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The Effects of Blood Flow Restriction Training on Older Adults : = A Systematic Review.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	The Effects of Blood Flow Restriction Training on Older Adults :/
Reminder of title:	A Systematic Review.
Author:	Saldana, Justin.
other author:	Khamsy, Jonathan,
Description:	1 online resource (78 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-12, Section: A.
Contained By:	Dissertations Abstracts International85-12A.
Subject:	Physical therapy. -
Online resource:	click for full text (PQDT)
ISBN:	9798382819006

The Effects of Blood Flow Restriction Training on Older Adults : = A Systematic Review.
Saldana, Justin.

The Effects of Blood Flow Restriction Training on Older Adults :A Systematic Review. - 1 online resource (78 pages)

Source: Dissertations Abstracts International, Volume: 85-12, Section: A.

Thesis (D.P.T.)--Azusa Pacific University, 2024.

Includes bibliographical references

Background. Blood flow restriction training (BFRt) encompasses the use of low load resistance training (LLRT) alongside pneumatic blood pressure cuffs to stimulate musculoskeletal adaptations. The natural human aging process causes a decrease in overall musculoskeletal health, and the use of blood flow restriction (BFR) could potentially be an effective alternative to heavy load resistance training (HLRT) to combat this decline. The systematic review (SR) aimed to compare the effect of LLRT combined with BFR against HLRT without BFR on muscular strength and physical function in older adults over the age of 50. Likewise, the critically appraised topic (CAT) aimed to compare the effects of LLRT combined with BFR against HLRT without BFR on muscular size and strength in older adults over the age of 50. Methods. Five independent reviewers conducted the research for the SR and the CAT within the following library databases: (a) Cochrane Library, (b) Cumulative Index to Nursing and Allied Health Literature (CINAHL), (c) Medical Literature Analysis and Retrieval System Online (MEDLINE), (d) SPORTDiscus, and (e) PubMed from September 2023 to October 2023. The inclusion criteria for the SR was (a) a population of older adults between the ages of 50 to 90 years old, (b) the use of BFR as an intervention, (c) a comparison to traditional resistance training, and (d) outcome measures of muscle strength and physical function (PF). The SR excluded (a) older adults under the age of 50 years old, (b) older adults with oncological conditions, and (c) older adults with neurological conditions. The inclusion criteria for the CAT included (a) a population of older adults between the ages of 45 to 90 years old, (b) the use of BFR as an intervention, (c) a comparison to traditional resistance training, and (d) outcome measures of muscle size and strength. The CAT excluded (a) older adults under the age of 45 years old, (b) older adults with oncological conditions, and (c) older adults with neurological conditions. The initial search for the SR in September 2023 found 3,172 articles. Fourteen articles were included in the SR and underwent the appraisal process. The second search for the SR found 1,746 articles. All five raters concluded that no new articles would undergo the appraisal process as either the articles were irrelevant to the PICO (population, intervention, comparison, outcome) question or were not specific enough. The search for the CAT in October 2023 found 1,427 articles. Four articles were included for the CAT and were independently appraised before a final consensus was reached. Results. A Total of 18 articles were reviewed for the SR and the CAT. Based on the information gathered, the general consensus was that BFRt was a safe and effective training method for building muscle strength while using low load resistance. Each article cited benefits for the use of BFRt and provided evidence for the significant changes made using this method. Despite these favorable results, a majority of the articles stated that LL-BFRt can be a useful training tool for certain populations; however, the traditional method of HLRT was able to produce greater results for (a) muscle strength, (b) muscle size, and (d) improving overall physical function. Most of the significant changes were seen when comparing groups involving LL-BFRt versus LLRT without BFR, and future research will benefit from comparing these two intervention groups. Conclusions. Extensive research has consistently demonstrated the health benefits of HLRT. However, it is crucial for clinicians to recognize that older individuals who are physically inactive or untrained may not tolerate high loads effectively, potentially leading to adverse consequences. This review has offered meaningful evidence endorsing the use of BFRt as an effective intervention for enhancing muscle strength in older adults while mitigating mechanical stress. Limitations of this study include (a) high heterogeneity, (b) variations in the training environment, and (c) inconsistent outcome measures.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798382819006Subjects--Topical Terms:

