Effects of Strength Training and Vascular Occlusion

Abstract

The purpose of our study was to determine if vascular occlusion produced an additive effect on muscle hypertrophy and strength performance with high strength training loads. Sixteen physically active men were divided into two groups: high-intensity (HI = 6 RM) and moderate-intensity training (MI = 12 RM). An occlusion cuff was attached to the proximal end of the right thigh, so that blood flow was reduced during the exercise. The left leg served as a control, thus was trained without vascular occlusion. Knee extension 1 RM and quadriceps cross-sectional area (MRI) were evaluated pre- and post-8 weeks of training. We only found a main time effect for both strength gains and quadriceps hypertrophy (p < 0.001). Therefore, we conclude that vascular occlusion in combination with high-intensity strength training does not augment muscle strength or hypertrophy when compared to high-intensity strength training alone

hypertrophy - cross‐sectional area - leg extension

References

• 1 Abe T, Beekley M D, Hinata S, Koizume K, Sato Y. Day-to-day change in muscle strength and MRI-measured skeletal muscle size during 7 days kaatsu resistance training: a case study.  Int J Kaatsu Training Res. 2005;  1 71-76
• 2 Abernethy P J, Jurimae J. Cross-sectional and longitudinal uses of isoinertial, isometric, and isokinetic dynamometry.  Med Sci Sports Exerc. 1996;  28 1180-1187
• 3 Antonio J. Human skeletal muscle hypertrophy.  Sports Nutr Rev J. 2004;  1 1-13
• 4 Bigland-Ritchie B, Woods J J. Changes in muscle contractile properties and neural control during human muscular fatigue.  Muscle Nerve. 1984;  7 691-699
• 5 Brown L E, Weir J P. ASEP procedures recommendation I: accurate assessment of muscular strength and power.  J Exerc Physiol. 2001;  4 1-21
• 6 de Ruiter C J, Goudsmit J F, Van Tricht J A, de Haan A. The isometric torque at which knee-extensor muscle reoxygenation stops.  Med Sci Sports Exerc. 2007;  39 443-453
• 7 Goldberg A L, Etlinger J D, Goldspink D F, Jablecki C. Mechanism of work-induced hypertrophy of skeletal muscle.  Med Sci Sports. 1975;  7 185-198
• 8 Gordon S E, Kraemer W J, Vos N H, Lynch J M, Knuttgen H G. Effect of acid-base balance on the growth hormone response to acute high-intensity cycle exercise.  J Appl Physiol. 1994;  76 821-829
• 9 Goto K, Ishii N, Kizuka T, Takamatsu K. The impact of metabolic stress on hormonal responses and muscular adaptations.  Med Sci Sports Exerc. 2005;  37 955-963
• 10 Ishii N, Madarame H, Odagiri K, Naganuma M, Shinoda K. Circuit training without external load induces hypertrophy in lower-limb muscles when combined with moderate venous occlusion.  Int J Kaatsu Training Res. 2005;  1 24-28
• 11 Kawada S. What phenomena do occur in blood flow-restricted muscle?.  Int J Kaatsu Training Res. 2005;  1 37-44
• 12 Kraemer W J, Adams K, Cafarelli E, Dudley G A, Dooly C, Feigenbaum M S, Fleck S J, Franklin B, Fry A C, Hoffman J R, Newton R U, Potteiger J, Stone M H, Ratamess N A, Triplett-McBride T. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults.  Med Sci Sports Exerc. 2002;  34 364-380
• 13 Kraemer W J, Ratamess N A. Fundamentals of resistance training: progression and exercise prescription.  Med Sci Sports Exerc. 2004;  36 674-688
• 14 Kubo K, Komuro T, Ishiguro N, Tsunoda N, Sato Y, Ishii N, Kanehisa H, Fukunaga T. Effects of low-load resistance training with vascular occlusion on the mechanical properties of muscle and tendon.  J Appl Biomech. 2006;  22 112-119
• 15 Murphy A J, Wilson G J. The assessment of human dynamic muscular function: a comparison of isoinertial and isokinetic tests.  J Sports Med Phys Fitness. 1996;  36 169-177
• 16 Sadamoto T, Bonde-Petersen F, Suzuki Y. Skeletal muscle tension, flow, pressure, and EMG during sustained isometric contractions in humans.  Eur J Appl Physiol. 1983;  51 395-408
• 17 Shinohara M, Kouzaki M, Yoshihisa T, Fukunaga T. Efficacy of tourniquet ischemia for strength training with low resistance.  Eur J Appl Physiol. 1998;  77 189-191
• 18 Takano H, Morita T, Iida H, Asada K, Kato M, Uno K, Hirose K, Matsumoto A, Takenaka K, Hirata Y, Eto F, Nagai R, Sato Y, Nakajima T. Hemodynamic and hormonal responses to a short-term low-intensity resistance exercise with the reduction of muscle blood flow.  Eur J Appl Physiol. 2005;  95 65-73
• 19 Takarada Y, Nakamura Y, Aruga S, Onda T, Miyazaki S, Ishii N. Rapid increase in plasma growth hormone after low-intensity resistance exercise with vascular occlusion.  J Appl Physiol. 2000;  88 61-65
• 20 Takarada Y, Takazawa H, Sato Y, Takebayashi S, Tanaka Y, Ishii N. Effects of resistance exercise combined with moderate vascular occlusion on muscular function in humans.  J Appl Physiol. 2000;  88 2097-2106
• 21 Teramoto M, Golding L A. Low-intensity exercise, vascular occlusion, and muscular adaptations.  Res Sports Med. 2006;  14 259-271
• 22 Viru M, Jansson E, Viru A, Sundberg C J. Effect of restricted blood flow on exercise-induced hormone changes in healthy men.  Eur J Appl Physiol. 1998;  77 517-522
• 23 Vollestad N K. Measurement of human muscle fatigue.  J Neurosci Methods. 1997;  74 219-227
• 24 Wernbom M, Augustsson J, Thomee R. Effects of vascular occlusion on muscular endurance in dynamic knee extension exercise at different submaximal loads.  J Strength Cond Res. 2006;  20 372-377
• 25 Yamada E, Kusaka T, Tanaka S, Mori S, Norimatsu H, Itoh S. Effects of vascular occlusion on surface electromyography and muscle oxygenation during isometric contraction.  J Sport Rehab. 2004;  13 287-299
• 26 Yasuda T, Abe T, Sato Y, Midorikawa T, Kearns C F, Inoue K, Ryushi T, Ishii N. Muscle fiber cross-sectional area is increased after two weeks of twice daily KAATSU-resistance training.  Int J Kaatsu Training Res. 2005;  1 65-70