Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión Sistemática

El entrenamiento de restricción de flujo sanguíneo (RFS) es un método efectivo utilizado tanto en procesos de optimización de las cualidades físicas como parte del manejo de enfermedades crónicas. El objetivo de esta revisión sistemática fue establecer los efectos del entrenamiento de restricción de...

Full description

Autores:
Beltrán Velásquez, Juan José
García Torres, Santiago
García Salazar, John Sebastián
Tipo de recurso:
Trabajo de grado de pregrado
Fecha de publicación:
2024
Institución:
Universidad Santo Tomás
Repositorio:
Repositorio Institucional USTA
Idioma:
spa
OAI Identifier:
oai:repository.usta.edu.co:11634/53608
Acceso en línea:
http://hdl.handle.net/11634/53608
Palabra clave:
Blood flow restriction therapy
Blood flow restriction training
Blood flow restriction exercise
Chronic disease
Cultura Física Deporte y Recreación
Entrenamiento-Físico
Lesiones
Terapia de restricción del flujo sanguíneo
Ejercicio con restricción del flujo sanguíneo
Entrenamiento con restricción del flujo sanguíneo
Enfermedad crónica
Rights
openAccess
License
Atribución-NoComercial-SinDerivadas 2.5 Colombia
id SANTOTOMAS_7adcc21c240085c2536754af7c64be2e
oai_identifier_str oai:repository.usta.edu.co:11634/53608
network_acronym_str SANTOTOMAS
network_name_str Repositorio Institucional USTA
repository_id_str
dc.title.spa.fl_str_mv Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión Sistemática
title Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión Sistemática
spellingShingle Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión Sistemática
Blood flow restriction therapy
Blood flow restriction training
Blood flow restriction exercise
Chronic disease
Cultura Física Deporte y Recreación
Entrenamiento-Físico
Lesiones
Terapia de restricción del flujo sanguíneo
Ejercicio con restricción del flujo sanguíneo
Entrenamiento con restricción del flujo sanguíneo
Enfermedad crónica
title_short Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión Sistemática
title_full Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión Sistemática
title_fullStr Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión Sistemática
title_full_unstemmed Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión Sistemática
title_sort Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión Sistemática
dc.creator.fl_str_mv Beltrán Velásquez, Juan José
García Torres, Santiago
García Salazar, John Sebastián
dc.contributor.advisor.none.fl_str_mv Argüello Gutiérrez, Yenny Paola
dc.contributor.author.none.fl_str_mv Beltrán Velásquez, Juan José
García Torres, Santiago
García Salazar, John Sebastián
dc.contributor.orcid.spa.fl_str_mv https://orcid.org/0000-0001-8335-4936
dc.contributor.googlescholar.spa.fl_str_mv https://scholar.google.com/citations?hl=es&user=cTCAk0kAAAAJ
dc.contributor.cvlac.spa.fl_str_mv https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000001918
dc.contributor.corporatename.spa.fl_str_mv Universidad Santo Tomás
dc.subject.keyword.spa.fl_str_mv Blood flow restriction therapy
Blood flow restriction training
Blood flow restriction exercise
Chronic disease
topic Blood flow restriction therapy
Blood flow restriction training
Blood flow restriction exercise
Chronic disease
Cultura Física Deporte y Recreación
Entrenamiento-Físico
Lesiones
Terapia de restricción del flujo sanguíneo
Ejercicio con restricción del flujo sanguíneo
Entrenamiento con restricción del flujo sanguíneo
Enfermedad crónica
dc.subject.lemb.spa.fl_str_mv Cultura Física Deporte y Recreación
Entrenamiento-Físico
Lesiones
dc.subject.proposal.spa.fl_str_mv Terapia de restricción del flujo sanguíneo
Ejercicio con restricción del flujo sanguíneo
Entrenamiento con restricción del flujo sanguíneo
Enfermedad crónica
description El entrenamiento de restricción de flujo sanguíneo (RFS) es un método efectivo utilizado tanto en procesos de optimización de las cualidades físicas como parte del manejo de enfermedades crónicas. El objetivo de esta revisión sistemática fue establecer los efectos del entrenamiento de restricción de flujo sanguíneo en las enfermedades crónicas. A nivel metodológico se siguieron los lineamientos establecidos por la metodología PRISMA para el desarrollo de revisiones sistemáticas, se tuvo como ecuación de búsqueda: blood flow restriction therapy OR blood flow restriction exercise OR blood flow restriction training AND chronic disease, en las bases de datos PubMed/MEDLINE, LILACS, DOAJ, EBSCO y Scopus; luego de los filtros establecidos y el proceso de selección se seleccionaron 34 artículos para este estudio. Para la evaluación del riesgo de sesgo de los estudios, se utilizó la herramienta RoB 2; de cada artículo se analizaron: características de la técnica de RFS utilizada; enfermedad incluida en el estudio; intervención de ejercicio o entrenamiento utilizado en combinación con la RFS y efectos sistémicos reportados. Después del análisis se pudo evidenciar que la RFS reporta efectos positivos en los pacientes intervenidos, tales como la reducción del dolor en la recuperación de lesiones, prevención de la atrofia muscular y mejoría en la fuerza muscular. También se evidencia que este tipo de entrenamientos deben ser implementados por profesionales de la salud para evitar problemas físicos y de salud tales como formación de trombos o generación de zonas isquémicas y necróticas.
