Evidence map›Paper›PMID 31156448›Full record

ReviewFrontiers in physiology2019

Blood Flow Restriction Exercise: Considerations of Methodology, Application, and Safety.

Stephen D Patterson, Luke Hughes, Stuart Warmington, Jamie Burr, Brendan R Scott, Johnny Owens, Takashi Abe, Jakob L Nielsen, Cleiton Augusto Libardi, Gilberto Laurentino and 4 more

Erratum issued 16 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Frontiers in physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 16 registered trials, which are not on this map. Cited by 429 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
429citing papers in PubMed, 14 pooled it
92.8field-weighted citation impact, top 1% 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.

NCT04448236 nacompletednot on this mapstarted 2020, after this paper: background citation

Effects on Muscle Strength After Blood Flow Restriction Resistance Exercise (BFR-RE) in Early In-patient Rehabilitation of Chronic Obstructive Pulmonary Disease Acute Exacerbation (COPDAE), a Single Blinded, Randomized Controlled Study

TypeinterventionalSponsorHospital Authority, Hong KongRan2020 to 2020Enrolled53ConditionsChronic Obstructive Pulmonary Disease, Acute Exacerbation of COPDArmsBlood flow restriction resistance exercise
NCT04521959 nacompletednot on this mapstarted 2020, after this paper: background citation

The Effect Of Blood Flow Restrıcted Resistive And Aerobic Exercises in Chronic Obstructive Pulmonary Patients

TypeinterventionalSponsorMedipol UniversityRan2020 to 2021Enrolled40ConditionsCopdArmsBlood flow restricted and normal aerobic exercise and resistance exercise
NCT04526184 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Systemic Effects of A Continuous Blood Flow Restricted Aerobic Exercise Session in COPD Patients: A Randomised Controlled Trial.

TypeinterventionalSponsorMedipol UniversityRan2020 to 2024Enrolled46ConditionsCOPDArmsaerobic exercise with blood flow restriction
NCT04682392 naterminatednot on this mapstarted 2021, after this paper: background citation

The Effects of Bone Health on Landing Mechanics on Patients Post ACL Reconstruction.

TypeinterventionalSponsorCandice Dunkin, MS, LAT, ATCRan2021 to 2025Enrolled19ConditionsACL TearArmsDelfi's PTS Personalized Tourniquet System for Blood Flow Restriction Group, Standard ACL rehab
NCT05037942 nacompletednot on this mapstarted 2021, after this paper: background citation

The Influence of Restriction Pressure on Indices of Exercise-Induced Muscle Damage Following Low-Load Blood Flow-Restricted Resistance Exercise: A Randomised Controlled Trial in Healthy Adults

TypeinterventionalSponsorUniversity of SurreyRan2021 to 2022Enrolled34ConditionsMuscle Damage, Muscle Soreness, Muscle StrengthArmsBlood flow restriction at 40% limb occlusion pressure, Blood flow restriction at 80% limb occlusion pressure
NCT05425238 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Blood Flow Restriction Resistance Exercise on Strength and Transfer in Lower Cervical Spinal Cord Injury Patients

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2022Enrolled16ConditionsCervical Spinal Cord InjuryArmsBlood flow restriction, Conventional physical therapy
NCT05437770 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Low-intensity Blood-flow Restricted Exercise Compared to Standard Rehabilitation in Patients With Knee Osteoarthritis - a Randomized Controlled Trial

TypeinterventionalSponsorBispebjerg HospitalRan2022 to 2025Enrolled96ConditionsOsteoarthritis, KneeArmsBFR (Blood-Flow Restricted exercise), Standard rehabilitation
NCT05446103 naunknown statusnot on this mapstarted 2022, after this paper: background citation

The Acute Effect of Upper Limb Low Load Blood Flow Restriction Training (BFRT) on Hypoalgesia. A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of West AtticaRan2022 to 2022Enrolled40ConditionsHealthyArmsBlood flow restriction training, Sham Blood flow restriction training
NCT05984823 nacompletednot on this mapstarted 2024, after this paper: background citation

Home-based Body Weight Exercise With Blood Flow Restriction (BFR): Feasibility of a Novel Rehabilitation Intervention in COPD Patients

TypeinterventionalSponsorMrs Hanoof AljohaniRan2024 to 2024Enrolled27ConditionsChronic Obstructive Pulmonary DiseaseArmsHome based body weight type exercises with blood flow restriction, Home based body weight type exercises
NCT06574841 narecruitingnot on this mapstarted 2024, after this paper: background citation

Effect of Blood Flow Restriction on Pain Perception, Grip Strength and Nerve Conductivity in Patients With Carpal Tunnel Syndrome: A Randomized Controlled Trial.

