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间歇性气动加压对运动员血液动力学影响的双盲随机交叉研究。

Hemodynamic Effects of Intermittent Pneumatic Compression on Athletes: A Double-Blinded Randomized Crossover Study.

机构信息

Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), University of Maia, Maia, Portugal.

Angiology and Vascular Surgery Unit, Hospital Center of Vila Nova de Gaia e Espinho, Vila Nova de Gaia, Portugal.

出版信息

Int J Sports Physiol Perform. 2024 Jul 23;19(9):932-938. doi: 10.1123/ijspp.2024-0017. Print 2024 Sep 1.

Abstract

PURPOSE

There are multiple postexercise recovery technologies available in the market based on the assumption of blood-flow enhancement. Lower-limb intermittent pneumatic compression (IPC) has been widely used, but the available scientific evidence supporting its effectiveness remains scarce, requiring a deeper investigation into its underlying mechanisms. The aim of this study was to assess the hemodynamic effects caused by the use of IPC at rest.

METHODS

Twenty-two soccer and track and field athletes underwent two 15-minute IPC protocols (moderate- [80 mm Hg] and high-pressure [200 mm Hg]) in a randomized order. Systolic peak velocity, end-diastolic peak velocity, arterial diameter, and heart rate were measured before, during (at the eighth minute), and 2 minutes after each IPC protocol.

RESULTS

Significant effects were observed between before and during (eighth minute) the IPC protocol for measures of systolic (P < .001) and end-diastolic peak velocities (P < .001), with the greater effects observed during the high-pressure protocol. Moreover, 2 minutes after each IPC protocol, hemodynamic variables returned to values close to baseline. Arterial diameter presented significant differences between pressures during the IPC protocols (P < .05), while heart rate remained unaltered.

CONCLUSION

IPC effectively enhances transitory blood flow of athletes, particularly when applying high-pressure protocols.

摘要

目的

市场上有多种基于血流增强假设的运动后恢复技术。下肢间歇性气动压缩(IPC)已被广泛应用,但支持其有效性的现有科学证据仍然很少,需要更深入地研究其潜在机制。本研究旨在评估在休息时使用 IPC 引起的血液动力学效应。

方法

22 名足球和田径运动员以随机顺序先后进行了两次 15 分钟的 IPC 方案(中压[80mmHg]和高压[200mmHg])。在每个 IPC 方案之前、期间(第 8 分钟)和之后 2 分钟测量收缩期峰值速度、舒张末期峰值速度、动脉直径和心率。

结果

IPC 方案期间(第 8 分钟)与之前的收缩期(P<.001)和舒张末期峰值速度(P<.001)测量值之间存在显著差异,高压方案的影响更大。此外,在每个 IPC 方案结束后 2 分钟,血流动力学变量恢复到接近基线的值。IPC 方案期间动脉直径在压力之间存在显著差异(P<.05),而心率保持不变。

结论

IPC 有效地增强了运动员的短暂血流,特别是在应用高压方案时。

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