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Allois R, Pagliaro P, Leonardo E, Roatta S. Effects of ischemic pre-conditioning on electrically stimulated contractions. Eur J Appl Physiol 2024:10.1007/s00421-024-05577-1. [PMID: 39168899 DOI: 10.1007/s00421-024-05577-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Accepted: 08/13/2024] [Indexed: 08/23/2024]
Abstract
PURPOSE Ischemic pre-conditioning (IPC) offers protection against future ischemic events and may improve sports performance due to several mechanisms at local and systemic levels. This study investigates the local effects on muscle contractility in electrically induced muscle contractions, thus effectively excluding any uncontrolled change in the motor drive. METHODS Twenty-one subjects were divided into two groups: 12 subjects in the IPC group (3 × 5/5 min right arm ischemia/reperfusion; cuff pressure 250 mmHg) and 9 subjects in the SHAM group (same treatment at 20 mmHg). The adductor pollicis was contracted by supramaximal stimulation of the ulnar nerve with single pulses, trains of stimuli (5, 8, 10 and 12 Hz, 1-s duration) and bursts (4 pulses, 25 Hz), all separated by 5-s intervals. The stimulation sequence was delivered before and 15 and 30 min after IPC/SHAM treatment. The isometric contraction force, the superficial electromyographic signal, and tissue oxygenation were continuously monitored. RESULTS A significant force decrease in time was observed at 8, 10 (p < 0.01) and 12 Hz (p < 0.05) along with a decrease in half-relaxation time in single twitches and bursts (p = 0.01), regardless of treatment. This general time-related weakening was more marked in IPC than SHAM at 5-Hz stimulation. No effects were observed on the magnitude of the superficial electromyographic signal. CONCLUSION Data indicate that IPC does not increase muscle force during electrically stimulated contractions, supporting the idea that IPC's ergogenic effects are not due to increased muscle contractility.
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Affiliation(s)
- Ruben Allois
- Laboratory of Integrative Physiology, Department of Neuroscience, University of Torino, c.so Raffaello 30, 10125, Turin, Italy
- Department of Clinical and Biological Sciences, University of Torino, Turin, Italy
| | - Pasquale Pagliaro
- Department of Clinical and Biological Sciences, University of Torino, Turin, Italy
| | - Ermini Leonardo
- Laboratory of Integrative Physiology, Department of Neuroscience, University of Torino, c.so Raffaello 30, 10125, Turin, Italy
| | - Silvestro Roatta
- Laboratory of Integrative Physiology, Department of Neuroscience, University of Torino, c.so Raffaello 30, 10125, Turin, Italy.
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Oliva-Lozano JM, Patterson SD, Chiampas G, Maybury E, Cost R. Blood flow restriction as a post-exercise recovery strategy: A systematic review of the current status of the literature. Biol Sport 2024; 41:191-200. [PMID: 38952909 PMCID: PMC11167478 DOI: 10.5114/biolsport.2024.133664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 10/14/2023] [Accepted: 12/12/2023] [Indexed: 07/03/2024] Open
Abstract
The aim of this study was to systematically review the current literature on blood flow restriction (BFR) as a post-exercise recovery strategy. Experimental studies investigating the effect of BFR on recovery after exercise were included. Only studies meeting the following inclusion criteria were selected: (a) studies investigating about BFR as a post-exercise recovery strategy in athletes and healthy individuals; (b) the full text being available in English; (c) experimental research study design. Studies that exclusively analyzed BFR as a recovery strategy during the exercise (e.g., recovery strategy between bouts of exercise) were excluded. A literature review was conducted on the PubMed, Cochrane, and Web of Science electronic databases up until May 7th, 2023. The main findings were that (i) 9 studies investigated passive BFR as a post-exercise recovery strategy, which shows a significant lack of research in both team and individual sports (especially in female populations), and only 2 studies used active BFR protocols; (ii) although a high quality range of studies was observed, there were methodological limitations such as BFR interventions that were usually conducted after fatiguing protocols or fitness tests, which may not represent the real exercise (e.g., a sprint session of 6 sets of 50 m may induce muscle damage but it does not represent the demands of a team sport like rugby or soccer); (iii) there is a lack of consistency in BFR protocols (e.g., number of cycles or duration of the occlusion-reperfusion periods) for recovery; (iv) some studies showed beneficial effects while others found no positive or detrimental effects of BFR as a post-exercise recovery strategy in comparison with the control/SHAM group. In conclusion, only 11 studies investigated BFR as a post-exercise recovery strategy and there is not any significant amount of evidence in team or individual sports (especially in female populations). BFR could be a potential post-exercise recovery strategy, but practitioners should use caution when applying this method of recovery for their athletes and clients. In addition, it would be of interest for high performance-related practitioners to have a better understanding of the benefits of BFR interventions combined with either active or passive forms of exercise as a post-exercise recovery strategy.