publishDate 2024
dc.date.accessioned.none.fl_str_mv 2024-01-22T16:40:41Z
dc.date.available.none.fl_str_mv 2024-01-22T16:40:41Z
dc.date.issued.none.fl_str_mv 2024-01-15
dc.type.local.spa.fl_str_mv Trabajo de grado
dc.type.version.none.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.coar.none.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.drive.none.fl_str_mv info:eu-repo/semantics/bachelorThesis
format http://purl.org/coar/resource_type/c_7a1f
status_str acceptedVersion
dc.identifier.citation.spa.fl_str_mv Beltrán Velásquez, J. J., García Torres, S. y García Salazar, J. S. (s.f.). Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión Sistemática. [Trabajo de Grado, Universidad Santo Tomás]. Repositorio Institucional.
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/11634/53608
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad Santo Tomás
dc.identifier.instname.spa.fl_str_mv instname:Universidad Santo Tomás
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.usta.edu.co
identifier_str_mv Beltrán Velásquez, J. J., García Torres, S. y García Salazar, J. S. (s.f.). Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión Sistemática. [Trabajo de Grado, Universidad Santo Tomás]. Repositorio Institucional.
reponame:Repositorio Institucional Universidad Santo Tomás
instname:Universidad Santo Tomás
repourl:https://repository.usta.edu.co
url http://hdl.handle.net/11634/53608
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.references.spa.fl_str_mv Ahmadabadi, Z., Nemati, J., Mousavinia, S., & Rezaei, R. (2022). Acute Effect of Single Bout Aerobic exercise with and without Blood Flow Restriction on Hemodynamic and Coagulation Indicators in Hypertension Disease, Journal of Sport, and Exercise Psychology, 15(2), 52–63. https://doi.org/10.52547/joeppa.15.2.52
Alves, T., Abdalla, P., Bohn, L., Da Silva, L., Santos, A., Tasinafo, M., Venturini, A., Mota, J., & Machado, D. (2022). Acute and chronic cardiometabolic responses induced by resistance training with blood flow restriction in HIV patients. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-19857-3
Barbosa, J., Maia, T., Alves, P., Bezerra, S., Moura, E., De Medeiros, A., Fuzari, H., Da Rocha, L., & De Melo, P. (2018). Does blood flow restriction training increase the diameter of forearm vessels in chronic kidney disease patients? A randomized clinical trial. Journal of Vascular Access, 19(6), 626–633. https://doi.org/10.1177/1129729818768179
Barili, A., Da Silva, V., Cardoso, A., Mânica, A., Da Silva, B., Bagatini, M., Da Silva, M., De Oliveira, G., & De Sá, C. (2018). Acute responses of hemodynamic and oxidative stress parameters to aerobic exercise with blood flow restriction in hypertensive elderly women. Molecular Biology Reports, 45(5), 1099–1109. https://doi.org/10.1007/s11033-018-4261-1
Cardoso, R., Araujo, A., Del Vechio, F., Böhlke, M., Barcellos, F., Oses, J., Freitas, M., & Rombaldi, A. (2019). Intradialytic exercise with blood flow restriction is more effective than conventional exercise in improving walking endurance in hemodialysis patients: a randomized controlled trial. Clinical Rehabilitation, 34(1), 91–98. https://doi.org/10.1177/0269215519880235
Cardoso, R., Araujo, A., Orcy, R., Böhlke, M., Oses, J., Del Vecchio, F., Barcellos, F., Gonzalez, M., & Rombaldi, A. (2019). Effects of continuous moderate exercise with partial blood flow restriction during hemodialysis: A protocol for a randomized clinical trial. MethodsX, 6, 190–198. https://doi.org/10.1016/j.mex.2019.01.005
Ceballos, A., Zeppieri, G., & Bialosky, J. (2022). Resident Case Series: Blood Flow Restriction as an Adjunct to Strengthening Exercises in Two Patients with Subacromial Impingement and High Irritability. PubMed, 17(5), 931–940. https://pubmed.ncbi.nlm.nih.gov/35949378
