Abstract

The main goal of the present study was to evaluate the acute effects external compression with blood flow restriction (BFR) at 100 and 150% of full arterial occlusion pressure (AOP) on maximal strength and strength-endurance performance during the bench press (BP) exercise. The study included 12 strength-trained male subjects (age = 23.2 ± 2.66 years; body mass = 75.3 ± 6.33 kg; height = 179.1 ± 3.82 cm), experienced in resistance training (5.7 ± 2.93 years). During the experimental sessions in a randomized crossover design, the subjects performed a 1 repetition maximum (1RM) test and three sets of the BP using 60% 1RM to failure with three different conditions: without BFR (NO-BFR); BFR with a pressure of 100% AOP (BFR100); and BFR with a pressure of 150% AOP (BFR150). The differences between the NO-BFR, BFR100, and BFR150 conditions were examined using repeated measures ANOVA. The ANOVA indicated significant main effect for condition in 1RM, number of performed repetitions (REP), and time under tension (TUT) (p < 0.01). Post hoc analyses for the main effect indicated significant increases in 1RM (p < 0.01; 95.00 ± 15.37 vs 91.87 ± 15.99), REP (p < 0.01; 17.56 ± 3.36 vs 15.67 ± 5.24), and TUT (p < 0.01; 32.89 ± 6.40 vs 28.72 ± 6.18) for the BFR150 condition compared to NO-BFR. Furthermore, significant increases in REP (p = 0.03; 17.56 ± 3.36 vs 16.47 ± 4.01) and TUT (p = 0.03; 32.89 ± 6.40 vs 30.00 ± 6.45) were observed for the BFR150 condition compared to the BFR100. The results of the present study indicate that high external compression increases maximal strength evaluated by the 1RM test, as well as endurance performance during three sets of the BP exercise.

Highlights

  • Resistance training is a primary exercise intervention used to develop strength and stimulate muscle hypertrophy

  • The results indicated that 1 repetition maximum (1RM), REP, and time under tension (TUT) were significantly higher during the bench press (BP) under BFR with a pressure of 150% AOP (BFR150) compared to the BFR with a pressure of 100% AOP (BFR100) conditions

  • The results of the present study show significant increases in 1RM during BFR150 compared to NO-blood flow restriction (BFR), simultaneously showing no such effect between BFR100 compared to NO-BFR

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Summary

Introduction

Resistance training is a primary exercise intervention used to develop strength and stimulate muscle hypertrophy. Besides the basic methods of resistance training, research has focused on the use of additional training equipment or devices that may enhance performance and the resulting training adaptations. One of these training methods includes blood. BFR during resistance exercise has been used in physical therapy and in the training process of both physically active people and competitive athletes, with the objective to increase muscle hypertrophy and strength (Takarada et al, 2000; Cook et al, 2014). Due to the variety of widths, length, shape, and material of the cuff, as well as individual limb characteristics (Loenneke et al, 2012b, 2015), it is recommended to set the pressure according to the individuals value of arterial occlusion pressure (% AOP) (Patterson et al, 2019)

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