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Affiliation(s)
| | - Stephen D Patterson
- Centre for Applied Performance Sciences, St Mary's University, Twickenham, London, UK
| | | | - Ellie Maybury
- United States Soccer Federation. Chicago, IL, United States
| | - Rick Cost
- United States Soccer Federation. Chicago, IL, United States
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Kataoka R, Song JS, Yamada Y, Hammert WB, Seffrin A, Spitz RW, Wong V, Kang A, Loenneke JP. The Impact of Different Ischemic Preconditioning Pressures on Pain Sensitivity and Resistance Exercise Performance. J Strength Cond Res 2024; 38:864-872. [PMID: 38170759 DOI: 10.1519/jsc.0000000000004718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2024]
Abstract
ABSTRACT Kataoka, R, Song, JS, Yamada, Y, Hammert, WB, Seffrin, A, Spitz, RW, Wong, V, Kang, A, and Loenneke, JP. The impact of different ischemic preconditioning pressures on pain sensitivity and resistance exercise performance. J Strength Cond Res 38(5): 864-872, 2024-To determine (a) the impact of ischemic preconditioning pressures (applied as a % of arterial occlusion pressure [AOP]) on pressure pain threshold (PPT) and resistance exercise performance and (b) whether changes in performance could be explained by changes in PPT. Subjects ( n = 39) completed 4 protocols in a randomized order: (a) ischemic preconditioning (IPC) at 110% AOP (IPC 110%), (b) IPC at 150% AOP (IPC 150%), (c) IPC at 10% AOP (Sham), and (d) time-matched control (CON). Each protocol included 4 cycles of 5 minutes of occlusion followed by 5 minutes of reperfusion. Pressure pain threshold was taken before and after. Discomfort ratings were given at the end of each cycle. Every visit finished with 2 sets of 75-second maximal isokinetic unilateral elbow flexion or extension. Overall, IPC 110% and IPC 150% resulted in similar increases in PPT relative to CON [110%: difference of 0.36 (0.18, 0.54) kg·m -2 ; 150%: difference of 0.377 (0.15, 0.59) kg·m -2 ] and Sham. Both resulted in greater discomfort than Sham and CON, with IPC 150% inducing greater discomfort than IPC 110% (BF 10 : 14.74). There were no differences between the conditions for total work (BF 10 : 0.23), peak torque (BF 10 : 0.035), or average power (BF 10 : 0.159). We did not find evidence that PPT mediated performance. We did not detect changes in performance with 2 different relative pressures greater than AOP. Our mean applied pressures were lower than those used previously. There might be a minimal level of pressure (e.g., >150% of AOP) that is required to induce ergogenic effects of ischemic preconditioning.
