We examined the effect of walk training combined with blood flow
restriction (BFR) on the size of blood flow-restricted distal muscles, as
well as, on the size of non-restricted muscles in the proximal limb and
trunk. Nine men performed walk training with BFR and 8 men performed walk
training alone. Training was conducted two times a day, 6 days/wk, for 3
wk using five sets of 2-min bouts (treadmill speed at 50 m/min), with a
1-min rest between bouts. After walk training with BFR, MRI-measured upper
(3.8%, P < 0.05) and lower leg (3.2%, P < 0. 05) muscle volume increased
significantly, whereas the muscle volume of the gluteus maximus (-0.6%)
and iliopsoas (1.8%) and the muscle CSA of the lumber L4-L5 (-1.0) did not
change. There was no significant change in muscle volume in the walk training
alone. Our results suggest that the combination of leg muscle blood flow
restriction with slow walk training elicits hypertrophy only in the distal
blood flow restricted leg muscles. Exercise intensity may be too low during
BFR walk training to increase muscle mass in the non- blood flow restricted
muscles (gluteus maximus and other trunk muscles).
Key words: Vascular occlusion, magnetic resonance imaging, ultrasound.
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