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What are the non-localized effects of the blood flow restriction training: a scoping review

(2022)

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Abstract
Background: blood flow restriction training is a strengthening method that uses the principle of placing a tourniquet around the proximal part of a limb. In this way, similar increase in strength and muscle hypertrophy distal to the tourniquet could occur with lower loads than classical resistance training. But several studies reported effects on non-restricted areas. Objectives: map all possible remote effects reported with the blood flow restriction training with the aims to have a more comprehensive overview of the different effects of the blood flow restriction training and identify gaps in current research. Data sources: we searched through the following scientific databases: PubMed, Scopus, Embase. Grey literature was screened by searching on Google Scholar and through several websites: national institute for health, sport associations, national physiotherapy associations, research, and clinical trials registers. Synthesis method: all relevant data were charted on different tables. Results: 27 papers were included in this scoping review. 24 papers are randomized controlled studies, 1 systematic review, 1 meta-analysis and 1 PhD Thesis. Conclusion: this scoping review highlights the beneficial effects of this training on muscles located upstream of the tourniquets, on muscles located on another non-occluded limb, on aerobic and anaerobic performance, on whole-body composition and on blood homeostasis. However, further research is needed to develop optimal protocols.