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Affiliation(s)
- Ryo Kataoka
- Department of Health, Exercise Science, and Recreation Management, Kevser Ermin Applied Physiology Laboratory, The University of Mississippi, University, Mississippi
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de Oliveira GT, Souza HLR, Prazeres EO, Bernardes BP, Patterson SD, Arriel RA, Camilo GB, Hohl R, Meireles A, Marocolo M. A Practical Approach for Ischemic Preconditioning Intervention in Sports: A Pilot Study for Cuff Thigh Occlusion Pressure Estimation Based on Systolic Blood Pressure. J Hum Kinet 2024; 91:157-164. [PMID: 38689581 PMCID: PMC11057619 DOI: 10.5114/jhk/186064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2024] [Accepted: 03/14/2024] [Indexed: 05/02/2024] Open
Abstract
For the ischemic preconditioning (IPC) intervention, the accuracy of the protocol is paramount for mediating its possible ergogenic effects. However, the lack of standardization and widespread use of arbitrary cuff pressures (ranging from 130 to >300 mmHg) have been predominantly observed, potentially affecting the results and compromising the reproducibility of findings. Thus, the purpose of this study was to determine an appropriate cuff pressure during IPC. Seventeen healthy male participants were enrolled in the study. Anthropometric measurements were initially conducted, followed by systolic and diastolic blood pressure measurements. Subsequently, we determined the individual thigh occlusion pressure (TOP) for the right leg using a hand-held Doppler device. Based on these findings, we developed an estimation equation for TOP, considering the current brachial systolic blood pressure (SBP) values. We then conducted a retrospective analysis of its capacity to mediate occlusion. We observed the ability to estimate TOP using the equation (p = 0.01; ES: 0.86), presenting ~6% superiority in absolute values for occlusion compared to direct measurement (TOP equation: 169.9 ± 9.1; TOP direct measured: 161.2 ± 11.1). However, TOP estimation was insufficient to produce complete occlusion in two out of 17 subjects (11.8%). In conclusion, the estimation of TOP incorporating SBP values may offer a valid and practical means for cuff administration during IPC protocols with potential to minimize adverse effects and maximize its positive effects.
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Affiliation(s)
- Géssyca T. de Oliveira
- Department of Biophysics and Physiology, Exercise Physiology Performance—EXPPER, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Hiago L. R. Souza
- Department of Biophysics and Physiology, Exercise Physiology Performance—EXPPER, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Eduardo O. Prazeres
- Department of Biophysics and Physiology, Exercise Physiology Performance—EXPPER, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Bernardo P. Bernardes
- Department of Biophysics and Physiology, Exercise Physiology Performance—EXPPER, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Stephen D. Patterson
- Centre for Applied Performance Science, St. Mary’s University, London, United Kingdom
| | - Rhaí André Arriel
- Department of Biophysics and Physiology, Exercise Physiology Performance—EXPPER, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | | | - Rodrigo Hohl
- Department of Biophysics and Physiology, Exercise Physiology Performance—EXPPER, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Anderson Meireles
- Department of Biophysics and Physiology, Exercise Physiology Performance—EXPPER, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Moacir Marocolo
- Department of Biophysics and Physiology, Exercise Physiology Performance—EXPPER, Federal University of Juiz de Fora, Juiz de Fora, Brazil
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Norbury R, Dickens L, Grant I, Emery A, Patterson SD. Remote ischaemic preconditioning increase tolerance to experimentally induced cold pain. Eur J Sport Sci 2023; 23:2435-2442. [PMID: 37746841 DOI: 10.1080/17461391.2023.2241831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/26/2023]
Abstract
Ischaemic preconditioning (IPC) applied locally and remotely has been shown to reduce pain which may underpin its ergogenic effect on exercise performance, however, it is unclear how many IPC cycles are needed to induce hypoalgesia. Therefore the purpose of this study was to examine the number of cycles of IPC on experimental pain perception. Sixteen healthy participants underwent four, randomised, experimental sessions where they either underwent a sham protocol (1 × 5 min at 20 mmHg), and 1, 2 or 3 cycles × 5 min of remote IPC at 105% of limb occlusion pressure. Ten minutes post-intervention, participants underwent a cold-pressor test where pain threshold, pain tolerance and pain intensity were examined and compared between conditions with a one-way repeated measure analysis of variance. Pain threshold was not different between conditions (P = 0.065); but pain tolerance was increased by ∼30% in the 1 × 5 condition, 2 × 5 condition, and 3 × 5 condition compared to the sham condition. No differences in pain tolerance were seen between the different numbers of cycles (all P > 0.05). There was also no difference in the perception of pain 30 s into the cold pressor test (P = 0.279). Remote IPC appears to significantly improve tolerance to pain which may have significant implications for endurance performance and exercise rehabilitation, but this warrants further investigation.
