A Randomized, Double-Blind Placebo Control Study on the Effect of a Blood Flow Restriction by an Inflatable Cuff Worn around the Arm on the Wrist Joint Position Sense in Healthy Recreational Athletes
The number of blood flow restriction (BFR) training practitioners is rapidly increasing, so understanding the safety issues associated with limb occlusion is strongly needed. The present study determined the effect of BFR by an inflatable cuff worn around the arm on the wrist joint position sense (J...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-01-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/12/2/602 |
| _version_ | 1797440629524922368 |
|---|---|
| author | Aleksandra Królikowska Klaudia Kusienicka Ewa Lazarek Łukasz Oleksy Robert Prill Anna Kołcz Maciej Daszkiewicz Dariusz Janczak Paweł Reichert |
| author_facet | Aleksandra Królikowska Klaudia Kusienicka Ewa Lazarek Łukasz Oleksy Robert Prill Anna Kołcz Maciej Daszkiewicz Dariusz Janczak Paweł Reichert |
| author_sort | Aleksandra Królikowska |
| collection | DOAJ |
| description | The number of blood flow restriction (BFR) training practitioners is rapidly increasing, so understanding the safety issues associated with limb occlusion is strongly needed. The present study determined the effect of BFR by an inflatable cuff worn around the arm on the wrist joint position sense (JPS) in healthy recreational athletes. In the prospective randomized, double-blind placebo control study, sixty healthy right-handed recreational athletes aged x = 22.93 ± 1.26 years were assigned to groups of equal size and gender rates: BFR, placebo, and control. The active wrist JPS was assessed in two separate sessions using an isokinetic dynamometer. The first assessment was performed with no cuffs. In the second session, a cuff with a standardized pressure was worn on the examined limb in the BFR group. In the placebo group, the cuff was uninflated. A between-session comparison in each group of collected angular errors expressed in degrees was carried out. The angular error in the BFR group was larger during the second measurement than the first one (<i>p</i> = 0.011–0.336). On the contrary, in the placebo (<i>p</i> = 0.241–0.948) and control (<i>p</i> = 0.093–0.904) groups, the error value in the second session was comparable or smaller. It was determined that BFR by an inflatable cuff around the arm impairs the wrist position sense. Hence, BFR training should be performed with caution. |
| first_indexed | 2024-03-09T12:10:59Z |
| format | Article |
| id | doaj.art-b2967a49fe9b45448f6ddd8f55d0ff51 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T12:10:59Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-b2967a49fe9b45448f6ddd8f55d0ff512023-11-30T22:52:14ZengMDPI AGJournal of Clinical Medicine2077-03832023-01-0112260210.3390/jcm12020602A Randomized, Double-Blind Placebo Control Study on the Effect of a Blood Flow Restriction by an Inflatable Cuff Worn around the Arm on the Wrist Joint Position Sense in Healthy Recreational AthletesAleksandra Królikowska0Klaudia Kusienicka1Ewa Lazarek2Łukasz Oleksy3Robert Prill4Anna Kołcz5Maciej Daszkiewicz6Dariusz Janczak7Paweł Reichert8Ergonomics and Biomedical Monitoring Laboratory, Department of Physiotherapy, Faculty of Health Sciences, Wroclaw Medical University, 50-367 Wroclaw, PolandErgonomics and Biomedical Monitoring Laboratory, Department of Physiotherapy, Faculty of Health Sciences, Wroclaw Medical University, 50-367 Wroclaw, PolandErgonomics and Biomedical Monitoring Laboratory, Department of Physiotherapy, Faculty of Health Sciences, Wroclaw Medical University, 50-367 Wroclaw, PolandOleksy Medical & Sports Sciences, 37-100 Łańcut, PolandCenter of Orthopaedics and Traumatology, University Hospital Brandenburg/Havel, Brandenburg Medical School Theodor Fontane, 14770 Brandenburg a.d.H., GermanyErgonomics and Biomedical Monitoring Laboratory, Department of Physiotherapy, Faculty of Health Sciences, Wroclaw Medical University, 50-367 Wroclaw, PolandErgonomics and Biomedical Monitoring Laboratory, Department of Physiotherapy, Faculty of Health Sciences, Wroclaw Medical University, 50-367 Wroclaw, PolandDepartment of Vascular, General, and Transplantation Surgery, Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, PolandDepartment of Trauma Surgery, Clinical Department of Trauma and Hand Surgery, Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, PolandThe number of blood flow restriction (BFR) training practitioners is rapidly increasing, so understanding the safety issues associated with limb occlusion is strongly needed. The present study determined the effect of BFR by an inflatable cuff worn around the arm on the wrist joint position sense (JPS) in healthy recreational athletes. In the prospective