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This study aims to analyze the effects of an 8-week strength training program combining different exercise intensities and blood flow restriction (BFR) conditions on safety, tolerability, muscle adaptations, and physical performance variables. Three training modalities will be compared: 1) high-intensity exercise with BFR therapy; 2) low-intensity exercise with BFR therapy; and 3) high-intensity exercise without BFR therapy. All groups will perform the same exercise modality, differing only in intensity and the application of BFR.
Participants will be randomly assigned to one of the three groups and will undergo a 8-week intervention. The variables of interest will be assessed in each group for subsequent analysis and comparison.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High-intensity exercise with blood occlusion | Experimental | Sixteen sessions of exercise during 8 weeks, 70% repetition maximum, and 50% blood occlusion |
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| Low-intensity exercise with blood occlusion | Active Comparator | Sixteen sessions of exercise during 8 weeks, 30% repetition maximum, and 50% blood occlusion |
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| High-intensity exercise without blood occlusion | Active Comparator | Sixteen sessions of exercise during 8 weeks, 70% repetition maximum, without blood occlusion |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High-intensity exercise with BFR | Device | Three exercises: external rotation at 0°, internal rotation at 0° and elevation in the scapular plane. 4 sets (30, 15, 15, reps to fatigue) with a intensity of 70% RM and a 50% of arterial occlusion pressure. 30" rest between sets, 2' rest between exercises. |
| Measure | Description | Time Frame |
|---|---|---|
| Isometric rotator cuff strength | Isometric rotator cuff strength measured with a dynamometer | Baseline, 4 weeks and 8 weeks |
| Rate of perceived exertion | Rate of perceived exertion (RPE) measured using the Borg scale (0-10) | Periprocedural |
| Perceived tolerance | Participant tolerance to the training protocol will be assessed at the end of the intervention using a 5-point Likert scale, ranging from very well tolerated (5), well tolerated (4), neutral (3), poorly tolerated (2), to very poorly tolerated (1). | 8 weeks |
| Occurrence of adverse effects | Occurrence of adverse effects (e.g., pain, delayed onset muscle soreness, sudden weakness of the trained limb, redness or swelling of the trained limb, etc.) by self-report | Immediately after the intervention, 1 hour, 6 hours, 24 hours, 1 week |
| Surface electromyography | Surface electromyography for the study of muscle recruitment (middle deltoid, infraspinatus, teres minor and trapezius muscles) | Periprocedural |
| Muscle Thickness | Muscle thickness of the deltoid, biceps brachii, infraspinatus, supraspinatus and subescapularis will be assessed using ultrasound imaging | Baseline, 4 weeks, 8 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Adrian Escriche-Escuder, PhD | Contact | +34 963 98 38 55 | adrian.escriche@uv.es |
| Name | Affiliation | Role |
|---|---|---|
| Adrian Escriche-Escuder, PhD | University of Valencia | Principal Investigator |
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The data that support the findings of this study will be available from the corresponding author upon reasonable request.
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Low-intensity exercise with BFR | Device | Three exercises: external rotation at 0°, internal rotation at 0° and elevation in the scapular plane. 4 sets (30, 15, 15, reps to fatigue) with a intensity of 30% RM and a 50% of arterial occlusion pressure. 30" rest between sets, 2' rest between exercises. |
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| High-intensity exercise without BFR | Procedure | Three exercises: external rotation at 0°, internal rotation at 0° and elevation in the scapular plane. 4 sets (30, 15, 15, reps to fatigue) with a intensity of 70% RM and a without flow restriction application (cuff applied without pressure). 30" rest between sets, 2' rest between exercises. |
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