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Affiliation(s)
- Ryan Norbury
- Faculty of Sport, Allied Health and Performance Science, St Mary's University, Twickenham, UK
| | - Lieben Dickens
- Faculty of Sport, Allied Health and Performance Science, St Mary's University, Twickenham, UK
| | - Ian Grant
- Faculty of Sport, Allied Health and Performance Science, St Mary's University, Twickenham, UK
| | - Alison Emery
- Faculty of Sport, Allied Health and Performance Science, St Mary's University, Twickenham, UK
| | - Stephen D Patterson
- Faculty of Sport, Allied Health and Performance Science, St Mary's University, Twickenham, UK
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Meireles A, Souza HLR, Arriel RA, Ribeiro GGS, Rodrigues AB, DE Oliveira GT, Ide BN, Chagas MH, Marocolo M. Attenuation of Neuromuscular Fatigue by Ischemic Preconditioning with Moderate Cuff Pressure is Not Related to Muscle Oxygen Saturation in Men. INTERNATIONAL JOURNAL OF EXERCISE SCIENCE 2023; 16:1025-1037. [PMID: 37650034 PMCID: PMC10464762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Ischemic preconditioning (IPC) has been an excellent strategy for enhancing sports performance recovery, although there is still no consensus on the ideal protocol. Thus, this study aimed to evaluate the effects of IPC with different cuff pressures (low pressure, medium pressure, and high pressure) on the attenuation of neuromuscular fatigue after an isometric test protocol. And to verify whether this improvement was related to muscle oxygen saturation during the test protocol. Thirty males (18-35 years old) with experience in resistance training were allocated to three different groups: low pressure (20 mmHg), medium pressure (100 mmHg), and high pressure (190 mmHg). The individual occlusion pressure of each participant was identified using ultrasound. Each participant performed two test protocols (8 maximal isometric contractions lasting 20-s with a 10-s rest interval) in an extension chair; after the first test protocol, the participant received the IPC intervention with a low, medium, or high cuff pressure or received the noncuff intervention (randomized order). Only the medium-pressure group showed a smaller decrease in mean force change compared to the no-cuff condition (-4.40% vs. -13.10%, p=0.01, respectively), and the low- and high-pressure groups did not exhibit significant pressure differences (IPC vs. noncuff: -8.40% vs. -13.10%, p=0.11 and -9.10% vs. -14.70%, p=0.12, respectively). Muscle oxygen saturation across test protocols showed no significant differences in all IPC conditions (p>0.05). Although, IPC with medium pressure was effective at optimizing the recovery of neuromuscular performance, this improvement is not related to an increase in muscle oxygen saturation during exercise.
