Ptaszek Bartłomiej, Podsiadło Szymon, Czerwińska-Ledwig Olga, Zając Bartosz, Niżankowski Rafał, Mika Piotr, Teległów Aneta
Institute of Applied Sciences, University of Physical Education in Krakow, 31-571 Krakow, Poland.
Institute of Clinical Rehabilitation, University of Physical Education in Krakow, 31-571 Krakow, Poland.
J Clin Med. 2023 Dec 12;12(24):7636. doi: 10.3390/jcm12247636.
There is increasing evidence to support the use of interval training and/or low-impact blood flow restriction exercises in musculoskeletal rehabilitation. The aim of the study was to assess the effect of interval training combined with occlusion and cooling in terms of changes in selected blood parameters affecting the development and progression of atherosclerosis of the lower limbs, as well as selected parameters of muscle metabolism and oxidative stress affecting the growth of muscle mass and regeneration after training.
The study included 30 young, healthy and untrained people. The VASPER (Vascular Performance) training system was used-High-Intensity Interval Training with the simultaneous use of occlusion and local cryotherapy. Blood from the project participants was collected six times (2 weeks before the start of training, on the day of training, after the first training, after the 10th training, after the 20th training and two weeks after the end of training). The subjects were randomly divided into three groups: exercises only (controlled), with occlusion and with occlusion and local cryotherapy.
Statistical analysis of changes in the average values of indicators in all study groups showed a significant change increase due to the time of testing IGF-1 (F = 2.37, = 0.04), XOD (F = 14.26, = 0.00), D-Dimer (F = 2.90, = 0.02), and decrease in MDA (F = 7.14, = 0.00), T-AOC (F = 11.17, = 0.00), PT Quick (F = 26.37, = 0.00), INR (F = 8.79, = 0.00), TT (F = 3.81, = 0.00). The most pronounced changes were observed in the occlusion and cooling group.
Both interval training without and with the modifications used in the study influences coagulation and oxidative stress parameters and, to a small extent, muscle metabolism. It seems reasonable to use occlusion and local cryotherapy in combination with occlusion.
越来越多的证据支持在肌肉骨骼康复中使用间歇训练和/或低冲击血流限制运动。本研究的目的是评估间歇训练结合闭塞和冷却对影响下肢动脉粥样硬化发展和进程的选定血液参数变化的影响,以及对影响肌肉质量增长和训练后再生的肌肉代谢和氧化应激选定参数的影响。
该研究纳入了30名年轻、健康且未经训练的人。使用了VASPER(血管性能)训练系统——高强度间歇训练,同时使用闭塞和局部冷冻疗法。在项目参与者训练开始前2周、训练当天、首次训练后、第10次训练后、第20次训练后以及训练结束后两周共采集6次血液样本。受试者被随机分为三组:仅运动组(对照组)、使用闭塞组和使用闭塞及局部冷冻疗法组。
对所有研究组指标平均值变化的统计分析表明,由于检测时间的原因,IGF-1(F = 2.37,P = 0.04)、XOD(F = 14.26,P = 0.00)、D-二聚体(F = 2.90,P = 0.02)显著升高,而MDA(F = 7.14,P = 0.00)、总抗氧化能力(T-AOC,F = 11.17,P = 0.00)、凝血酶原时间(PT Quick,F = 26.37,P = 0.00)、国际标准化比值(INR,F = 8.79,P = 0.00)、凝血酶时间(TT,F = 3.81,P = 0.00)显著降低。在闭塞和冷却组中观察到的变化最为明显。
无论是未使用本研究中所采用改良方法的间歇训练,还是使用了改良方法的间歇训练,都会影响凝血和氧化应激参数,并在一定程度上影响肌肉代谢。将闭塞与局部冷冻疗法结合使用似乎是合理的。