Evidence map›Paper›PMID 30863135›Full record

ReviewInternational journal of general medicine2019

Effects of blood flow restriction exercise on hemostasis: a systematic review of randomized and non-randomized trials.

Dahan da Cunha Nascimento, Bernardo Petriz, Samuel da Cunha Oliveira, Denis Cesar Leite Vieira, Silvana Schwerz Funghetto, Alessandro Oliveira Silva, Jonato Prestes

Open access · goldAbstract readReview
In one paragraph

Review in International journal of general medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 10 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 10 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Upper extremity pain after stroke: a systematic review and meta-analysis on primary prevention.European journal of physical and rehabilitation medicine · 2025
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  4. The diagnostic value of physical examination tests in adhesive capsulitis: a systematic review.European journal of physical and rehabilitation medicine · 2023
    Pooled it
  5. Effect of mobile application types on stroke rehabilitation: a systematic review.Journal of neuroengineering and rehabilitation · 2023
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  13. Blood Flow Restriction Training in Hemodialysis Patients: Clinical Benefits, Challenges, and Future Perspectives.Hemodialysis international. International Symposium on Home Hemodialysis · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Dahan da Cunha NascimentoGraduate Program in Physical Education, Catholic University of Brasilia (UCB), Brasilia, Brazil, dahanc@hotmail.com.
Bernardo PetrizDepartment of Physical Education, University Center of the Federal District (UDF), Brasilia, Brazil, dahanc@hotmail.com.
Samuel da Cunha OliveiraGraduate Program in Physical Education, Catholic University of Brasilia (UCB), Brasilia, Brazil, dahanc@hotmail.com.
Denis Cesar Leite VieiraDepartment of Physical Education, University Center of the Federal District (UDF), Brasilia, Brazil, dahanc@hotmail.com.
Silvana Schwerz FunghettoDepartment of Nursing, University of Brasilia (UNB), Brasilia, Brazil.
Alessandro Oliveira SilvaDepartment of Medicine and Physical Education, University Center of Brasilia (UniCEUB), Brasilia, Brazil.
Jonato PrestesGraduate Program in Physical Education, Catholic University of Brasilia (UCB), Brasilia, Brazil, dahanc@hotmail.com.
Universidade Católica de Brasília · BRUniversidade de Brasília · BRCentro Universitário do Distrito Federal · BRUniversity Center of Brasília · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlood flow restriction (BFR) exercise has shown to induce a positive influence on bone metabolism and attenuate muscle strength loss and atrophy in subjects suffering from musculoskeletal weakness. Despite the known benefits of BFR exercise, it remains unclear whether or not the pressurization of blood vessels damages the endothelial cells or increases risk for formation of thrombi. Thus, the effects of BFR exercise on coagulation, fibrinolysis, or hemostasis, remains speculative.

objectiveThe aim of the present study was to perform a systematic review of the short and long- term effects of BFR exercise on blood hemostasis in healthy individuals and patients with known disease (ie, hypertension, diabetes, obesity, and ischemic heart disease). DATA SOURCES: A systematic review of English and non-English articles was conducted across PubMed, Science Direct, and Google Scholar databases, including reference lists of relevant papers. Study quality assessment was evaluated using the modified version of Downs and Black checklist. Search results were limited to exercise training studies investigating the effects of BFR exercise on blood hemostasis in healthy individuals and patients with disease. Level of evidence was determined according to the criteria described by Oxford Center for Evidence-Based Medicine. STUDY SELECTION: Only randomized controlled trials (RCTs) and non-randomized controlled trials (NRCTs) that examined the effects of exercise with BFR exercise vs exercises without BFR on blood hemostasis in healthy individuals and patients were included. DATA EXTRACTION: Nine studies were eligible (RCT =4; NRCT =5).

resultsThe average score on the Downs and Black checklist was 11.22. All studies were classified as having poor methodological quality wherein the level of evidence provided in all reviewed studies was level IIb only (ie, poor quality RCTs).

conclusionConsidering the limitations in the available evidence, firm recommendations cannot be provided.

Indexed as

blood flow restrictioncoagulation systemexercisehemostasisKaatsu trainingvascular occlusion

Identifiers

PMID30863135
PMCPMC6388738
OpenAlexW2912350061

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.