678370
Physical therapy.
Subjects--Index Terms:

BloodIndex Terms--Genre/Form:

554714
Electronic books.

The Effects of Blood Flow Restriction Training on Older Adults : = A Systematic Review.
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520 $a Background. Blood flow restriction training (BFRt) encompasses the use of low load resistance training (LLRT) alongside pneumatic blood pressure cuffs to stimulate musculoskeletal adaptations. The natural human aging process causes a decrease in overall musculoskeletal health, and the use of blood flow restriction (BFR) could potentially be an effective alternative to heavy load resistance training (HLRT) to combat this decline. The systematic review (SR) aimed to compare the effect of LLRT combined with BFR against HLRT without BFR on muscular strength and physical function in older adults over the age of 50. Likewise, the critically appraised topic (CAT) aimed to compare the effects of LLRT combined with BFR against HLRT without BFR on muscular size and strength in older adults over the age of 50. Methods. Five independent reviewers conducted the research for the SR and the CAT within the following library databases: (a) Cochrane Library, (b) Cumulative Index to Nursing and Allied Health Literature (CINAHL), (c) Medical Literature Analysis and Retrieval System Online (MEDLINE), (d) SPORTDiscus, and (e) PubMed from September 2023 to October 2023. The inclusion criteria for the SR was (a) a population of older adults between the ages of 50 to 90 years old, (b) the use of BFR as an intervention, (c) a comparison to traditional resistance training, and (d) outcome measures of muscle strength and physical function (PF). The SR excluded (a) older adults under the age of 50 years old, (b) older adults with oncological conditions, and (c) older adults with neurological conditions. The inclusion criteria for the CAT included (a) a population of older adults between the ages of 45 to 90 years old, (b) the use of BFR as an intervention, (c) a comparison to traditional resistance training, and (d) outcome measures of muscle size and strength. The CAT excluded (a) older adults under the age of 45 years old, (b) older adults with oncological conditions, and (c) older adults with neurological conditions. The initial search for the SR in September 2023 found 3,172 articles. Fourteen articles were included in the SR and underwent the appraisal process. The second search for the SR found 1,746 articles. All five raters concluded that no new articles would undergo the appraisal process as either the articles were irrelevant to the PICO (population, intervention, comparison, outcome) question or were not specific enough. The search for the CAT in October 2023 found 1,427 articles. Four articles were included for the CAT and were independently appraised before a final consensus was reached. Results. A Total of 18 articles were reviewed for the SR and the CAT. Based on the information gathered, the general consensus was that BFRt was a safe and effective training method for building muscle strength while using low load resistance. Each article cited benefits for the use of BFRt and provided evidence for the significant changes made using this method. Despite these favorable results, a majority of the articles stated that LL-BFRt can be a useful training tool for certain populations; however, the traditional method of HLRT was able to produce greater results for (a) muscle strength, (b) muscle size, and (d) improving overall physical function. Most of the significant changes were seen when comparing groups involving LL-BFRt versus LLRT without BFR, and future research will benefit from comparing these two intervention groups. Conclusions. Extensive research has consistently demonstrated the health benefits of HLRT. However, it is crucial for clinicians to recognize that older individuals who are physically inactive or untrained may not tolerate high loads effectively, potentially leading to adverse consequences. This review has offered meaningful evidence endorsing the use of BFRt as an effective intervention for enhancing muscle strength in older adults while mitigating mechanical stress. Limitations of this study include (a) high heterogeneity, (b) variations in the training environment, and (c) inconsistent outcome measures.
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