Cerqueira, M., & De Brito, W. (2019). Effects of blood flow restriction exercise with very low load and low volume in patients with knee osteoarthritis: protocol for a randomized trial. Trials, 20(1). https://doi.org/10.1186/s13063-019-3238-2
Chulvi‐Medrano, I. (2015). Resistance Training with Blood Flow Restriction and Hypertensive Subjects. Journal of Human Kinetics, 46(1), 7–8. https://doi.org/10.1515/hukin-2015-0028
Clarkson, M., Brumby, C., Fraser, S., McMahon, L., Bennett, P., & Warmington, S. (2020). Hemodynamic and perceptual responses to blood flow-restricted exercise among patients undergoing dialysis. American Journal of Physiology-renal Physiology, 318(3), F843–F850. https://doi.org/10.1152/ajprenal.00576.2019
Clarkson, M., Fraser, S., Bennett, P., McMahon, L., Brumby, C., & Warmington, S. (2017). Efficacy of blood flow restriction exercise during dialysis for end stage kidney disease patients: protocol of a randomised controlled trial. BMC Nephrology, 18(1). https://doi.org/10.1186/s12882-017-0713-4
Cohen, E., Cleffi, N., Ingersoll, M., & Karpatkin, H. (2020). Blood-Flow restriction training for a person with primary progressive multiple sclerosis: a case report. Physical Therapy, 101(3). https://doi.org/10.1093/ptj/pzaa224
Cuddeford, T., & Brumitt, J. (2020). In‐season rehabilitation program using blood flow restriction therapy for two decathletes with patellar tendinopathy: A case report. The International Journal of Sports Physical Therapy, 15(6), 1184–1195. https://doi.org/10.26603/ijspt20201184
Curran, M., Bedi, A., Mendias, C., Wojtys, E., Kujawa, M., & Palmieri-Smith, R. (2020). Blood flow restriction training applied with High-Intensity Exercise does not improve quadriceps muscle function after anterior cruciate ligament reconstruction: a randomized controlled trial. American Journal of Sports Medicine, 48(4), 825–837. https://doi.org/10.1177/0363546520904008
De Araújo, J., Silva, E., Silva, J., De Souza, T., De Oliveira, E., Guerra, I., & Sousa, M. (2014). The Acute Effect of Resistance Exercise with Blood Flow Restriction with Hemodynamic Variables on Hypertensive Subjects. Journal of Human Kinetics, 43(1), 79–85. https://doi.org/10.2478/hukin-2014-0092
De Luca, H., Neves, R., Deus, L., Maia, B., Maya, Á., Tzanno-Martins, C., Souza, M., Silva, J., Haro, A., Costa, F., Moraes, M., Simões, H., Prestes, J., & Stone, W. (2021). Low-load resistance training with blood flow restriction prevent renal function decline: The role of the redox balance, angiotensin 1–7 and vasopressin. Physiology & Behavior, 230, 113295. https://doi.org/10.1016/j.physbeh.2020.113295
De Luca, H., Neves, R., Deus, L., Souza, M., Haro, A., Costa, F., Silva, V., Santos, C., Moraes, M., Simões, H., Navalta, J., & Prestes, J. (2020). Blood flow restriction training blunts chronic kidney disease progression in humans. Medicine and Science in Sports and Exercise, 53(2), 249–257. https://doi.org/10.1249/mss.0000000000002465
De Souza, T., De Souza, P., Pereira, J., Neto, E., Dutra, T., De Mendonça, M., Neto, L., Santos, A., & Cirilo-Sousa, M. (2021). Strength training with blood flow restriction in HIV patients positive: a case study. Motricidade, 17(3). https://doi.org/10.6063/motricidade.20573
Deus, L., De Luca, H., Neves, R., Reis, A., Honorato, F., De Araújo, T., Souza, M., Haro, A., Silva, V., Barbosa, J., Padula, I., De Andrade, R., Simões, H., Prestes, J., Stone, W., De Melo, G., & Rosa, T. (2022). Metabolic and hormonal responses to chronic blood-flow restricted resistance training in chronic kidney disease: a randomized trial. Applied Physiology, Nutrition, and Metabolism, 47(2), 183–194. https://doi.org/10.1139/apnm-2021-0409