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Affiliation(s)
- Anderson Meireles
- Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, MG, BRAZIL
| | - Hiago L R Souza
- Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, MG, BRAZIL
| | - Rhaí A Arriel
- Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, MG, BRAZIL
| | - Guilherme G S Ribeiro
- Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, MG, BRAZIL
| | - Alex B Rodrigues
- Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, MG, BRAZIL
| | - Géssyca T DE Oliveira
- Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, MG, BRAZIL
| | - Bernardo N Ide
- Exercise Science, Healthy and Human Performance Research Group, Federal University of Triângulo Mineiro, Uberaba, MG, BRAZIL
| | - Mauro H Chagas
- Weight Training Laboratory, School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte, MG, BRAZIL
| | - Moacir Marocolo
- Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, MG, BRAZIL
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7
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Morley WN, Murrant CL, Burr JF. Ergogenic effect of ischemic preconditioning is not directly conferred to isolated skeletal muscle via blood. Eur J Appl Physiol 2023; 123:1851-1861. [PMID: 37074464 DOI: 10.1007/s00421-023-05197-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Accepted: 04/03/2023] [Indexed: 04/20/2023]
Abstract
PURPOSE Ischemic preconditioning (IPC) in humans has been demonstrated to confer ergogenic benefit to aerobic exercise performance, with an improvement in the response rate when the IPC stimulus is combined with concurrent exercise. Despite potential performance improvements, the nature of the neuronal and humoral mechanisms of conferral and their respective contributions to ergogenic benefit remain unclear. We sought to examine the effects of the humoral component of ischemic preconditioning on skeletal muscle tissue using preconditioned human serum and isolated mouse soleus. METHODS Isolated mouse soleus was electrically stimulated to contract while in human serum preconditioned with either traditional (IPC) or augmented (AUG) ischemic preconditioning compared to control (CON) and exercise (ERG) preconditioning. Force frequency (FF) curves, twitch responses, and a fatigue-recovery protocol were performed on muscles before and after the addition of serum. After preconditioning, human participants performed a 4 km cycling time trial in order to identify responders and non-responders to IPC. RESULTS No differences in indices of contractile function, fatiguability, nor recovery were observed between conditions in mouse soleus muscles. Further, no human participants improved performance in a 4-km cycling time trial in response to traditional nor augmented ischemic preconditioning compared to control or exercise conditions (CON 407.7 ± 41.1 s, IPC 411.6 ± 41.9 s, ERG 408.8 ± 41.4 s, AUG 414.1 ± 41.9 s). CONCLUSIONS Our findings do not support the conferral of ergogenic benefit via a humoral component of IPC at the intracellular level. Ischemic preconditioning may not manifest prominently at submaximal exercise intensities, and augmented ischemic preconditioning may have a hormetic relationship with performance improvements.
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Affiliation(s)
- William N Morley
- Human Performance & Health Research Laboratory, Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON, Canada
| | - Coral L Murrant
- Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON, Canada
| | - Jamie F Burr
- Human Performance & Health Research Laboratory, Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON, Canada.
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Muñoz-Gómez E, Mollà-Casanova S, Sempere-Rubio N, Serra-Añó P, Aguilar-Rodríguez M, Alonso-Aubin DA, Chulvi-Medrano I, Inglés M. Potential Benefits of a Single Session of Remote Ischemic Preconditioning and Walking in Sedentary Older Adults: A Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3515. [PMID: 36834210 PMCID: PMC9966602 DOI: 10.3390/ijerph20043515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 02/10/2023] [Accepted: 02/15/2023] [Indexed: 06/18/2023]
Abstract
Ischemic preconditioning (IPC) has shown positive effects in endurance-type sports among healthy young individuals; however, its effects in endurance-type exercises in older adults have not been explored. We aimed to examine the acute effects of a single session of IPC prior to an endurance-type exercise on cardiovascular- and physical-function-related parameters in sedentary older adults. A pilot study with a time-series design was carried out. Nine participants were enrolled consecutively in the following intervention groups: (i) SHAM (sham IPC + walking) and (ii) IPC (IPC + walking) groups. The main outcomes were resting systolic (SBP) and diastolic (DBP) blood pressure, heart rate (HR), peripheral oxygen saturation (SpO2), maximum isometric voluntary contraction (MIVC), endurance performance, and perceived fatigue. After the intervention, the IPC group showed a significant reduction in SBP, whereas SpO2 decreased in the SHAM group. The IPC group maintained quadriceps MIVC levels, whereas these levels dropped in the SHAM group. No changes in DBP, resting HR, endurance, or fatigue in any group were observed. These findings are of interest for the promotion of cardiovascular and physical health in older people.
