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August 26, 2021Experimental PhysiologyOpen Access

Comparison of skeletal muscle ultrastructural changes between normal and blood flow‐restricted resistance exercise: A case report

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Key result

Blood flow-restricted resistance exercise increased sarcomere length (1.769 vs 1.64 μm; P<0.001) and caused aberrant wave-like myofibril appearance compared to normal resistance exercise.

Why the study?

The acute effects of blood flow-restricted exercise training on skeletal muscle ultrastructure are poorly understood due to inconsistent findings and reliance on imprecise systemic markers of muscle damage.

Does blood flow-restricted resistance exercise alter skeletal muscle ultrastructure compared to normal resistance exercise in a healthy male?

Population

1 apparently healthy male with 13 years of resistance exercise

Comparison

BFR unilateral leg press (30% 1-RM) vs normal non-occluded leg press (70% 1-RM)

Design

Case report

Follow-up

30 min

Authors

DWDylan T. WilburnThe University of Texas Southwestern Medical CenterSMSteven B. MachekCalifornia State University SystemBZBernd ZechmannBaylor University

Discussion

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Implication

Alerts clinicians to possible novel muscle changes with blood flow restriction; hypothesis-generating and should not alter practice.

Study Design

Type

Case Report (n=1)

Structured PICO

Does blood flow-restricted resistance exercise alter skeletal muscle ultrastructure compared to normal resistance exercise in a healthy male?

P
Population
One apparently healthy male with 13 years of resistance exercise experience who completed unilateral angled leg press.
I
Intervention
Six sets of blood flow-restricted (BFR) resistance exercise (30% of 1-RM) unilateral angled leg press
C
Comparator
Six sets of normal non-occluded resistance exercise (70% of 1-RM) unilateral angled leg press on the contralateral leg
O
Outcome
Myofibrillar ultrastructure (sarcomere length, width, and sarcoplasmic area) assessed via transmission electron microscopy before and 30 min after exercisesurrogate

Main Result

Absolute Event Rate: 1.769% vs 1.64%

p-value: p=<0.001

Blood flow-restricted exercise induces unique wave-like alterations in myofibril ultrastructure and increased sarcomere length compared to normal resistance exercise.

Cite This Study

Wilburn et al. (2021) conducted a case report in Healthy (n=1). Blood flow-restricted (BFR) resistance exercise vs. Normal non-occluded resistance exercise (70% of 1-RM) was evaluated on Sarcomere length (p=<0.001). Blood flow-restricted resistance exercise increased sarcomere length (1.769 vs 1.64 μm; P<0.001) and caused aberrant wave-like myofibril appearance compared to normal resistance exercise.

synapsesocial.com/papers/6a63af5ecd7899abd6b72512https://doi.org/10.1113/ep089858
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Expression of aquaporin-4 in fast-twitch fibers of mammalian skeletal muscle.1998 · 191 citations
  2. 2Resistance exercise initiates mechanistic target of rapamycin (mTOR) translocation and protein complex co-localisation in human skeletal muscle2017 · 123 citations
  3. 3Cancer-induced muscle wasting: latest findings in prevention and treatment2017 · 217 citations
  4. 4Blood flow restricted training leads to myocellular macrophage infiltration and upregulation of heat shock proteins, but no apparent muscle damage2017 · 84 citations