Volume 11 - Summer Supplementary                   Ann Appl Sport Sci 2023, 11 - Summer Supplementary: 0-0 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Jeong D, Park J, Park S. The Effects of Whole-Body Vibration Training with Blood Flow Restriction on Lower Extremity Muscle Activity and Hemodynamic Variables. Ann Appl Sport Sci 2023; 11 (S1)
URL: http://aassjournal.com/article-1-1147-en.html
1- Department of Physical Therapy, Sehan University, Republic of Korea
2- Seum Good Posture Fitness Center, Republic of Korea
3- National Rehabilitation Research Institute, National Rehabilitation Center, Seoul, Republic of Korea , samho15@naver.com
Abstract:   (1297 Views)
Background. While the increased interest in exercise programs combined with whole-body vibration training (WBVT) and those using blood flow restriction (BFR) has prompted various ongoing studies, most of these studies are fragmentary.
Objectives. The study aims to investigate the effect of WBVT with BFR on lower limb muscle activity and hemodynamic variables to maintain muscle strength and prevent degenerative loss of skeletal muscle.
Methods. Twenty-one undergraduate students were randomized into Group I (n=10), performing a squat exercise with WBVT, and Group II, (n=11), performing a squat exercise with WBVT with BFR at the 140-mmHg pressure level. The intervention was applied twice daily and 4 times weekly for 6 weeks. Both groups took the anthropometric, body mass, and lower limb muscle activity measurements before and after the intervention.
Results. In the within-group comparison before and after the intervention, significant differences in rectus femoris muscle (RFM), biceps femoris muscle (BFM), and gastrocnemius muscle activities were found for Groups I (p<0.05) and II (p<0.05). The between-group comparison found significant differences in RFM and BFM activities (p<0.05). There were no significant differences in hemodynamic variables both within and between groups.
Conclusions. The WBVT with BFR increased the RFM and BFM activities for lower limbs, while no variation in hemodynamic parameters was detected. The intervention is thus an effective strategy that can be applied in practice. Based on the findings, the scope of the intervention should be extended to include non-healthy individuals. Further studies of the multidimensional approach should also be conducted with additional variables to provide supporting evidence for the discussion of hemodynamic responses.
Full-Text [PDF 650 kb]   (530 Downloads)    
• The findings reported in this study suggest significantly increased RFM and BFM activities in the WBVT+ BFR group compared to the WBVT group. No variation in hemodynamic parameters was detected.
• Based on the findings, the scope of the WBVT with BFR should be extended to include non-healthy individuals.

Type of Study: Original Article | Subject: Sport Physiology and its related branches
Received: 2022/08/21 | Accepted: 2022/10/30

1. Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, Nieman DC, Swain DP. American College of Sports Medicine. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011; 43:1334-1359. [DOI:10.1249/MSS.0b013e318213fefb] [PMID]
2. Powers SK, Howley ET. Exercise physiology: Theory and application to fitness and performance (4th Ed). MgGraw-Hill. 2001.
3. American College of Sports Medicine. ACSM's Guidelines for Exercise Testing and Prescription. 8th ed. Seattle: Williams & Wilkins. 2009.
4. Yang X, Wang P, Liu C, et al. The effect of whole body vibration on balance, gait performance and mobility in people with stroke: a systematic review and meta-analysis. Clin Rehabil. 2015:29(7);627-38. [DOI:10.1177/0269215514552829] [PMID]
5. Jo YR. The Effect of Frequency to Whole body Vibration Exercise on Ankle Joint Spasticity and Gait Performance in Patients with Chronic Stroke. Master's Degree. Honam University. 2018. [DOI:10.18857/jkpt.2018.30.4.135]
6. Yule CE, Stoner L, Hodges LD, et al. Does short-term whole-body vibration training affect arterial stiffness in chronic stroke? A preliminary study. J Phys Ther Sci. 2016:28(3); 996-1002. [DOI:10.1589/jpts.28.996] [PMID] [PMCID]
7. Rittweger J, Beller G, Felsenberg D. Acute physiological effects of exhaustive whole-body vibration exercise in man. Clin Physiol. 2000:20(2);134-42. [DOI:10.1046/j.1365-2281.2000.00238.x] [PMID]
8. Kerschan-Schindl K, Grampp S, Henk C, et al. Whole-body vibration exercise leads to alterations in muscle blood volume. Clin Physiol. 2001:21(3);377-82. [DOI:10.1046/j.1365-2281.2001.00335.x] [PMID]
9. Jessee MB, Buckner SL, Dankel SJ, Counts BR, Abe T, & Loenne ke JP. The influence of cuff width, sex, and race on arterial occlusion: Implications for blood flow restriction research. Sports Med, 2016;46:913-92. [DOI:10.1007/s40279-016-0473-5] [PMID]
10. Loenneke JP, Fahs CA, Wilson JM, Bemben MG. Blood flow restriction: the metabolite/volume threshold theory. Med Hypotheses 2011;77:748-752. [DOI:10.1016/j.mehy.2011.07.029] [PMID]
11. Vanwye WR, Weatherholt AM, Mikesky AE. Blood flow restriction training: implementation into clinical practice. Int J Exerc Sci. 2017;10(5):649-654.
