Effects of physical training with vascular flow restriction during hemodialysis
Keywords:
vascular flow restriction, exercise, rehabilitation, blood flow, dialysis, hemodialysis, quality of life
Abstract
Background: Vascular flow restriction is a novel training method that has been shown to achieve cardiovascular and neuromuscular adaptations similar to those obtained during conventional training; it promises the development of muscle strength and trophism, combining the low intensity loads with partial restriction of blood flow in the muscle. Objective: To analyze evidence on the effectiveness of vascular flow restriction during physical retraining in patients with chronic renal failure with renal function replacement therapy. Methods: Electronic databases were used; PubMed, Cochrane Library, LILACS, PEDro, Science Direct, and Google Scholar. Clinical trials conducted in people receiving dialysis or hemodialysis were included. Texts in both English and Spanish were searched. Results: The search and selection identified five scientific articles and a doctoral thesis, which were evaluated under the criteria of the PEDro scale, three of which measured strength and physical capacity and the remaining two, alterations in dialysis adequacy and hemodynamic parameters. Conclusions: Using this rehabilitation and/or training tool has positive effects clinically similar to those of conventional training with respect to strength and muscle hypertrophy in a wide range of ages and physical states. Both physical function and quality of life showed an improvement, being especially interesting for populations limited physically that cannot benefit from high-intensity training.
References
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17) Picón-Martínez M, Chulvi-Medrano I, Alonso-Aubin DA. Uso del entrenamiento con restricción del flujo sanguíneo en España: un estudio transversal. J Sport Health Res. 2019;11(2):171-86.
18) Araújo Júnior AT de, Cirilo-Sousa MS, Rodrigues Neto G, Poderoso R, Veloso Neto G, Garrido ND, et al. Oxygen uptake and resistance exercise methods: the use of blood flow restriction. Rev Bras Med Esporte. 2018;24(5):343-6. doi: 10.1590/1517-869220182405180336.
19) Evangelista AL, Rica RL, Paulo AC, Vieira RP, Corso SD, Santos Dias A, et al. Acute and subacute effects of resistance training with and without blood flow restriction on muscle thickness and cytokines. Motricidade. 2019;15(1):79-86. doi: 10.6063/motricidade.14910.
20) Días EC, Orcy R, Antunes MF, Kohn R, Rombaldi AJ, Ribeiro L, et al. Intradialytic exercise with blood flow restriction: Something to add to hemodialysis adequacy? Findings from a crossover study. Hemodial Int. 2020;24(1):71-8. doi: 10.1111/hdi.12793.
21) Cardoso RK, Araujo AM, Del Vechio FB, Bohlke M, Barcellos FC, Oses JP, et al. Intradialytic exercise with blood flow restriction is more effective than conventional exercise in improving walking endurance in hemodialysis patients: a randomized controlled trial. Clin Rehabil. 2020;34(1):91-8. doi: 10.1177/0269215519880235.
22) Clarkson MJ, Fraser SF, Bennett PN, McMahon LP, Brumby C, Warmington SA. Efficacy of blood flow restriction exercise during dialysis for end stage kidney disease patients: protocol of a randomised controlled trial. BMC Nephrol. 2017;18(1):294. doi: 10.1186/s12882-017-0713-4.
23) Barbosa JB, Maia TO, Alves PS, Bezerra SD, Moura EC, Medeiros AIC, et al. Does blood flow restriction training increase the diameter of forearm vessels in chronic kidney disease patients? A randomized clinical trial. J Vasc Access. 2018;19(6):626-33. doi: 10.1177/1129729818768179.
24) Clarkson MJ, Brumby C, Fraser SF, McMahon LP, Bennett PN, Warmington SA. Hemodynamic and perceptual responses to blood flow-restricted exercise among patients undergoing dialysis. Am J Physiol Renal Physiol. 2020;318(3):F843-F850. doi: 10.1152/ajprenal.00576.2019.
