首页> 外文OA文献 >The effects of low-intensity blood flow restricted exercise compared with conventional resistance training on the clinical outcomes of active UK military personnel following a 3-week in-patient rehabilitation programme: protocol for a randomized controlled feasibility study
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The effects of low-intensity blood flow restricted exercise compared with conventional resistance training on the clinical outcomes of active UK military personnel following a 3-week in-patient rehabilitation programme: protocol for a randomized controlled feasibility study

机译:与常规阻力训练相比,低强度血流限制运动对英国活跃军事人员在为期3周的住院康复计划后的临床结果的影响:随机对照可行性研究方案

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摘要

**Background**ududA challenge for rehabilitation practitioners lies in designing optimal exercise programmes that facilitate musculoskeletal (MSK) adaptations whilst simultaneously accommodating biological healing and the safe loading of an injured limb. A growing body of evidence supports the use of resistance training at a reduced load in combination with blood flow restriction (BFR) to enhance hypertrophic and strength responses in skeletal muscle. In-patient rehabilitation has a long tradition in the UK Military, however, the efficacy of low intensity (LI) BFR training has not been tested in this rehabilitation setting. The aims of this study are to determine (1) the feasibility of a randomised controlled trial (RCT) investigating LI-BFR training in a residential, multidisciplinary treatment programme and (2) provide preliminary data describing the within and between-group treatment effects of a LI-BFR intervention and a conventional resistance training group in military personnel.udud**Methods**ududThis is a single-blind randomised controlled feasibility study. A minimum of 28 lower-limb injured UK military personnel, aged 18 to 50 years, attending rehabilitation at the UK Defence Medical Rehabilitation Centre (DMRC) will be recruited into the study. After completion of baseline measurements, participants will be randomised in a 1:1 ratio to receive 3 weeks (15 days) of intensive multidisciplinary team (MDT) in-patient rehabilitation. Group 1 will receive conventional resistance training 3 days per week. Group 2 will perform twice daily LI-BFR training. Both groups will also undertake the same common elements of the existing MDT programme. Repeat follow-up assessments will be undertaken upon completion of treatment. Group 2 participants will be asked to rate their pain response to LI-BFR training every five sessions.udud**Discussion**ududThe results will provide information on the feasibility of a full-scale RCT. Recommendations for an adequately powered study to determine the efficacy of LI-BFR training during in-patient rehabilitation can then be made. The study may also provide insights into the potential effectiveness of LI-BFR training as a novel exercise modality to induce muscle adaptations in the absence of high mechanical loading of the lower-limb.
机译:**背景** ud ud康复从业者面临的挑战是设计最佳运动计划,以促进肌肉骨骼(MSK)适应,同时适应生物学愈合和受伤肢体的安全负荷。越来越多的证据支持在减少的负荷下结合阻力训练与血流限制(BFR)一起使用,以增强骨骼肌的肥大和力量反应。住院康复在英国军方中有着悠久的传统,但是,在这种康复环境中未对低强度(LI)BFR训练的功效进行过测试。这项研究的目的是确定(1)在居住,多学科治疗计划中研究LI-BFR培训的随机对照试验(RCT)的可行性,以及(2)提供描述以下因素在组内和组间治疗效果的初步数据:一个LI-BFR干预措施和一个常规的军事人员抵抗训练小组。 ud ud **方法** ud ud这是单盲的随机对照可行性研究。至少28名年龄在18至50岁的下肢受伤的英国军人将在英国国防医学康复中心(DMRC)参加康复,并将被招募入研究。完成基线测量后,将以1:1的比例将参与者随机分配,以接受3周(15天)的密集多学科小组(MDT)住院病人康复。第1组每周接受3天常规抵抗训练。第2组每天进行两次LI-BFR培训。两组还将承担现有MDT计划的相同共同要素。治疗完成后将进行重复的随访评估。将要求第2组参与者每五个疗程评估他们对LI-BFR训练的疼痛反应。 ud ud **讨论** ud ud结果将提供有关全面RCT可行性的信息。然后可以提出足够动力的研究,以确定住院期间康复期间LI-BFR训练的效果。这项研究还可能提供关于LI-BFR训练作为一种新颖的锻炼方式在没有较高下肢机械负荷的情况下诱导肌肉适应的潜在有效性的见解。

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