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Affiliation(s)
- Elena Muñoz-Gómez
- Research Unit in Clinical Biomechanics (UBIC), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, 46010 Valencia, Spain
| | - Sara Mollà-Casanova
- Research Unit in Clinical Biomechanics (UBIC), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, 46010 Valencia, Spain
| | - Núria Sempere-Rubio
- Research Unit in Clinical Biomechanics (UBIC), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, 46010 Valencia, Spain
| | - Pilar Serra-Añó
- Research Unit in Clinical Biomechanics (UBIC), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, 46010 Valencia, Spain
| | - Marta Aguilar-Rodríguez
- Research Unit in Clinical Biomechanics (UBIC), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, 46010 Valencia, Spain
| | - Diego A. Alonso-Aubin
- Strength Training and Neuromuscular Performance Research Group (STreNgthP), Faculty of Health, Camilo José Cela University, 28692 Madrid, Spain
| | - Iván Chulvi-Medrano
- UIRFIDE Research Group, Physical Education and Sport Department, University of Valencia, 46010 Valencia, Spain
| | - Marta Inglés
- Research Unit in Clinical Biomechanics (UBIC), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, 46010 Valencia, Spain
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Effect of ischemic preconditioning on badminton-specific endurance and subsequent changes in physical performance. Sci Sports 2023. [DOI: 10.1016/j.scispo.2021.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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10
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O’Brien L, Jacobs I. Potential physiological responses contributing to the ergogenic effects of acute ischemic preconditioning during exercise: A narrative review. Front Physiol 2022; 13:1051529. [PMID: 36518104 PMCID: PMC9742576 DOI: 10.3389/fphys.2022.1051529] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 11/15/2022] [Indexed: 09/26/2023] Open
Abstract
Ischemic preconditioning (IPC) has been reported to augment exercise performance, but there is considerable heterogeneity in the magnitude and frequency of performance improvements. Despite a burgeoning interest in IPC as an ergogenic aid, much is still unknown about the physiological mechanisms that mediate the observed performance enhancing effects. This narrative review collates those physiological responses to IPC reported in the IPC literature and discusses how these responses may contribute to the ergogenic effects of IPC. Specifically, this review discusses documented central and peripheral cardiovascular responses, as well as selected metabolic, neurological, and perceptual effects of IPC that have been reported in the literature.
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Affiliation(s)
- Liam O’Brien
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada
| | - Ira Jacobs
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada
- The Tannenbaum Institute for Science in Sport, University of Toronto, Toronto, ON, Canada
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Desanlis J, Gordon D, Calveyrac C, Cottin F, Gernigon M. Intra- and Inter-Day Reliability of the NIRS Portamon Device after Three Induced Muscle Ischemias. SENSORS (BASEL, SWITZERLAND) 2022; 22:5165. [PMID: 35890846 PMCID: PMC9317239 DOI: 10.3390/s22145165] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Revised: 07/06/2022] [Accepted: 07/07/2022] [Indexed: 06/15/2023]
Abstract
(1) Background: Near-infrared spectroscopy (NIRS) is an innovative and non-invasive technology used to investigate muscular oxygenation. The aim of this study is to assess the within- and between-session reliability of the NIRS Portamon (Artinis, Elst, Netherlands) device following three sets of induced muscle ischemia. (2) Methods: Depending on the experimental group (G1, G2 or G3), a cuff was inflated three times on the left upper arm to 50 mmHg (G1), systolic blood pressure (SBP) + 50 mmHg (G2) or 250 mmHg (G3). Maximum, minimum and reoxygenation rate values were assessed after each occlusion phase, using a Portamon device placed on the left brachioradialis. Reliability was assessed with intraclass correlation coefficient (ICC) value and ICC 95% confidence interval (CI-95%), coefficient of variation (CV) and standard error of measurement (SEM) (3) Results: Our results showed a good to excellent reliability for maximums and minimums within-session. However, the reoxygenation rate within sessions as well as measurements between sessions cannot predominantly show good reliability. (4) Conclusions: Multiple measurements of maximums and minimums within a single session appeared to be reliable which shows that only one measurement is necessary to assess these parameters. However, it is necessary to be cautious with a comparison of maximum, minimum and reoxygenation rate values between sessions.