2) Cobo Sevilla V, Alulema Villacis LJ. Efectividad del entrenamiento del acondicionamiento físico en pacientes que reciben hemodiálisis [Internet]. Repositorio de la Universidad Técnica de Ambato, 2015. Disponible en: https://repositorio.uta.edu.ec/handle/123456789/15858 (consulta: 20/11/2021).
3) Hill NR, Fatoba ST, Oke JL, Hirst JA, O'Callaghan CA, Lasserson DS, et al. Global Prevalence of Chronic Kidney Disease - A Systematic Review and Meta-Analysis. PLoS One. 2016;11(7):e0158765. doi: 10.1371/journal.pone.0158765.
4) González-Bedat MC, Ferreiro Fuentes A, Ceretta ML. Registro Uruguayo de Diálisis. Informe anual 2017. Montevideo: Sociedad Uruguaya de Nefrología, 2019. 78 p.
5) Uruguay. Fondo Nacional de Recursos. Informe anual de diálisis crónica 2018 [Internet]. Montevideo: Unidad Registros Médicos, 2019. Disponible en: http://www.fnr.gub.uy/sites/default/files/estadisticas/ia2018/ia_dial_2018.pdf (consulta: 20/11/2021).
6) Sheng K, Zhang P, Chen L, Cheng J, Wu C, Chen J. Intradialytic exercise in hemodialysis patients: a systematic review and meta-analysis. Am J Nephrol. 2014;40(5):478-90. doi: 10.1159/000368722.
7) Segura Ortí E, Momblanch Amorós MT, Martí Monros A, Martínez JF, Ruescas Nicolau A, Cardo Maza A, et al. Ejercicio de fuerza durante la hemodiálisis: una forma de mejorar la calidad de vida [Internet]. Enferm Nefrol. Disponible en: https://www.revistaseden.org/files/1829_h16.pdf (consulta: 20/11/2021).
8) Hughes L, Paton B, Rosenblatt B, Gissane C, Patterson SD. Blood flow restriction training in clinical musculoskeletal rehabilitation: a systematic review and meta-analysis. Br J Sports Med. 2017;51(13):1003-11. doi: 10.1136/bjsports-2016-097071.
9) Rodrigues Neto G, Silva JCG, Umbelino RKC, Silva HG, Neto EAP, Oliota-Ribeiro LS, et al. Are there differences in auscultatory pulse in total blood flow restriction between positions, limbs and body segments? Rev Bras Cineantropom Desempenho Hum. 2018;20(5):381-90. doi: 10.5007/1980-0037.2018v20n5p381.
10) Granada Jaraba E. Eficacia, seguridad y parámetros relevantes en el entrenamiento de baja intensidad con restricción de flujo sanguíneo: revisión bibliográfica [Tesis]. Academia-e [Repositorio de la Universidad Pública de Navarra], 2018. Disponible en: https://academica-e.unavarra.es/xmlui/handle/2454/28829 (consulta: 20/11/2021).
11) Lencina Bonorino S, de Sá CA, da Silva Corralo V, Michelini Olkoski M, da Silva-Grigoletto ME, Barros Saretto C, et al. Hemodynamic responses to strength exercise with blood flow restriction in small muscle groups. Rev Bras Cineantropom Desempenho Hum. 2019; 21:e56258. doi: 10.5007/1980-0037.2019v21e56258.
12) Bahamondes-Avila C, Lagos J, Bustos L, Alvarez-Castillo J, Berral de la Rosa FJ, Salazar LA. Efectos de un entrenamiento de miembro inferior con restricción parcial del flujo sanguíneo en la fuerza muscular y biomarcadores sistémicos de daño muscular e inflamación. Int J Morphol. 2018;36(4):1210-5. doi: 10.4067/S0717-95022018000401210.
