Evidence map›Paper›PMID 42327000›Full record

ArticleFrontiers in physiology2026

Does exercising bilaterally require measuring bilaterally? Bilateral versus unilateral tourniquet cuff inflation during measurement of arterial occlusion pressure: considerations for blood flow restriction exercise.

Robert Bielitzki, Tom Behrendt, Martin Behrens, Jan Peter Latendorf, Alexander Franz, Luke Hughes, Lutz Schega

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Article in Frontiers in physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Robert BielitzkiDepartment of Human Movement Science and Exercise Physiology, Institute of Human Movement Science, University of Hamburg, Hamburg, Germany.
Tom BehrendtProPrevent GbR, Magdeburg, Germany.
Martin BehrensUniversity of Applied Sciences for Sport and Management Potsdam, Potsdam, Germany.
Jan Peter LatendorfChair of Health and Physical Activity, Department of Sport Science, Institute III, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Alexander FranzDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany.
Luke HughesAerospace Medicine and Rehabilitation Laboratory, School of Sport Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, United Kingdom.
Lutz SchegaChair of Health and Physical Activity, Department of Sport Science, Institute III, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: It is recommended to use a tourniquet cuff pressure between 40-80% of the individuals' arterial occlusion pressure (AOP) during blood flow restriction (BFR) exercise. The AOP is usually determined in one limb for unilateral BFR exercise or in both limbs individually for bilateral BFR exercise. However, given that the tourniquet cuffs are inflated at both limbs simultaneously during bilateral BFR exercises (e.g., cycling, walking, and squat exercise), it is currently not known if the respective AOP also needs to be determined during bilateral tourniquet cuff inflation. Consequently, the present study aimed to compare the AOP during unilateral versus bilateral tourniquet cuff inflation in the lower extremities. Methods: In a randomized cross-over trial, the AOP of 25 young healthy participants was determined during unilateral and bilateral tourniquet cuff inflation in supine, seated, and standing position. All measurements were completed in one experimental session with a rest period of 5 min in between. At the beginning and end of each condition, heart rate and blood pressure were recorded. Results: Regardless of body position, AOP was higher during bilateral compared to unilateral tourniquet cuff inflation ( Discussion: Even though there was a statistically significant difference in AOP between unilateral and bilateral tourniquet cuff inflation irrespective of body position, bilateral cuff inflation during AOP determination appears to have only minor impact on AOP in the lower extremities given the small mean difference and trivial effect size. However, since differences in AOP between unilateral and bilateral tourniquet cuff inflation of ≥ 30 mmHg have been recorded, practitioners must be aware of potentially pronounced differences between unilateral and bilateral cuff inflation during AOP determination in some individuals using the specific BFR device and AOP measurement protocol employed in this study. These results need to be verified for different inflation protocols, devices (i.e., manual versus automatic AOP determination), and populations (e.g., older adults, patients).

Indexed as

blood flow restrictionbody positionlimb occlusion pressurepneumatic tourniquet cuffvascular occlusion

Identifiers

PMID42327000
PMCPMC13278906

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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.