Deus, L., Neves, R., De Luca, H., Reis, A., Honorato, F., Silva, V., De Araújo, T., Souza, M., Sousa, C., Simões, H., Prestes, J., Neto, L., Santos, C., De Melo, G., Stone, W., & Rosa, T. (2021). Improving the prognosis of renal patients: The effects of blood flow‐restricted resistance training on redox balance and cardiac autonomic function. Experimental Physiology, 106(4), 1099–1109. https://doi.org/10.1113/ep089341
Douris, P., Cogen, Z., Fields, H., Greco, L., Hasley, M., Machado, C., Romagnuolo, P., Stamboulis, G., & DiFrancisco‐Donoghue, J. (2018). The effects of blood flow restriction training on functional improvements in an active single subject with Parkinson disease. The International Journal of Sports Physical Therapy, 13(2), 247–254. https://doi.org/10.26603/ijspt20180247
Faltus, J., Owens, J., & Hedt, C. (2018). Theoretical applications of blood flow restriction training in managing chronic ankle instability in the basketball athlete. The International Journal of Sports Physical Therapy, 13(3), 552–560. https://doi.org/10.26603/ijspt20180552
Fan, Y., Bai, D., Cheng, C., & Tian, G. (2023). The effectiveness and safety of blood flow restriction training for the post-operation treatment of distal radius fracture. Annals of Medicine, 55(2). https://doi.org/10.1080/07853890.2023.2240329
Ferlito, J., Rolnick, N., Ferlito, M., De Marchi, T., Deminice, R., & Salvador, M. (2023). Acute effect of low-load resistance exercise with blood flow restriction on oxidative stress biomarkers: A systematic review and meta-analysis. PLOS ONE, 18(4), e0283237. https://doi.org/10.1371/journal.pone.0283237
Hughes, L., Paton, B., Rosenblatt, B., Gissane, C., & Patterson, S. (2017). Blood flow restriction training in clinical musculoskeletal rehabilitation: a systematic review and meta-analysis. British Journal of Sports Medicine, 51(13), 1003–1011. https://doi.org/10.1136/bjsports-2016-097071
Killinger, B., Lauver, J., Donovan, L., & Goetschius, J. (2020). The effects of blood flow restriction on muscle activation and hypoxia in individuals with chronic ankle instability. Journal of Sport Rehabilitation, 29(5), 633–639. https://doi.org/10.1123/jsr.2018-0416
Kohlbrenner, D., Aregger, C., Osswald, M., Sievi, N., & Clarenbach, C. (2021). Blood-Flow–Restricted Strength Training combined with High-Load Strength and Endurance Training in pulmonary Rehabilitation for COPD: a case report. Physical Therapy, 101(6). https://doi.org/10.1093/ptj/pzab063
Kruithof, E., Thomas, S., & Tripp, P. (2018). Blood flow restriction therapy following microfracture surgery for osteochondritis dissecans in a collegiate athlete. International Journal of Athletic Therapy and Training, 23(6), 230–233. https://doi.org/10.1123/ijatt.2017-0018
Lamberti, N., Straudi, S., Donadi, M., Tanaka, H., Basaglia, N., & Manfredini, F. (2020). Effectiveness of blood flow‐restricted slow walking on mobility in severe multiple sclerosis: A pilot randomized trial. Scandinavian Journal of Medicine & Science in Sports, 30(10), 1999–2009. https://doi.org/10.1111/sms.13764
Laswati, H., Sugiarto, D., Poerwandari, D., Pangkahila, J., & Kimura, H. (2018). Low-Intensity Exercise with Blood Flow Restriction Increases Muscle Strength without Altering hsCRP and Fibrinogen Levels in Healthy Subjects. Chinese Journal of Physiology, 61(3), 188–195. https://doi.org/10.4077/cjp.2018.bag567
Lima-Soares, F., Cholewa, J., De Araújo, K., Lancha, A., Garcia, E., De Chaves, R., Lauver, J., Hall, M., Laurentino, G., Cabido, C., Rossi, F., & Zanchi, N. (2019). Blood flow restriction and blood flow restriction resistance training improves muscle mass, muscle strength and mobility in an older patient with osteoarthrosis carrying the ACTN3 endurance genotype: A case report. Geriatrics & Gerontology International, 19(5), 458–459. https://doi.org/10.1111/ggi.13634
