Huang Junzhen, Park Hun-Young
Department of Sports Medicine and Science, Graduate School, Konkuk University, Seoul, Republic of Korea.
Physical Activity and Performance Institute (PAPI), Konkuk University, Seoul, Republic of Korea.
Phys Act Nutr. 2024 Mar;28(1):7-19. doi: 10.20463/pan.2024.0002. Epub 2024 Mar 31.
This study evaluated the effects of blood flow restriction with low-intensity resistance training (BFR + LIRT) on pain, adverse events, muscle strength, and function in patients with osteoarthritis (OA) and rheumatoid arthritis (RA) through a systematic review and meta-analysis.
This study adhered to the guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analyses 2020 (PRISMA 2020) and applied the A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR2) standards to ensure the high quality of the systematic review. A comprehensive literature search was conducted until August 2023 using four selected keywords (osteoarthritis, rheumatoid arthritis, blood flow restriction training, and resistance training) across five search engines (PubMed, Embase, Web of Science, CENTRAL, and PEDro).
Ten studies were analyzed. The results showed that BFR + LIRT had similar effects on pain, risk of adverse events, muscle strength, self-reported function, and physical function compared with resistance training (RT).
This systematic review and meta-analysis further support the potential of BFR + LIRT in the disease management of patients with OA or RA. According to this analysis, BFR + LIRT had a lower risk of adverse events than high-intensity resistance training (HIRT) and may be a safer training modality. BFR + LIRT offers greater advantages in improving physical function than LIRT and was able to provide similar benefits to HIRT without increasing the training load. These findings suggest that BFR + LIRT is a safe and effective strategy for treating patients with OA or RA. However, owing to the limited number of studies covered in this analysis, additional higher-quality studies are needed to strengthen this conclusion.
本研究通过系统评价和荟萃分析，评估低强度抗阻训练结合血流限制（BFR + LIRT）对骨关节炎（OA）和类风湿关节炎（RA）患者疼痛、不良事件、肌肉力量及功能的影响。
本研究遵循《系统评价与荟萃分析报告规范2020》（PRISMA 2020）的指南，并应用《系统评价评估测量工具2》（AMSTAR2）标准以确保系统评价的高质量。使用四个选定关键词（骨关节炎、类风湿关节炎、血流限制训练和抗阻训练），在五个搜索引擎（PubMed、Embase、科学网、CENTRAL和PEDro）上进行全面的文献检索，直至2023年8月。
对10项研究进行了分析。结果显示，与抗阻训练（RT）相比，BFR + LIRT在疼痛、不良事件风险、肌肉力量、自我报告的功能和身体功能方面具有相似的效果。
本系统评价和荟萃分析进一步支持了BFR + LIRT在OA或RA患者疾病管理中的潜力。根据该分析，BFR + LIRT的不良事件风险低于高强度抗阻训练（HIRT），可能是一种更安全的训练方式。与低强度抗阻训练（LIRT）相比，BFR + LIRT在改善身体功能方面具有更大优势，并且能够在不增加训练负荷的情况下提供与HIRT相似的益处。这些发现表明，BFR + LIRT是治疗OA或RA患者的一种安全有效的策略。然而，由于本分析涵盖的研究数量有限，需要更多高质量的研究来强化这一结论。