12. Kraemer WJ, & Ratamess NA. Fundamentals of resistance training: progression and exercise prescription. Med Sci Sports Exerc. 2004;36, 674-688. [DOI:10.1249/01.MSS.0000121945.36635.61] [PMID]
13. Manini TM, & Clark BC. Blood flow restricted exercise and skeletal muscle health. Exerc Sport Sci Rev. 2009;37(2):78-85. [DOI:10.1097/JES.0b013e31819c2e5c] [PMID]
14. Pollock RD, Woledge RC, Mills KR, Martin FC, Newham DJ. Muscle activity and acceleration during whole body vibration: efect of frequency and amplitude. Clin Biomech 2010;25:840-846. [DOI:10.1016/j.clinbiomech.2010.05.004] [PMID]
15. Yasuda T, Fukumura K, Fukuda T, Lida H, Sato Y, Yamasoba T et al. Effects of low-intensity, elastic band resistance exercise combined with blood fow restriction on muscle activation. Scand J Med Sci Sports. 2014;24:55-61. [DOI:10.1111/j.1600-0838.2012.01489.x] [PMID]
16. Fujita S, Takashi Abe, Micah. Blood fow restriction during low-intensity resistance exercise increases S6K1 phosphorylation and muscle protein synthesis. J Appl Physiol. 2007;103:903-910. [DOI:10.1152/japplphysiol.00195.2007] [PMID]
17. Centner C, Ritzmann R, Schur S, Gollhofer A, & König D. Blood flow restriction increases myoelectric activity and metabolic accumulation during whole-body vibration. Eur J Appl Physiol. 2019;119(6):1439-1449. [DOI:10.1007/s00421-019-04134-5] [PMID]
18. Fahs CA, Loenneke JP, Rossow LM, Thiebaud RS, Bemben MG. Methodological onsiderations for blood flow restricted resistance exercise. J Trainol. 2012;1:14-22. [DOI:10.17338/trainology.1.1_14]
19. Ozaki H, Sakamaki M, Yasuda T, Fujita S, Ogasawara R, Sugaya M, Nakajima T, Abe T. Increases in thigh muscle volume and strength by walk training with leg blood flow reduction in older participants. J Gerontol A Biol Sci Med Sci. 2011;66:257-263. [DOI:10.1093/gerona/glq182] [PMID]
20. Abe T, Sakamaki M, Fujita S, Ozaki H, Sugaya M, Sato Y, et al. Effects of low-intensity walk training with restricted leg blood flow on muscle strength and aerobic capacity in older adults. J Geriatric Phys Ther. 2010;33(1):34-40.
21. Gómez-Bruton A, González-Agüero A, Matute-Llorente A, Julián C, Lozano-Berges G, Gómez-Cabello A, et al. Do 6 months of whole-body vibration training improve lean mass and bone mass acquisition of adolescent swimmers? Arch Osteoporos. 2017;12:69. [DOI:10.1007/s11657-017-0362-z] [PMID]
22. Ritzmann R, Gollhofer A, Kramer A. The infuence of vibration type, frequency, body position and additional load on the neuromuscular activity during whole body vibration. Eur J Appl Physiol. 2013;113:1-11. [DOI:10.1007/s00421-012-2402-0] [PMID]
23. Giles L, Webster KE, McClelland J, Cook JL. Quadriceps strengthening with and without blood fow restriction in the treatment of patellofemoral pain: a double-blind randomised trial. Br J Sports Med 2017;51:1688. [DOI:10.1136/bjsports-2016-096329] [PMID]
24. Loenneke JP, Thiebaud RS, Fahs CA, Rossow LM, Abe T, Bemben MG. Blood fow restriction does not result in prolonged decrements in torque. Eur J Appl Physiol. 2013;113:923-931. [DOI:10.1007/s00421-012-2502-x] [PMID]
25. Ida H, Nakajima T, Kurano M, Yasuda T, Sakamaki M, Sato Y, et al. Effects of walking with blood flow restriction on limb venous compliance in elderly subjects. Clin Physio Funct Imaging. 2011;31(6):472-476. [DOI:10.1111/j.1475-097X.2011.01044.x] [PMID]
26. Bowman EN, Elshaar R, Milligan H, Jue G, Mohr K, Brown P, et al. Proximal, distal, and contralateral effects of blood flow restriction training on the lower extremities; a randomized controlled trial. Sports Health. 2019;11(2):149-156. [DOI:10.1177/1941738118821929] [PMID] [PMCID]
27. Kang DY, Kim HS, Lee KS, Kim YM. The effects of bodyweight-based exercise with blood flow restriction on isokinetic knee muscular function and thigh circumference in college students. J Phys Ther Sci. 2015;27(9):2709-2712. [DOI:10.1589/jpts.27.2709] [PMID] [PMCID]