13) Head P, Austen B, Browne D, Campkin T, Barcellona M. Effect of practical blood flow restriction training during bodyweight exercise on muscular strength, hypertrophy and function in adults: a randomised controlled trial. Int J Ther Rehabil. 2015;22(6):263-4. doi: 10.12968/ijtr.2015.22.6.263.
14) Cook SB, Cleary CJ. Progression of blood flow restricted resistance training in older adults at risk of mobility limitations. Front Physiol. 2019;10:738. doi: 10.3389/fphys.2019.00738.
15) Fuquen Rivas DA, Gracia Díaz AJ. Revisión teórica del entrenamiento con restricción del flujo sanguíneo hacia la hipertrofia y fuerza muscular. Rev Actividad Fis Deporte. 2019;5(2):142-70. doi: 10.31910/rdafd.v5.n2.2019.1264.
16) Tegtbur U, Haufe S, Busse MW. Anwendung und Effekte des "blood flow restriction training". Unfallchirurg. 2020;123:170-5. doi: 10.1007/s00113-020-00774-x.
17) Picón-Martínez M, Chulvi-Medrano I, Alonso-Aubin DA. Uso del entrenamiento con restricción del flujo sanguíneo en España: un estudio transversal. J Sport Health Res. 2019;11(2):171-86.
18) Araújo Júnior AT de, Cirilo-Sousa MS, Rodrigues Neto G, Poderoso R, Veloso Neto G, Garrido ND, et al. Oxygen uptake and resistance exercise methods: the use of blood flow restriction. Rev Bras Med Esporte. 2018;24(5):343-6. doi: 10.1590/1517-869220182405180336.
19) Evangelista AL, Rica RL, Paulo AC, Vieira RP, Corso SD, Santos Dias A, et al. Acute and subacute effects of resistance training with and without blood flow restriction on muscle thickness and cytokines. Motricidade. 2019;15(1):79-86. doi: 10.6063/motricidade.14910.
20) Días EC, Orcy R, Antunes MF, Kohn R, Rombaldi AJ, Ribeiro L, et al. Intradialytic exercise with blood flow restriction: Something to add to hemodialysis adequacy? Findings from a crossover study. Hemodial Int. 2020;24(1):71-8. doi: 10.1111/hdi.12793.
21) Cardoso RK, Araujo AM, Del Vechio FB, Bohlke M, Barcellos FC, Oses JP, et al. Intradialytic exercise with blood flow restriction is more effective than conventional exercise in improving walking endurance in hemodialysis patients: a randomized controlled trial. Clin Rehabil. 2020;34(1):91-8. doi: 10.1177/0269215519880235.
22) Clarkson MJ, Fraser SF, Bennett PN, McMahon LP, Brumby C, Warmington SA. Efficacy of blood flow restriction exercise during dialysis for end stage kidney disease patients: protocol of a randomised controlled trial. BMC Nephrol. 2017;18(1):294. doi: 10.1186/s12882-017-0713-4.
23) Barbosa JB, Maia TO, Alves PS, Bezerra SD, Moura EC, Medeiros AIC, et al. Does blood flow restriction training increase the diameter of forearm vessels in chronic kidney disease patients? A randomized clinical trial. J Vasc Access. 2018;19(6):626-33. doi: 10.1177/1129729818768179.
24) Clarkson MJ, Brumby C, Fraser SF, McMahon LP, Bennett PN, Warmington SA. Hemodynamic and perceptual responses to blood flow-restricted exercise among patients undergoing dialysis. Am J Physiol Renal Physiol. 2020;318(3):F843-F850. doi: 10.1152/ajprenal.00576.2019.
Published
2022-03-14
How to Cite
1.
Allison Almanza, Giusiano P, Natalia N, Brites P, Gómez J, Peláez A. Effects of physical training with vascular flow restriction during hemodialysis. Rev Nefrol Dial Traspl. [Internet]. 2022Mar.14 [cited 2024Jul.27];42(1):11-. Available from: http://revistarenal.org.ar/index.php/rndt/article/view/753
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