m | |||||||
Corrêa et al. [46] |
n= 90 CON: 30 EG1: 30 BFR: 30 |
CON: 57 ± 6 | CON: Daily activities | 3 ss/w Time: 6 m (3 mesocycles) Mesocycle = 2 m |
CON: Daily activities |
Stage two of Chronic
Kidney Disease |
|
EG1: 58 ± 9 | EG1: Resistance training | EG1: 3 s, 12 rep, 50% 1RM (1° mesocycle); 3 s, 10 rep, 60% 1RM (2° mesocycle); 3 s, 8, 70% 1RM (3° mesocycle) | |||||
BFR: 60 ± 8 | 50% systolic blood pressure | BFR: EG1 + BFR | BFR: 3 s, 12 rep, 30% 1RM (1° mesocycle); 3 s, 40 rep, 60% 1RM (2° mesocycle); 3 s, 8, 50% 1RM (3° mesocycle) + BFR | ||||
Curran et al. [36] |
n = 34 EG1: 8 EG2: 8 BFR: 9 EG3: 9 |
EG1: 16.1 ± 2.6 | EG1: Concentrics. | 2 ss/w Time: 8 ws |
EG1: 1 s 20% 1RM (PC) + 4 s leg press 70% 1RM concentric—20% 1RM eccentric. | Anterior Cruciate Ligament Reconstruction | |
EG2: 18.8 ± 3.9 | EG2: Eccentrics. | EG2: PC + 4 s leg press 20% 1RM concentric—70% 1RM eccentric. | |||||
BFR: 15.3 ± 0.9 | 80% Full BFR | BFR: Concentrics + BFR | BFR: PC + 4 s leg press 70% 1RM concentric—20% 1RM eccentric + BFR. | ||||
EG3: 16.0 ± 1.7 | EG3: Eccentrics + BFR | EG3: PC + 4 s leg press 20% 1RM concentric—70% 1RM eccentric + BFR. | |||||
Giles et al. [35] |
n = 79 EG1: 39 BFR: 40 |
EG1: 26.7 ± 5.5 | EG1: Strength training | Trt: 3 ss/w, 8 w (6 individual ss/1–3 w) F/U: 16 w |
EG1: 5 min bicycle, leg press 0°–60° and knee extension 45°–90°; VAS + 2/10 > ↓ 20% load (PC) + 3 s, 7–10 reps, 70% 1RM, placebo BFR (2 fingers skin/cuff) | Patellofemoral Pain | |
BFR: 28.5 ± 5.2 | 60% Full BFR | BFR: EG1 + BFR | BFR: PC + 1 set (30 reps or volitive fatigue), 3 s (15 reps), 30% 1RM, 30 s rest. | ||||
Harper et al. [39] |
n= 35 EG1: 19 BFR: 16 |
EG1: 69.1 ± 7.1 | EG1: Moderate-resistance training | 3 ss/w Time: 12 w |
EG1: wmup + leg press, leg extension, leg curl and calf flexion at 60% 1RM + Flexibility-Balance ex. | Knee Osteoarthritis | |
BFR: 67.2 ± 5.2 | pressure mm Hg = 0.5 (SBP) + 2(thigh circumference) + 5 | BFR: EG1 + BFR | BFR: EG1 + BFR 20% 1RM (↓ pression/s). | ||||
Hughes et al. [47] |
n = 28 EG1: 14 BFR: 14 |
EG1: 29 ± 7 | EG1: High-resistance training | 2 ss/w (48 h rest/ss) Time: 8 w |
EG1: 5 min bicycle no resistance and 10 reps unilateral leg press low load, 5 min rest (PC) + unilateral leg press 70% 1RM, 3 sets, 10 reps, 30 s rest. | Anterior Cruciate Ligament Reconstruction | |
BFR: 29 ± 7 | 80% Full BFR | BFR: EG1 + BFR | BFR: PC + EG1 + BFR 30% 1RM, 4 s (reps: 30, 15, 15, 15). | ||||
Hughes et al. [48] |
n = 28 EG1: 14 BFR: 14 |
EG1: 29 ± 7 | EG1: High-resistance training | 2 ss/w (48 h rest/ss) Time: 8 w |
EG1: 5 min bicycle no resistance and 10 reps unilateral leg press low load, 5 min rest (PC) + unilateral leg press 70% 1RM, 3 sets, 10 reps, 30 s rest. | Anterior Cruciate Ligament Reconstruction | |
BFR: 29 ± 7 | 80% Full BFR | BFR: EG1 + BFR | BFR: PC + EG1 + BFR 30% 1RM, 4 s (reps: 30, 15, 15, 15). | ||||
Iversen et al. [49] |
n = 24 CON: 12 BFR: 12 |
CON: 29.8 ± 9.3 | CON: Quadriceps strength ex. | 2 ss/d Time: 12 d |
CON: 5 s, 20 reps (isometric quadriceps > leg extension over knee roll > straight leg raises). | Anterior Cruciate Ligament Reconstruction | |
BFR: 24.9 ± 7.4 | 180 mm Hg or maximal pressure tolerable. | BFR: CON + BFR | BFR: CON + BFR (5 min inflated, 3 min deflated + ex.). | ||||
Jørgensen et al. [50] |
n = 22 CON: 11 BFR: 11 |
CON: 69.8 ± 4.8 | CON: No workout. | 2 ss/w Time: 12 w F/U: 12 w |
CON: Nothing. | Sporadic Inclusion Body Myositis | |