randomized, double-blind placebo control study, sixty healthy right-handed recreational athletes aged x = 22.93 ± 1.26 years were assigned to groups of equal size and gender rates: BFR, placebo, and control. The active wrist JPS was assessed in two separate sessions using an isokinetic dynamometer. The first assessment was performed with no cuffs. In the second session, a cuff with a standardized pressure was worn on the examined limb in the BFR group. In the placebo group, the cuff was uninflated. A between-session comparison in each group of collected angular errors expressed in degrees was carried out. The angular error in the BFR group was larger during the second measurement than the first one (<i>p</i> = 0.011–0.336). On the contrary, in the placebo (<i>p</i> = 0.241–0.948) and control (<i>p</i> = 0.093–0.904) groups, the error value in the second session was comparable or smaller. It was determined that BFR by an inflatable cuff around the arm impairs the wrist position sense. Hence, BFR training should be performed with caution.https://www.mdpi.com/2077-0383/12/2/602blood flow restriction therapyphysical therapy modalitiesrehabilitationsports and recreational facilitiessports medicineupper extremity |
| spellingShingle | Aleksandra Królikowska Klaudia Kusienicka Ewa Lazarek Łukasz Oleksy Robert Prill Anna Kołcz Maciej Daszkiewicz Dariusz Janczak Paweł Reichert A Randomized, Double-Blind Placebo Control Study on the Effect of a Blood Flow Restriction by an Inflatable Cuff Worn around the Arm on the Wrist Joint Position Sense in Healthy Recreational Athletes Journal of Clinical Medicine blood flow restriction therapy physical therapy modalities rehabilitation sports and recreational facilities sports medicine upper extremity |
| title | A Randomized, Double-Blind Placebo Control Study on the Effect of a Blood Flow Restriction by an Inflatable Cuff Worn around the Arm on the Wrist Joint Position Sense in Healthy Recreational Athletes |
| title_full | A Randomized, Double-Blind Placebo Control Study on the Effect of a Blood Flow Restriction by an Inflatable Cuff Worn around the Arm on the Wrist Joint Position Sense in Healthy Recreational Athletes |
| title_fullStr | A Randomized, Double-Blind Placebo Control Study on the Effect of a Blood Flow Restriction by an Inflatable Cuff Worn around the Arm on the Wrist Joint Position Sense in Healthy Recreational Athletes |
| title_full_unstemmed | A Randomized, Double-Blind Placebo Control Study on the Effect of a Blood Flow Restriction by an Inflatable Cuff Worn around the Arm on the Wrist Joint Position Sense in Healthy Recreational Athletes |
| title_short | A Randomized, Double-Blind Placebo Control Study on the Effect of a Blood Flow Restriction by an Inflatable Cuff Worn around the Arm on the Wrist Joint Position Sense in Healthy Recreational Athletes |
| title_sort | randomized double blind placebo control study on the effect of a blood flow restriction by an inflatable cuff worn around the arm on the wrist joint position sense in healthy recreational athletes |
| topic | blood flow restriction therapy physical therapy modalities rehabilitation sports and recreational facilities sports medicine upper extremity |
| url | https://www.mdpi.com/2077-0383/12/2/602 |
| work_keys_str_mv | AT aleksandrakrolikowska arandomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT klaudiakusienicka arandomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT ewalazarek arandomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT łukaszoleksy arandomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT robertprill arandomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT annakołcz arandomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT maciejdaszkiewicz arandomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT dariuszjanczak arandomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT pawełreichert arandomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT aleksandrakrolikowska randomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT klaudiakusienicka randomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT ewalazarek randomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT łukaszoleksy randomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT robertprill randomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT annakołcz randomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT maciejdaszkiewicz randomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT dariuszjanczak randomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes AT pawełreichert randomizeddoubleblindplacebocontrolstudyontheeffectofabloodflowrestrictionbyaninflatablecuffwornaroundthearmonthewristjointpositionsenseinhealthyrecreationalathletes |