Department of Orthopaedic Surgery, The University of Michigan, Ann Arbor, Michigan, USA.
Steindler Orthopedic Clinic, Iowa City, Iowa, USA.
Am J Sports Med. 2020 Oct;48(12):3112-3120. doi: 10.1177/0363546520901539. Epub 2020 Feb 11.
The competitive environment of athletics has promoted the exploration of any technology application that may offer an edge with performance and recovery from injury. Ischemic therapy is one such technology that has rapidly been incorporated into training rooms and physical therapy clinics worldwide. This therapy modality is reported to increase an athlete's ability to improve muscle mass, strength, and endurance.
To provide the sports medicine physician with an understanding of the current state of ischemic therapy technology, including treatment specifications, known physiological effects, hypothesized mechanisms, biochemical effects, athletic applications, medical applications, animal models, and future research recommendations.
Literature review.
A computer-based search of the PubMed database was used to perform a comprehensive literature review on musculoskeletal ischemic therapy.
The current research on ischemic therapy is largely composed of case series with varying equipment, methods, and therapy specifications. The publication of case series has value in identifying this technology for future research, but the results of these studies should not be justification for application to athletes without validation of safety and effectiveness.
To date, ischemic therapy remains unvalidated, and the mechanism by which it improves muscle performance is not clear.
竞技体育的竞争环境促使人们探索任何可能具有性能优势和促进伤病康复的技术应用。缺血性治疗就是这样一种技术，它已迅速在全球的训练室和物理治疗诊所中得到应用。这种治疗方式据称可以提高运动员增加肌肉质量、力量和耐力的能力。
为运动医学医生提供对缺血性治疗技术的现状的理解，包括治疗规范、已知的生理效应、假设的机制、生化效应、运动应用、医学应用、动物模型以及未来的研究建议。
文献回顾。
使用基于计算机的 PubMed 数据库搜索对肌肉骨骼缺血性治疗进行全面的文献回顾。
目前关于缺血性治疗的研究主要由设备、方法和治疗规范各异的病例系列组成。病例系列的发表对于未来的研究具有识别这种技术的价值，但这些研究的结果不应成为在没有安全性和有效性验证的情况下将其应用于运动员的理由。
迄今为止，缺血性治疗仍然未经证实，其改善肌肉性能的机制尚不清楚。
