The Academic Department of Military Rehabilitation (ADMR) is currently conducting a pan-defence, randomised control trial (RCT) investigating the utility of twice daily blood flow restriction training in UK military personnel with persistent knee pain (NCT05719922). Due to logistical confinements, this pan-defence RCT is confined to collecting outcome data pre and post-intervention. Therefore, the acute physiological mechanisms which underpin adaptation will remain unknown. Consequently, ADMR is undertaking an additional, single centre RCT which will compare the acute physiological responses to low load resistance training with and without the addition of blood flow restriction. Specifically, this study will elucidate the effect of twice daily blood flow restriction training on measures of muscle swelling, muscle damage and inflammation. This data may aid in the optimisation of blood flow restriction exercise prescription within UK Defence Rehabilitation and elsewhere.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
18
The intervention involves placing a pneumatic tourniquet system over the proximal thigh. The cuff is inflated to 80% of limb occlusion pressure during lower limb strengthening exercises. These exercises include leg press and knee extensor exercises. Four sets (30,15,15,15 repetitions) performed at 20% of one repetition maximum.
Leg press and knee extensor exercises. Four sets (30,15,15,15 repetitions) performed at 20% of one repetition maximum.
Defence Medical Rehabilitation Centre
Loughborough, United Kingdom
RECRUITINGMaximum isometric voluntary contraction of knee extensor muscles
Measured using an isokinetic dynamometer
Time frame: Measures collected in the morning on day 1,2,3,4,5,8. Measures also performed immediately before and 30 seconds after exercise on day 1 and 4
Vastus lateralis muscle thickness
Measured using B-Mode ultrasound
Time frame: Measures collected in the morning on day 1,2,3,4,5,8. Measures also performed before, 3 min after and 4 hours after exercise on day 1 and 4
Venous blood sampling for markers of exercise induced muscle damage
Venous blood samples to measure markers of exercise induced muscle damage. E.g., Creatine Kinase (units/L)
Time frame: Measures collected in the morning on day 1,2,4,5,8. Measures also performed before, 10 min after and 4 hours after exercise on day 1
Delayed onset muscle soreness
Measured using a 100 mm visual analog scale. A higher score indicates greater levels of muscle soreness.
Time frame: Measures collected in the morning on day 1,2,3,4,5,8
Quadriceps discomfort
Measured immediately after each exercise session using a 100 mm visual analog scale. A higher score indicates greater levels of discomfort.
Time frame: Measured immediately after each exercise session
Discomfort caused by the BFR cuff
Measured in the intervention group immediately after each exercise session using a 100 mm visual analog scale. A higher score indicates greater levels of discomfort.
Time frame: Measured immediately after each exercise session
Rating of perceived exertion
Measured using a Borg 0-10 rating of perceived exertion scale. A higher score represents greater levels of exertion.
Time frame: Measured immediately after each exercise session
Knee joint range of motion
measured using a goniometer
Time frame: Measures collected in the morning on day 1,2,3,4,5,8
Daily wellness questionnaire
UK Defence Rehabilitation daily wellness questionnaire. This questionnaire asks participants to rate their: fatigue, muscle soreness, sleep quality, stress levels and mood on a 1-5 Likert scale.
Time frame: Measures collected in the morning on day 1,2,3,4,5,8
Venous blood sampling for inflammatory markers
Venous blood samples to measure markers of inflammation. E.g., Interleukin-6 (pg/ml), Tumour necrosis factor alpha (pg/mL) and vascular endothelial growth factor (pg/mL).
Time frame: Measures collected in the morning on day 1,2,4,5,8. Measures also performed before, 10 min after and 4 hours after exercise on day 1
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