TypeinterventionalSponsorCairo UniversityRan2024 to 2025Enrolled30ConditionsCarpal Tunnel SyndromeArmsBlood Flow Restriction training
NCT06762912 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

The Short-term Effect of Low-load Resistance Training with Blood-flow Restriction on Somatosensory-evoked Potentials in Healthy Young Adults - a Randomized Crossover Trial

TypeinterventionalSponsorUniversity of SharjahRan2025 to 2025Enrolled30ConditionsThe Current Study Focuses on Investigating the Short-term Effect of BFRT on the Somatosensory System Among Healthy Young AdultsArmsPassive application of BFR cuff, Resistance exercise with BFR, Resistance exercise without BFR
NCT06788327 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Comparing the Effectiveness of Blood Flow Restriction Therapy Versus Standard Exercise After Arthroscopic Rotator Cuff Repair: Protocol for the Multicenter S-TRONGER Randomized Controlled Trial

TypeinterventionalSponsorUniversity of ValenciaRan2025 to 2027Enrolled50ConditionsRotator Cuff Injury, Rotator Cuff Tears, Rotator Cuff RepairArmsStandard rehabilitation, Blood Flow Restriction Therapy
NCT06924112 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Exercise-induced Hypoalgesia Following Blood Flow Restriction in Rotator Cuff Repair Rehabilitation: a Randomized Crossover Clinical Trial

TypeinterventionalSponsorUniversity of ValenciaRan2025 to 2025Enrolled22ConditionsRotator Cuff Injury, Rotator Cuff Tear, Rotator Cuff RepairArmsIsometric exercises, Isometric exercises with BFR
NCT07118410 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Resistance Exercise With Blood Flow Restriction by Vascular Occlusion on Myocardial Function in Heart Failure With Reduced Ejection Fraction

TypeinterventionalSponsorCentre Hospitalier Universitaire de NīmesRan2025 to 2027Enrolled38ConditionsHeart Failure, Ventricular Function, LeftArmsApplication of a vascular restriction device during resistance training
NCT07315425 naactive not recruitingnot on this mapstarted 2026, after this paper: background citation

Investigation of the Acute Effects of Blood Flow Restriction Aerobic Exercise on Hemodynamic Responses and Muscle Oxygen in Patients With Interstitial Lung Disease

TypeinterventionalSponsorGazi UniversityRan2026 to 2028Enrolled30ConditionsInterstitial Lung Disease (ILD)ArmsBlood flow restriction (BFR) low-intensity aerobic exercise training, Low-intensity aerobic exercise training
NCT07782723 narecruitingnot on this mapstarted 2025, after this paper: background citation

The Effects Of Combining Blood Flow Restriction Therapy With Extracorporeal Shock Wave Therapy On Pain, Muscle Strength, And Functional Outcomes İn Patients Diagnosed With Lateral Epicondylitis: a Randomized Controlled Trial

TypeinterventionalSponsorAnkara Yildirim Beyazıt UniversityRan2025 to 2027Enrolled52ConditionsLateral EpicondylitisArmsBlood Flow Restriction Therapy, Extracorporeal Shock Wave Therapy
3 · Its place in the literature

Who cites it

429 citing papers in PubMed, 14 syntheses or guidelines pooled it, 799 citations in OpenAlex.

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369 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 7 countries.

Stephen D PattersonFaculty of Sport, Health and Applied Sciences, St Marys University, London, United Kingdom.
Luke HughesFaculty of Sport, Health and Applied Sciences, St Marys University, London, United Kingdom.
Stuart WarmingtonSchool of Exercise and Nutrition Sciences, Institute for Physical Activity and Nutrition, Deakin University, Geelong, VIC, Australia.
Jamie BurrDepartment of Human Health and Nutritional Science, University of Guelph, Guelph, ON, Canada.
Brendan R ScottMurdoch Applied Sports Science Laboratory, Discipline of Exercise Science, Murdoch University, Perth, WA, Australia.
Johnny OwensOwens Recovery Science, San Antonio, TX, United States.
Takashi AbeDepartment of Health, Exercise Science, and Recreation Management, Kevser Ermin Applied Physiology Laboratory, University of Mississippi, Oxford, MS, United States.
Jakob L NielsenDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Cleiton Augusto LibardiMUSCULAB - Laboratory of Neuromuscular Adaptations to Resistance Training, Federal University of São Carlos (UFSCar), São Carlos, Brazil.
Gilberto LaurentinoSchool of Physical Education and Sport, University of São Paulo, São Paulo, Brazil.
Gabriel Rodrigues NetoCoordination of Physical Education/Professional Master's in Family Health, Nursing and Medical Schools, Nova Esperança (FAMENE/FACENE), João Pessoa, Brazil.
Christopher BrandnerSport Science Department, Aspire Academy for Sports Excellence, Doha, Qatar.
Juan Martin-HernandezI+HeALTH Research Group, Department of Health Sciences, Faculty of Health Sciences, Miguel de Cervantes European University, Valladolid, Spain.
Jeremy LoennekeDepartment of Health, Exercise Science, and Recreation Management, Kevser Ermin Applied Physiology Laboratory, University of Mississippi, Oxford, MS, United States.
University of Mississippi · USAspire Academy · QADeakin University · AUMurdoch University · AUUniversidade de São Paulo · BRUniversidade Federal de São Carlos · BRUniversidad Europea Miguel de Cervantes · ESUniversity of Guelph · CAUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current manuscript sets out a position stand for blood flow restriction (BFR) exercise, focusing on the methodology, application and safety of this mode of training. With the emergence of this technique and the wide variety of applications within the literature, the aim of this position stand is to set out a current research informed guide to BFR training to practitioners. This covers the use of BFR to enhance muscular strength and hypertrophy via training with resistance and aerobic exercise and preventing muscle atrophy using the technique passively. The authorship team for this article was selected from the researchers focused in BFR training research with expertise in exercise science, strength and conditioning and sports medicine.

Indexed as

BFR exerciseblood flow restriction exercisekaatsu trainingocclusion trainingresistance training

Identifiers

PMID31156448
PMCPMC6530612
OpenAlexW2944877286

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

and 10 more above

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.