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Affiliation(s)
- Julien Desanlis
- CIAMS, Université Paris-Saclay, CEDEX, 91405 Orsay, France; (C.C.); (F.C.); (M.G.)
- CIAMS, Université d’Orléans, 45067 Orléans, France
- Anglia Ruskin University, Cambridge CB1 1PT, UK;
| | - Dan Gordon
- Anglia Ruskin University, Cambridge CB1 1PT, UK;
| | - Camille Calveyrac
- CIAMS, Université Paris-Saclay, CEDEX, 91405 Orsay, France; (C.C.); (F.C.); (M.G.)
- CIAMS, Université d’Orléans, 45067 Orléans, France
| | - François Cottin
- CIAMS, Université Paris-Saclay, CEDEX, 91405 Orsay, France; (C.C.); (F.C.); (M.G.)
- CIAMS, Université d’Orléans, 45067 Orléans, France
| | - Marie Gernigon
- CIAMS, Université Paris-Saclay, CEDEX, 91405 Orsay, France; (C.C.); (F.C.); (M.G.)
- CIAMS, Université d’Orléans, 45067 Orléans, France
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Chen Y, Yang J, Muradov O, Li X, Lee JKW, Qiu J. Effect of ischemic preconditioning on maximum accumulated oxygen deficit in 400-meter runners. Eur J Sport Sci 2022; 23:789-796. [PMID: 35400298 DOI: 10.1080/17461391.2022.2064769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
The main aim of this study was to examine the influence of ischemic preconditioning (IPC) on maximal accumulated oxygen deficit (MAOD). We conducted a three-arm and assessor-blinded randomized, controlled crossover study. Sixteen 400-meter running male athletes (19.9±1.3 years; 1.78±0.05 m; 67.9±5.5 kg) completed three supramaximal intensity tests separated with Control, Local (legs), and Remote (arms) IPC interventions. IPC was induced on the limbs on both sides (4×5 min alternating unilateral occlusion 220 mmHg and reperfusion; arms or thighs; right side first) before participants performed the supramaximal intensity test on a treadmill at 110% VO2max intensity to exhaustion. During each test, indices of respiratory gas exchange, blood lactate, and heart rate were determined. The MAOD was calculated as the difference between the theoretical VO2 demand and the actual VO2 during the supramaximal intensity test. Differences from three trials were analyzed using ANOVA with repeated measures. IPC increased MAOD (RIPC, 59±17 ml/kg/min, p=0.018; LIPC, 57±15 ml/kg/min, p=0.037; p<0.05) compared with Control (49±9 ml/kg/min). Time to exhaustion was enhanced after IPC (Control: 257.2±69.5 s, RIPC, 292.3±66.6 s, p= 0.048; LIPC, 291.6±79.2 s, p=0.042; p<0.05). In contrast, the enhancements of RIPC and LIPC trials were similar (p=1.000). Blood lactate concentrations were similar across the three intervention conditions (p>0.05). Acute IPC improved MAOD and supramaximal intensity exercise capacity in 400-meter running athletes. The increased MAOD indicated greater anaerobic capacity, which can be the potential mediator for improvement in exhaustion time.
