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血流限制的生理学概述及临床考量

An Overview of Blood Flow Restriction Physiology and Clinical Considerations.

作者信息

Martin Peter Mitchell, Bart Ryan M, Ashley Robert L, Velasco Teonette, Wise Sean R

机构信息

National Capital Consortium Military Sports Medicine Fellowship, Fort Belvoir Community Hospital, Fort Belvoir, VA.

The Geneva Foundation, National Capital Region, Bethesda, MD.

出版信息

Curr Sports Med Rep. 2022 Apr 1;21(4):123-128. doi: 10.1249/JSR.0000000000000948.

DOI:10.1249/JSR.0000000000000948
PMID:35394953
Abstract

The utilization of blood flow restriction has garnished considerable attention due to its widespread application and benefits that include strength enhancement, muscle hypertrophy, and increased level of function for specific populations. Blood flow restriction induces a hypoxic environment within a muscle group, initiating a metabolic cascade that stimulates muscle protein synthesis, altered gene regulation of muscle satellite cells, and increased muscle fiber recruitment, ultimately resulting in improved strength and endurance. When using blood flow restriction, consideration of the individual patient, occlusion pressure, cuff width, and cuff size are paramount. Blood flow restriction has been proven to be a consistently safe and effective tool for augmenting rehabilitative regimens for the upper and lower extremity.

摘要

由于血流限制的广泛应用及其带来的益处,包括增强力量、肌肉肥大以及提高特定人群的功能水平,它已受到相当多的关注。血流限制会在肌肉群内诱导缺氧环境,引发代谢级联反应,刺激肌肉蛋白质合成、改变肌肉卫星细胞的基因调控并增加肌纤维募集,最终导致力量和耐力的提高。在使用血流限制时,考虑个体患者、闭塞压力、袖带宽度和袖带尺寸至关重要。事实证明,血流限制是增强上肢和下肢康复方案的一种始终安全有效的工具。

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1
An Overview of Blood Flow Restriction Physiology and Clinical Considerations.血流限制的生理学概述及临床考量
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2
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A mechanistic approach to blood flow occlusion.血流阻断的机械方法。
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引用本文的文献

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Effects of blood flow restriction combined with high-load training on muscle strength and sports performance in athletes: a systematic review and meta-analysis.血流限制联合高负荷训练对运动员肌肉力量和运动表现的影响:一项系统评价与荟萃分析
Front Physiol. 2025 Jul 2;16:1603568. doi: 10.3389/fphys.2025.1603568. eCollection 2025.
2
Insights on the User Experience and Feasibility of an Electromyography-Driven Exergame Combined With Blood Flow Restriction for Strength Training in Hospitalized Older Adults: Mixed Methods Randomized Controlled Feasibility Study.住院老年人肌电图驱动的健身游戏结合血流限制进行力量训练的用户体验与可行性见解:混合方法随机对照可行性研究
JMIR Serious Games. 2025 Jun 10;13:e69400. doi: 10.2196/69400.
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The role of resistance exercise-induced local metabolic stress in mediating systemic health and functional adaptations: could condensed training volume unlock greater benefits beyond time efficiency?
抗阻运动诱导的局部代谢应激在介导全身健康和功能适应中的作用:浓缩训练量能否在提高时间效率之外带来更大益处?
Front Physiol. 2025 Apr 17;16:1549609. doi: 10.3389/fphys.2025.1549609. eCollection 2025.
4
The Effect of Blood Flow Restriction during Low-Load Resistance Training Unit on Knee Flexor Muscle Fatigue in Recreational Athletes: A Randomized Double-Blinded Placebo-Controlled Pilot Study.低负荷抗阻训练单元中血流限制对业余运动员膝屈肌疲劳的影响:一项随机双盲安慰剂对照试验性研究
J Clin Med. 2024 Sep 13;13(18):5444. doi: 10.3390/jcm13185444.
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[Blood flow restriction training (BFRT) in patients before and after total knee arthroplasty].全膝关节置换术前后患者的血流限制训练(BFRT)
Orthopadie (Heidelb). 2024 Nov;53(11):853-857. doi: 10.1007/s00132-024-04543-1. Epub 2024 Aug 9.
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Effects of blood flow restriction training on physical fitness among athletes: a systematic review and meta-analysis.血流限制训练对运动员身体素质的影响:系统评价和荟萃分析。
Sci Rep. 2024 Jul 18;14(1):16615. doi: 10.1038/s41598-024-67181-9.
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Daily blood flow restriction does not preserve muscle mass and strength during 2 weeks of bed rest.在为期两周的卧床休息期间,每日进行血流限制并不能维持肌肉质量和力量。
J Physiol. 2024 Feb 27. doi: 10.1113/JP286065.
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Low-intensity resistance exercise with blood flow restriction for patients with claudication: A randomized controlled feasibility trial.伴有血流限制的低强度抗阻运动治疗跛行患者:一项随机对照可行性试验。
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The molecular athlete: exercise physiology from mechanisms to medals.分子运动员:从机制到奖牌的运动生理学。
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