BFR: 68.1 ± 6.4 | 110 mm Hg | BFR: Strength training + BFR. | BFR: leg press, knee extension, knee flexion (4 w), calf raise and dorsal flexion. 3 s × 25 reps (9 w: 4 s) | ||||
Lamberti et al. [38] |
n = 22 BFR: 11 CON: 11 |
BFR: 54 ± 11 | CON: Physiotherapy-assisted walking | 2 ss/w Time: 6 w F/U: 6 w |
CON: PC + 40 min physiotherapy-assisted walking, 60 m corridor. Rest: 8/10 RPE on chair. | Severe Multiple Sclerosis | |
CON: 56 ± 10 | 30% systolic blood pressure | BFR: Walking interval-metronome + BFR | BFR: 10 min warm up (PC) + 5 cycles (3 reps: 1 min work and 1 min rest. 3 min rest cycle deflated BFR) low-velocity walking (60 steps/min-metronome) + 10 min cool down and stretching CORE (PC). | ||||
Ogawa et al. [51] |
n= 21 CON: 10 BFR: 11 |
CON: 66 ± 8.7 |
CON: Standard cardiac rehab. program |
2 ss/w Time: 3 m |
CON: 30 min aerobic exercise within the level of anaerobic threshold on a cycle ergometer. | Cardiac open surgery | |
BFR: 57 ± 12.2 | 100–(160–200) mmHg. Increase 20 mmHg/2–3 w. | BFR: BFR during Resistance training | BFR: Week 1–2: 1 s, 20 rep, 1, 5 s concentric–eccentric (5–10 kg leg extension, 20–30 kg leg press) > 3 s, 30 rep (=weight if Börg < 15 after ex.). Week 3: 3 s, 30 rep, 20–30% 1RM (if Börg < 15 after ex.). | ||||
Rodrigues et al. [52] |
n = 48 EG1: 16 BFR: 16 CON: 16 |
CON: 58.1 ± 5.9 | CON: No workout | 2 ss/w Time: 12 w |
CON: Activities of daily living. | Rheumatoid Arthritis | |
EG1: 58.0 ± 6.6 | EG1: High-load workout | EG1: Bilateral leg press and knee extension. 1 Week: 4 s, 10 reps, 50% 1RM; 2 Week: 4 s, 10 reps, 70% 1RM; 5 Week: 5 s, 10 reps, 70% 1RM. | |||||
BFR: 59.6 ± 3.9 | 70% Full BFR | BFR: Low-load workout + BFR | BFR: EG1. (1 Week: 4 s, 15 reps, 20% 1RM; 2 Week: 4 s, 15 reps, 30% 1RM; 5 Week: 5 s, 15 reps, 30% 1RM) | ||||
Segal et al. [39] |
n = 42 CON: 22 BFR: 20 |
CON: 56.1 ± 7.7 | CON: Low-load workout | 3 ss/w Time: 4 w F/U: 3 d |
CON: Leg press 30% 1RM: 4 s (reps: 30, 15, 15, 15), 30 s rest. Rep: 2 s concentric and 2 s eccentric. | Knee Osteoarthritis | |
BFR: 58.4 ± 8.7 | 1 Week: 160 mm Hg 2 Week: 180 mm Hg 3 Week: 200 mm Hg |
BFR: CON + BFR. | BFR: CON + BFR. | ||||
Segal et al. [40] |
n = 45 CON: 24 BFR: 21 |
CON: 54.6 ± 6.9 | CON: Low-load workout | 3 ss/w Time: 4 w F/U: 3 d |
CON: Leg press 30% 1RM: 4 s (reps: 30, 15, 15, 15), 30 s rest. Rep: 2 s concentric, 2 s eccentric. | Knee Osteoarthritis | |
BFR: 56.1 ± 5.9 | 1 Week: 160 mm Hg 2 Week: 180 mm Hg 3 Week: 200 mm Hg |
BFR: CON + BFR. | BFR: CON + BFR. | ||||
Tennent et al. [53] |
n = 24 CON: 13 BFR: 11 |
CON: 37.0 (32–47) | CON: Physiotherapy | 12 ss Time: 6 ss |
CON: Immediate weight loading, immediate formal physiotherapy and no range of motion restrictions. | Non-Reconstructive Knee Arthroscopy | |
BFR: 37.0 (30–46.2) | 80% Full BFR | BFR: Physiotherapy + (Strength training + BFR) | BFR: CON + 4 sets (reps: 30, 15, 15, 15), 30% 1RM, 30 s rest–1 min rest/ex. (leg press, leg extension and reverse press). 5 min max. occlusion/ex. |
BFR: Blood flow restriction group; CON: Control Group; d: days; EG1: Experimental group 1; EG2: Experimental group 2; EG3: Experimental group 3; h: hours; HR: Heart Rate; kg: Kilogram; PC: Common process; MVIC: Maximal voluntary isometric contraction; reps: Repetitions; RM: Maximal repetition; RPE: Rating Perceived Exertion; s: Seconds; ss: SessionsVAS: Visual Analogic Scale; w: Weeks. * The author classifies subjects depending on their lower limbs.