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Affiliation(s)
- Yuyang Chen
- Department of Exercise Biochemistry, Exercise Science School, Beijing Sport University, People's Republic of China
| | - Junchao Yang
- Department of Exercise Biochemistry, Exercise Science School, Beijing Sport University, People's Republic of China
| | - Orhan Muradov
- Department of Exercise Biochemistry, Exercise Science School, Beijing Sport University, People's Republic of China
| | - Xinyuan Li
- Department of Exercise Biochemistry, Exercise Science School, Beijing Sport University, People's Republic of China
| | - Jason Kai Wei Lee
- Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Junqiang Qiu
- Department of Exercise Biochemistry, Exercise Science School, Beijing Sport University, People's Republic of China
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Grau M, Seeger B, Mozigemba L, Roth R, Baumgartner L, Predel HG, Bloch W, Tomschi F. Effects of Recurring IPC vs. rIPC Maneuvers on Exercise Performance, Pulse Wave Velocity, and Red Blood Cell Deformability: Special Consideration of Reflow Varieties. BIOLOGY 2022; 11:biology11020163. [PMID: 35205030 PMCID: PMC8869204 DOI: 10.3390/biology11020163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 01/09/2022] [Accepted: 01/18/2022] [Indexed: 11/16/2022]
Abstract
Beneficial effects of (remote) ischemia preconditioning ((r)IPC), short episodes of blood occlusion and reperfusion, are well-characterized, but there is no consensus regarding the effectiveness of (r)IPC on exercise performance. Additionally, direct comparisons of IPC and rIPC but also differences between reflow modes, low reflow (LR) and high reflow (HR) in particular, are lacking, which were thus the aims of this study. Thirty healthy males conducted a performance test before and after five consecutive days with either IPC or rIPC maneuvers (n = 15 per group). This procedure was repeated after a two-week wash-out phase to test for both reflow conditions in random order. Results revealed improved exercise parameters in the IPC LR and to a lesser extent in the rIPC LR intervention. RBC deformability increased during both rIPC LR and IPC LR, respectively. Pulse wave velocity (PWV) and blood pressures remained unaltered. In general, deformability and PWV positively correlated with performance parameters. In conclusion, occlusion of small areas seems insufficient to affect large remote muscle groups. The reflow condition might influence the effectiveness of the (r)IPC intervention, which might in part explain the inconsistent findings of previous investigations. Future studies should now focus on the underlying mechanisms to explain this finding.
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Affiliation(s)
- Marijke Grau
- Institute of Cardiovascular Research and Sports Medicine, Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (B.S.); (L.M.); (R.R.); (L.B.); (W.B.); (F.T.)
- Correspondence:
| | - Benedikt Seeger
- Institute of Cardiovascular Research and Sports Medicine, Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (B.S.); (L.M.); (R.R.); (L.B.); (W.B.); (F.T.)
| | - Lukas Mozigemba
- Institute of Cardiovascular Research and Sports Medicine, Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (B.S.); (L.M.); (R.R.); (L.B.); (W.B.); (F.T.)
| | - Roland Roth
- Institute of Cardiovascular Research and Sports Medicine, Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (B.S.); (L.M.); (R.R.); (L.B.); (W.B.); (F.T.)
| | - Luca Baumgartner
- Institute of Cardiovascular Research and Sports Medicine, Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (B.S.); (L.M.); (R.R.); (L.B.); (W.B.); (F.T.)
| | - Hans-Georg Predel
- Institute of Cardiovascular Research and Sports Medicine, Department of Preventive and Rehabilitative Sports and Performance Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany;
| | - Wilhelm Bloch
- Institute of Cardiovascular Research and Sports Medicine, Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (B.S.); (L.M.); (R.R.); (L.B.); (W.B.); (F.T.)
| | - Fabian Tomschi
- Institute of Cardiovascular Research and Sports Medicine, Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (B.S.); (L.M.); (R.R.); (L.B.); (W.B.); (F.T.)
- Department of Sports Medicine, University of Wuppertal, Moritzstraße 14, 42117 Wuppertal, Germany
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