28. Ramis TR, de Lemos Muller CH, Boeno FP, Teixeira BC, Rech A, Pompermayer M, et al. Effects of traditional and vascular restricted strength training program with equalized volume on isometric and dynamic strength, muscle thickness, electromyographic activity, and endothelial function adaptations in young adults. J Streng Condit Res. 2020;34(3):689-698. [DOI:10.1519/JSC.0000000000002717] [PMID]
29. Scarpelli MC, Bergamasco JGA, Arruda EA, et al. Resistance training with partial blood flow restriction in a 99-year-old individual: a case report. Front Sports Act Living. 2021;22(3):671764. [DOI:10.3389/fspor.2021.671764] [PMID] [PMCID]
30. Centner C, Ritzmann R, Gollhofer A, König D. Effects of whole-body vibration training and blood flow restriction on muscle adaptations in women: a randomized controlled trial. The J Streng Condit Res. 2020;34(3):603-608. [DOI:10.1519/JSC.0000000000003401] [PMID]
31. Iida H, Kurano M, Takano H, Kubota N, Morita T, Meguro K,Sato Y, Abe T, Yamazaki Y, Uno K, Takenaka K, Hirose K, Nakajima T. Hemodynamic and neurohumoral responses to the restriction of femoral blood flow by KAATSU in healthy subjects. Eur J Appl Physiol. 2007; 100: 275-285. [DOI:10.1007/s00421-007-0430-y] [PMID]
32. Loenneke JP, Fahs CA, Wilson JM, Bemben MG. Blood flow restriction: the metabolite/volume threshold theory. Med Hypotheses. 2011;77:748-752. [DOI:10.1016/j.mehy.2011.07.029] [PMID]
33. Yasuda T, Brechue WF, Fujita T, Shirakawa J, Sato Y, Abe T. Muscle activation during low-intensity muscle contractions with restricted blood flow. J Sports Sci. 2009;27(5):479-489. [DOI:10.1080/02640410802626567] [PMID]
34. Pierce JR, Clark BC, Ploutz-Snyder LL, Kanaley JA. Growth hormone and muscle function responses to skeletal muscle ischemia. J App Phys. 2006;101(6):1588-1595. [DOI:10.1152/japplphysiol.00585.2006] [PMID]
35. Lin TC, Cheng CC, Cai ZY. Effects of local vibration with blood flow restriction on muscle activation. Isokin Exer Sci. 2018;26(1):9-15. [DOI:10.3233/IES-171174]
36. Jessee MB, Dankel SJ, Buckner SL, Mouser JG, Mattocks KT, Loenneke JP. The cardiovascular and perceptual response to very low load blood flow restricted exercise. Inter J Sports Med. 2017;38(8):597-603. [DOI:10.1055/s-0043-109555] [PMID]
37. Kumagai K, Kurobe K, Zhong H, Loenneke J, Thiebaud R, Ogita F, et al. Cardiovascular drift during low intensity exercise with leg blood flow restriction. A physio Hungarica. 2012;99(4):392-399. [DOI:10.1556/APhysiol.99.2012.4.3] [PMID]
38. Loenneke JP, Fahs CA, Rossow LM, Abe T, Bemben MG. The anabolic benefits of venous blood flow restriction training may be induced by muscle cell swelling. Med Hypotheses. 2012;78(1):151-154. [DOI:10.1016/j.mehy.2011.10.014] [PMID]
39. Staunton CA, May AK, Brandner CR, Warmington SA. Haemodynamics of aerobic and resistance blood flow restriction exercise in young and older adults. Euro J appl physio. 2015;115(11):2293-2302. [DOI:10.1007/s00421-015-3213-x] [PMID]
40. Horiuchi, M & Okita, K. Blood flow restricted exercise and vascular function. Inter J Vascular Med, 2012. [DOI:10.1155/2012/543218] [PMID] [PMCID]
41. Kenney WL, Willmore J, Costill D. Physiology of Sport and Exercise. Champaign Urbana: IL, Human Kinetics. 2013
42. Renzi CP, Tanaka H, Sugawara JUN. Effects of leg blood flow restriction during walking on cardiovascular function. Med Sci Sports Exer. 2010;42(4): 726. [DOI:10.1249/MSS.0b013e3181bdb454] [PMID] [PMCID]
43. Scott BR, Peiffer JJ, Thomas HJ, Marston KJ, Hill KD. Hemodynamic responses to low-load blood flow restriction and unrestricted high-load resistance exercise in older women. Frontiers Physiol. 2018;9:1324. [DOI:10.3389/fphys.2018.01324] [PMID] [PMCID]
44. Kambič T, Novaković M, Tomažin K, Strojnik V, Jug B. Blood flow restriction resistance exercise improves muscle strength and hemodynamics, but not vascular function in coronary artery disease patients: a pilot randomized controlled trial. Frontiers Physiol. 2019;10:656. [DOI:10.3389/fphys.2019.00656] [PMID] [PMCID]

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Annals of Applied Sport Science

Designed & Developed by : Yektaweb