Vehrs Pat R, Richards Shay, Allen Joshua, Barrett Rachel, Burbank Tyler, Lacey Ryan B, Nielsen Josh R, Fellingham Gilbert W
Department of Exercise Sciences, Brigham Young University, Provo, UT, USA.
Department of Statistics, Brigham Young University, Provo, UT, USA.
J Sport Rehabil. 2025 May 9;34(7):780-784. doi: 10.1123/jsr.2024-0169. Print 2025 Sep 1.
It is recommended that arterial occlusion pressure (AOP) should be measured prior to the use of blood flow restriction training. Previous studies have not compared measures of AOP when using 2 methods of cuff inflation commonly reported in the literature.
A cross-sectional observational study was used to compare the measurement of brachial artery AOP as measured using pulse wave Doppler ultrasound (PWDOP) and continuous wave Doppler ultrasound (CWDOP) devices when inflating the cuff with a research/clinical-grade Hokanson (HOK) rapid cuff inflation system and manually (MAN) with a hand pump and gauge.
We made simultaneous measures of brachial artery AOP in 20 males and 21 females using PWDOP and CWDOP devices when using HOK and MAN cuff inflation methods. Data were analyzed with a linear mixed model analysis of variance and Bland-Altman plots.
There was not a significant main effect for the overall differences in AOP as measured using PWDOP (121.7 ± 14.7 mmHg) and CWDOP (121.3 ± 14.5 mmHg; P = .3641). There was a significant overall main effect for AOP measured using the HOK (122.7 ± 14.6 mmHg) and MAN (120.3 ± 14.6 mmHg) cuff inflation methods (P < .0001) and between males (128.2 ± 13.7 mmHg) and females (115.2 ± 12.5 mmHg; P = .0034). Bland-Altman plots revealed minimal bias and reasonable limits of agreement between PWDOP and CWDOP measures of AOP when using HOK (0.8 mmHg; 95% CI, -4.7 to 3.0 mmHg) and MAN (0.4 mmHg; 95% CI, -5.3 to 4.5 mmHg) cuff inflation methods.
The cessation of an audible pulse using CWDOP is in agreement with the complete obstruction of the arterial blood flow observed using PWDOP. Although statistically significant, small differences in PWDOP and CWDOP measures of AOP when using HOK and MAN cuff inflation methods are of little practical significance. A hand-held CWDOP device and a handpump/gauge can be used to measure AOP.
建议在使用血流限制训练之前测量动脉闭塞压（AOP）。以往的研究尚未比较文献中常见的两种袖带充气方法下的AOP测量值。
采用横断面观察性研究，比较使用研究/临床级别的霍坎森（HOK）快速袖带充气系统和手动（MAN）使用手动泵和压力计给袖带充气时，通过脉冲波多普勒超声（PWDOP）和连续波多普勒超声（CWDOP）设备测量肱动脉AOP的情况。
我们在20名男性和21名女性中，使用PWDOP和CWDOP设备，分别采用HOK和MAN袖带充气方法，同时测量肱动脉AOP。数据采用线性混合模型方差分析和布兰德-奥特曼图进行分析。
使用PWDOP（121.7±14.7mmHg）和CWDOP（121.3±14.5mmHg；P = 0.3641）测量的AOP总体差异无显著主效应。使用HOK（122.7±14.6mmHg）和MAN（120.3±14.6mmHg）袖带充气方法测量的AOP存在显著的总体主效应（P < 0.0001），男性（128.2±13.7mmHg）和女性（115.2±12.5mmHg；P = 0.0034）之间也存在显著差异。布兰德-奥特曼图显示，使用HOK（0.8mmHg；95%CI，-4.7至3.0mmHg）和MAN（0.4mmHg；95%CI，-5.3至4.5mmHg）袖带充气方法时，PWDOP和CWDOP测量的AOP之间偏差极小，一致性界限合理。
使用CWDOP时可闻脉搏的停止与使用PWDOP观察到的动脉血流完全阻塞一致。虽然在统计学上有显著差异，但使用HOK和MAN袖带充气方法时，PWDOP和CWDOP测量的AOP的微小差异实际意义不大。手持式CWDOP设备和手动泵/压力计可用于测量AOP。
