Abstract:
BACKGROUND AND OBJECTIVE:Low-load exercise training with blood flow restriction (BFR) can increase muscle strength and may offer an effective clinical musculoskeletal (MSK) rehabilitation tool. The aim of this review was to systematically analyse the evidence regarding the effectiveness of this novel training modality in clinical MSK rehabilitation. DESIGN:This is a systematic review and meta-analysis of peer-reviewed literature examining BFR training in clinical MSK rehabilitation (Research Registry; researchregistry91). DATA SOURCES:A literature search was conducted across SPORTDiscus (EBSCO), PubMed and Science Direct databases, including the reference lists of relevant papers. Two independent reviewers extracted study characteristics and MSK and functional outcome measures. Study quality and reporting was assessed using the Tool for the assEssment of Study qualiTy and reporting in EXercise. ELIGIBILITY:Search results were limited to exercise training studies investigating BFR training in clinical MSK rehabilitation, published in a scientific peer-reviewed journal in English. RESULTS:Twenty studies were eligible, including ACL reconstruction (n=3), knee osteoarthritis (n=3), older adults at risk of sarcopenia (n=13) and patients with sporadic inclusion body myositis (n=1). Analysis of pooled data indicated low-load BFR training had a moderate effect on increasing strength (Hedges' g=0.523, 95% CI 0.263 to 0.784, p<0.001), but was less effective than heavy-load training (Hedges' g=0.674, 95% CI 0.296 to 1.052, p<0.001). CONCLUSION:Compared with low-load training, low-load BFR training is more effective, tolerable and therefore a potential clinical rehabilitation tool. There is a need for the development of an individualised approach to training prescription to minimise patient risk and increase effectiveness.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Hughes L,Paton B,Rosenblatt B,Gissane C,Patterson SDdoi
10.1136/bjsports-2016-097071subject
Has Abstractpub_date
2017-07-01 00:00:00pages
1003-1011issue
13eissn
0306-3674issn
1473-0480pii
bjsports-2016-097071journal_volume
51pub_type
杂志文章,meta分析,评审abstract:OBJECTIVES:The 6-minute walk test (6MWT) is a frequently used indicator of functional exercise capacity. The goals of this study were to compare the 6-minute walk performance of three paediatric patient groups with that of healthy peers, to assess differences between published reference values and to investigate which ...
journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究
doi:10.1136/bjsm.2008.048512
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:Back protectors for snowboarders were analysed with respect to their potential to prevent spinal injury. DESIGN:In 20 Swiss skiing resorts, athletes were interviewed on the slope. In addition, an online survey was conducted. The performance of 12 commercially available back protectors was investigated by mea...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2010.072728
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Extremely low weight and rapid changes in weight and body composition have become major concerns in many sports, but sufficiently accurate field methods for body composition assessment in athletes are missing. This study aimed to explore the use of ultrasound methods for assessment of body fat content in ath...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2013-092232
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:Patellar tendinopathy has been reported to be associated with many intrinsic risk factors. Few have been fully investigated. This cross-sectional study examined the anthropometric and physical performance results of elite junior basketball players with normal or abnormal patellar tendons to see if any measure...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2003.004747
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVE:To investigate clinical and imaging differential diagnosis and tennis stroke biomechanics potentially involved in lunate stress injury pathogenesis. METHODS:The present report describes five competitive tennis players with overuse-related dorsal wrist pain assessed by magnetic resonance imaging. RESULTS:Mag...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2007.036806
更新日期:2007-11-01 00:00:00
abstract::The cases are reported of three off road cyclists with isolated soft tissue injuries to the right lower leg, caused by the chain ring as they struggled to release their feet from clipless pedals. Correct adjustment of the pedals to facilitate quick release of the feet is required to prevent such injuries. ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2002.003616
更新日期:2004-06-01 00:00:00
abstract::We report two cases of acute haematogenous osteomyelitis in the anterior superior iliac spine (ASIS) in adolescent goalkeepers following trauma of the iliac crest apophysis. Both patients complained of pain over their right ASIS and were pyrexial. They were given antibiotics and were discharged from follow up without ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2005.025031
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVES:To evaluate the cost effectiveness of a proprioceptive balance board training programme for the prevention of ankle sprains in volleyball. METHODS:A total of 116 volleyball teams participated in this study which was carried out during the 2001-2002 volleyball season. Teams were randomly allotted to an inter...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1136/bjsm.2003.011031
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVES:To evaluate the differences in hip external rotation (ER) strength and inner, outer, and total hip ER range of motion (ROM) between dancers and non-dancers and between left and right sides in each group. METHODS:Seventy one subjects (34 dancers and 37 non-dancers) volunteered for this study. The strength (t...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2003.010827
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of strenuous exercise on bone metabolism and related hormones in elderly subjects. METHODS:Twenty one active elderly subjects (11 men and 10 women; mean age 73.3 years) showing a mean theoretical Vo2max of 151.4% participated. Concentrations of plasma ionised calcium (iCa), serum intac...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2004.013151
更新日期:2005-08-01 00:00:00
abstract::A case of bilateral anterior glenohumeral dislocation in a young weight trainer is presented. The patient, an insurance clerk, had been using a free weight bar in the bench press position and had become tired when the weight on the bar forced his arms into hyperextension in the mid-abducted position. The humeral shaft...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.32.1.71
更新日期:1998-03-01 00:00:00
abstract::A medical and scientific multidisciplinary consensus meeting was held from 29 to 30 November 2013 on Anti-Doping in Sport at the Home of FIFA in Zurich, Switzerland, to create a roadmap for the implementation of the 2015 World Anti-Doping Code. The consensus statement and accompanying papers set out the priorities for...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2014-093561
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:In all studies in which the strength of the neck extensor muscles has been measured, the level of thoracic support has been adjusted differently so direct comparison of the results is not possible. OBJECTIVE:To measure and compare the isometric force and isometric torque of neck extensor muscles at differen...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2007.040709
更新日期:2008-05-01 00:00:00
abstract::Skeletal muscle injuries are among the most common and frequently disabling injuries sustained by athletes. Repair of injured skeletal muscle is an area that continues to present a challenge for sports medicine clinicians and researchers due, in part, to complete muscle recovery being compromised by development of fib...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2012-091685
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Categorical grading and other measurable MRI parameters are frequently utilised for predicting the outcome of hamstring injuries. However, the reliability and smallest detectable difference (SDD) have not been previously evaluated. It therefore remains unclear if the variability in previously reported result...
journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bjsports-2013-092564
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:To evaluate muscle activation patterns in selected scapulohumeral muscles in the tennis serve. These patterns of muscle activation have not been evaluated in other studies of the tennis serve. Fine wire and surface EMG was used to calculate onset and offset timing of muscle activation. DESIGN:Controlled labo...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2007.037333
更新日期:2007-11-01 00:00:00
abstract::Tournament water skiing is an increasingly popular and internationally successful sport in Great Britain, despite the climate. The kinematics and injury patterns of the three disciplines will be unfamiliar to most clinicians and are described, with estimation of the stresses. Advances in equipment over the last 15 yea...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.30.2.90
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND:The relatively young sport of snowboarding exhibits high injury rates. The current efforts to characterise the injury pattern of snowboarders focus largely on the general snowboard population and upper extremity injuries, the most common injury site in snowboarders as a whole. METHODS:In an effort to descri...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2013-093019
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:To establish a simple, valid, and acceptable method of predicting peak oxygen uptake (VO2peak) in patients with chronic fatigue syndrome (CFS), which could provide a basis for subsequent exercise prescription at an appropriate intensity as part of a clinical rehabilitation programme. METHODS:A total of 130 ...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
doi:10.1136/bjsm.33.5.352
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abstract:BACKGROUND:There is limited information about Achilles tendon disorders in professional football. AIMS:To investigate the incidence, injury circumstances, lay-off times and reinjury rates of Achilles tendon disorders in male professional football. METHODS:A total of 27 clubs from 10 countries and 1743 players have be...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2013-092271
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:In this study, the amplitude and time distribution of power output in a variety of competitive cycling events through the use of a new mathematical analysis was examined: exposure variation analysis (EVA). DESIGN:Descriptive field study. SETTING:Various professional road cycling events, including; a 5-day-e...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2008.047787
更新日期:2010-05-01 00:00:00
abstract::To determine the rate of current or previous use of anabolic steroids by students at a UK college of technology, a questionnaire survey of 687 day students was conducted. The questionnaire began with a general section for all of the students, which ended with the question 'Have you ever used anabolic steroids?'. A fur...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.27.3.200
更新日期:1993-09-01 00:00:00
abstract:OBJECTIVE:To determine the interobserver and intraobserver reliability of the interpretation of MRIs for supraspinatus tendinosis. METHODS:In the interobserver trial, the MRIs of 52 athletes' shoulders were observed by 3 observers on one occasion within a 2-month period. All 52 images were read by the most experienced...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
doi:10.1136/bjsm.2006.034421
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVE:To assess the incidence, severity and nature of injuries, to determine risk factors for injury and to identify potential injury prevention strategies in men's international Rugby-7s tournaments. DESIGN:A prospective cohort study. PARTICIPANTS:Players from core teams competing in matches at 6 Sevens World Se...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2016-096043
更新日期:2016-06-01 00:00:00
abstract::It is now understood that sports injury interventions will not have significant public health impact if they are not widely accepted and adopted by target sports participants. Although there has been increasing recognition of the need for intervention studies conducted within the real-world context of sports delivery,...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2011-090230
更新日期:2011-12-01 00:00:00
abstract::It would seem that the development of a stress fracture results from unsuccessful adaptation of bone to a change in its mechanical environment caused by repetitive loading. It involves the physiological processes of microdamage production and remodelling. Whether the initiating factor is microdamage production or acti...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.30.3.200
更新日期:1996-09-01 00:00:00
abstract::This study was carried out to determine the rate and types of injuries experienced by boardsailors. Results derive from: (a) a review of hospital medical records for water sports injuries, and (b) a questionnaire-interview of 73 athletes windsurfing on waters in the Galveston area during a hurricane and in moderate an...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.22.3.95
更新日期:1988-09-01 00:00:00
abstract:OBJECTIVE:To estimate knee osteoarthritis (OA) risk following anterior cruciate ligament (ACL), meniscus or combined ACL and meniscus injury. DESIGN:Systematic review and meta-analysis. DATA SOURCES:MEDLINE, Embase, SPORTDiscus, CINAHL and Web of Science until November 2018. ELIGIBILITY CRITERIA FOR SELECTING STUDIE...
journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析
doi:10.1136/bjsports-2018-100022
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND/AIM:To compare outcome of early mobilisation and plaster immobilisation in patients with a simple elbow dislocation. We hypothesised that early mobilisation would result in earlier functional recovery. METHODS:From August 2009 to September 2012, 100 adult patients with a simple elbow dislocation were enroll...
journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bjsports-2015-094704
更新日期:2017-03-01 00:00:00
abstract::Eccentric exercises (EE) have proved successful in the management of chronic tendinopathy, particularly of the Achilles and patellar tendons, where they have been shown to be effective in controlled trials. However, numerous questions regarding EE remain. The standard protocols are time-consuming and require very moti...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.2008.052910
更新日期:2009-04-01 00:00:00