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Blood flow restriction training (BFR) with neuromuscular stimulation (NMES) is employed for individuals with limited mobility and joint issues. However, this approach is highly susceptible to muscle fatigue, despite its potential beneficial effects on muscle strength. Recently, there has been growing interest in using low-level laser therapy (LLLT) to address muscle fatigue. LLLT, known for improving microcirculation and mitochondrial function, shows promise in alleviating enhanced muscle fatigue associated with combined BFR and NMES training. Despite these positive effects, there is limited knowledge about the short-term training impact of combined BFR and NMES with LLLT preconditioning. This project aims to investigate whether the photobiomodulation effects of LLLT could further enhance the training benefits of combined BFR and NMES. The study will employ an integrated analysis of decomposition surface EMG, EEG, and mechanomyogram to explore the behavior and neuromuscular mechanisms underlying the training benefits. If additional benefits are identified, LLLT pre-conditioning is recommended to enhance the use of combined BFR and NMES.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LLLT+BFR+NMES | Experimental | LLLT: low-level laser therapy BFR: blood flow restriction NMES:neuromuscular Electrical Stimulation 35 min/time, 3 times/weeks, 3 weeks |
|
| BFR+NMES | Experimental | BFR: blood flow restriction NMES:Neuromuscular Electrical Stimulation 35 min/time, 3 times/weeks, 3 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low Level Laser Therapy | Device | Low-level laser therapy can increase cellular energy production, making it useful as a pre-conditioning treatment to prevent muscle contraction fatigue or as a post-contraction therapy to accelerate fatigue recovery. |
| Measure | Description | Time Frame |
|---|---|---|
| Myoton | Non-dominant hand extensor digitorum muscle belly parameters of static mechanical properties of muscles (Tone, Stiffness, Relaxation, Creep, etc.) | before training, 1week of training, 2 weeks of training, at the end of 3 weeks training |
| Mechanomyogram | Recording of extensor digitorum muscle microshock waves during contraction | before training, 1week of training, 2 weeks of training, at the end of 3 weeks training |
| Multi-electrode surface EMG | Record muscle activity during contraction | before training, at the end of 3 weeks training |
| Dynamometer System | Measurement to track the degree of force applied by a non-dominant hand. | before training, 1week of training, 2 weeks of training, at the end of 3 weeks training |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ing-Shiou Hwang, PhD | Contact | +886 62353535 | 5024 | ensureh@gmail.com |
| Pei-Fen Li, Master | Contact | +886 62353535 | 5024 | abbylee52034@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Ing-Shiou Hwang, PhD | NCKU, Institute of Allied Health Sciences | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Chen Kong University Hospital, Tainan | Recruiting | Tainan | Taiwan |
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| blood flow restriction | Device | Its advantage is that during training, it can surpass the "overload principle," allowing for effective muscle cross-sectional area growth with relatively light weight training (20%-50% of 1RM or 20%-40% of MVC). |
|
| Neuromuscular Electrical Stimulation | Device | It is a strength training method that uses electrical currents to stimulate nerve and muscle activation, helping to maintain muscle mass, increase blood flow, and slow down or prevent muscle atrophy. |
|
| ID | Term |
|---|---|
| D028022 | Low-Level Light Therapy |
| D000090003 | Blood Flow Restriction Therapy |
| ID | Term |
|---|---|
| D053685 | Laser Therapy |
| D013812 | Therapeutics |
| D010789 | Phototherapy |
| D005081 | Exercise Therapy |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D026741 | Physical Therapy Modalities |
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