Effects of blood flow restriction training on muscle strength for elders

ISRCTN ISRCTN94656014
DOI https://doi.org/10.1186/ISRCTN94656014
Submission date
05/09/2024
Registration date
19/09/2024
Last edited
06/09/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Recently, the blood flow restriction training method has become popular. The common blood flow restriction training method uses voodoo tape, but the extent of blood flow restriction cannot be quantified using such an approach. Currently, there is a blood flow restriction system, which can measure limb occlusion pressure (LOP). However, the effects of different levels of blood flow restriction combined with resistance training on muscle strength and functional performance remain unclear. Hence the purpose of this study is to investigate the effects of different extents of blood flow restriction on muscle strength and functional movement performance.

Who can participate?
People who live in Taiwan and aged 65-85 years old who are without significant injuries within 6 months (such as fractures)

What does the study involve?
Participants are randomly allocated to one of three groups:
1. High blood flow restriction: participants will perform knee extension exercises under high blood flow restriction with low resistance training
2. Low blood flow restriction: participants will perform knee extension exercises under low blood flow restriction with low resistance training
3. Control group: participants will perform knee extension exercises under high resistance training without blood flow restriction.
Sessions are three times a week for 8 weeks and last about 1 hour each, including warm-up, resistance training, resting between sets, and cool-down. Leg muscle strength, muscle mass and functional performance, such as walking and balance, are measured before the intervention, after a 4-week intervention and after an 8-week intervention.

What are the possible benefits and risks of participating
The possible benefits include gaining muscular strength in the lower extremity and further improvement in functional performance. Risks include possible muscle soreness after the intervention.

Where is the study run from?
China Medical University, Taiwan (R.O.C)

When is the study starting and how long is it expected to run for?
May 2023 to July 2024

Who is funding the study?
China Medical University, Taiwan (R.O.C)

Who is the main contact?
Dr Yu-Lin You, oilfish@mail.cmu.edu.tw

Contact information

Dr Yu-Lin You
Public, Scientific, Principal Investigator

No. 100
Section 1
Jingmao Road
Beitun District
Taichung City
406040
Taiwan

Phone +886-4-22053366 ext. 7611
Email oilfish@mail.cmu.edu.tw

Study information

Study designRandomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeOther
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleEffects of an 8-week resistance training with different level of blood flow restriction on muscular strength, dynamic balance for elders
Study objectivesGreater blood flow restriction may induce greater improvement on muscular strength and functional performance
Ethics approval(s)

Approved 30/05/2023, China Medical University Hospital Research Ethics Committee (2 Yude Road, Taichung, 40047, Taiwan; +886-4-22052121; irb@mail.cmuh.org.tw), ref: CMUH112-REC3-072

Health condition(s) or problem(s) studiedHealthy elders
InterventionParticipants will be randomly allocated into three groups using sealed envelopes, namely high blood flow restriction, low blood flow restriction, and a control group. All participants will undergo isokinetic muscular strength of the lower extremity measurements, timed up-and-go test, and skeletal muscle mass measurement before the intervention, after a 4-week intervention and after an 8-week intervention.

The interventions for those groups:
1. High blood flow restriction: participants will perform knee extension exercises under high blood flow restriction with low resistance training
2. Low blood flow restriction: participants will perform knee extension exercises under low blood flow restriction with low resistance training
3. Control group: participants will perform knee extension exercises under high resistance training without blood flow restriction.

The level of blood flow restriction is determined by the limb occlusion pressure (LOP).

For the high blood flow restriction group, the level of blood flow restriction is set at 60% LOP, while for the low blood flow restriction group, the level of blood flow restriction is set at 30% LOP.

Intervention frequency: three times a week for 8 weeks
Duration: approximately 1 hour for a session including warm-up, resistance training, resting between sets, and cool-down.
Intervention typeOther
Primary outcome measureMuscular strength of the lower extremity measured using a Biodex isokinetic dynamometer before the intervention, after a 4-week intervention and after an 8-week intervention
Secondary outcome measures1. Dynamic balance measured using the timed up-and-go test before the intervention, after a 4-week intervention and after an 8-week intervention
2. Walking ability measured using the 6-meter walk test before the intervention, after a 4-week intervention and after an 8-week intervention
3. Skeletal muscle mass measured by Inbody 270 before the intervention, after a 4-week intervention and after an 8-week intervention
Overall study start date30/05/2023
Completion date15/07/2024

Eligibility

Participant type(s)Healthy volunteer
Age groupSenior
Lower age limit65 Years
Upper age limit85 Years
SexBoth
Target number of participants30
Total final enrolment30
Key inclusion criteria1. Adults aged 65-85 years old
2. Live in Taiwan
3. Without significant injuries in the last 3 months (such as fractures), open wounds on the lower extremity
Key exclusion criteria1. Musculosekeletal injuries of the lower extremity within 6 months
2. High blood pressure
3. Neural diseases, such as Parkinson's disease
Date of first enrolment30/05/2023
Date of final enrolment29/05/2024

Locations

Countries of recruitment

  • Taiwan

Study participating centre

China Medical University, Taiwan
Department of Sports Medicine
No. 100, Section 1
Jingmao Road
Beitun District
Taichung City
406040
Taiwan

Sponsor information

China Medical University
University/education

Department of Sports Medicine
No. 100
Section 1
Jingmao Road
Beitun District
Taichung City
406040
Taiwan

Phone +886 (4) 22052121
Email 038076@tool.caaumed.org.tw
Website https://www.cmu.edu.tw/
ROR logo "ROR" https://ror.org/00v408z34

Funders

Funder type

University/education

China Medical University, Taiwan
Private sector organisation / Universities (academic only)
Alternative name(s)
CMU
Location
Taiwan

Results and Publications

Intention to publish date31/12/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlnned publication in a high-impact-peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from Dr Yu-Lin You (oilfish@mail.cmu.edu.tw) until 04/10/2025. The personal information of all participants will be anonymized by code name.

Editorial Notes

05/09/2024: Study's existence confirmed by the China Medical University Hospital Research Ethics Committee.