Lipker, L., Persinger, C., Michalko, B., & Durall, C. (2019). Blood flow restriction therapy versus standard care for reducing quadriceps atrophy after anterior cruciate ligament reconstruction. Journal of Sport Rehabilitation, 28(8), 897–901. https://doi.org/10.1123/jsr.2018-0062
Lixandrão, M., Roschel, H., Ugrinowitsch, C., Miquelini, M., Alvarez, I., & Libardi, C. (2019). Blood-Flow restriction resistance exercise promotes lower pain and ratings of perceived exertion compared with either High- or Low-Intensity Resistance exercise performed to muscular failure. Journal of Sport Rehabilitation, 28(7), 706–710. https://doi.org/10.1123/jsr.2018-0030
Loenneke, J., Fahs, C., Rossow, L., Abe, T., & Bemben, M. (2012). The anabolic benefits of venous blood flow restriction training may be induced by muscle cell swelling. Medical Hypotheses, 78(1), 151–154. https://doi.org/10.1016/j.mehy.2011.10.014
Mahmoud, W., Osailan, A., Ahmed, A., Elnaggar, R., & Radwan, N. (2021). Optimal parameters of blood flow restriction and resistance training on quadriceps strength and cross-sectional area and pain in knee osteoarthritis. Isokinetics and Exercise Science, 29(4), 393–402. https://doi.org/10.3233/ies-200235
McGuinness, L., & Higgins, J. (2020). Risk‐of‐bias Visualization (robvis): An R package and Shiny web app for visualizing risk‐of‐bias assessments. Research Synthesis Methods, 12(1), 55–61. https://doi.org/10.1002/jrsm.1411
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. (2009). Preferred reporting items for Systematic Reviews and Meta-Analyses: the PRISMA statement. PLOS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097
Neto, G., De Pontes, H., Sousa, J., Júnior, A., De Araújo, J., Aniceto, R., & Sousa, M. (2014). Effects of High-Intensity Blood Flow Restriction exercise on muscle fatigue. Journal of Human Kinetics, 41(1), 163–172. https://doi.org/10.2478/hukin-2014-0044
Nobre, R., Cardoso, R., Araujo, A., Orcy, R., Ribas, L., Catto, R., Conteratto, A., Aquino, J., Rombaldi, A., & Böhlke, M. (2022). Is It Safe for Hemodialysis Patients to Seek Gains with Less Pain? Acute Hemodynamic Response to Intradialytic Blood Flow Restriction Training. Int J Exerc Sci, 15(2), 434–441. https://pubmed.ncbi.nlm.nih.gov/35516909
Pearson, S., & Hussain, S. (2014). A review on the Mechanisms of Blood-Flow Restriction Resistance Training-Induced Muscle Hypertrophy. Sports Medicine, 45(2), 187–200. https://doi.org/10.1007/s40279-014-0264-9
Scott, B., Loenneke, J., Slattery, K., & Dascombe, B. (2014). Exercise with Blood Flow Restriction: An Updated Evidence-Based Approach for Enhanced Muscular Development. Sports Medicine, 45(3), 313–325. https://doi.org/10.1007/s40279-014-0288-1
Silva, I., Barbosa, J., De Araújo, A., & De Melo, P. (2021). Effect of an exercise program with blood flow restriction on the muscular strength of patients with chronic kidney disease: A randomized clinical trial. Journal of Bodywork and Movement Therapies, 28, 187–192. https://doi.org/10.1016/j.jbmt.2021.06.022
Skiba, G., De Andrade, S., & Rodacki, A. (2021). Effects of functional electro-stimulation combined with blood flow restriction in affected muscles by spinal cord injury. Neurological Sciences, 43(1), 603–613. https://doi.org/10.1007/s10072-021-05307-x
Sterne, J., Savović, J., Page, M., Elbers, R., Blencowe, N., Boutron, I., Cates, C., Cheng, H., Corbett, M., Eldridge, S., Emberson, J., Hernán, M., Hopewell, S., Hróbjartsson, A., Junqueira, D., Jüni, P., Kirkham, J., Lasserson, T., Li, T., McAleenan, A., Reeves, B., Sheperd, S., Shrier, I., Stewart, L., Tilling, K., White, I., Whiting, P. & Higgins, J. (2019). RoB 2: a revised tool for assessing risk of bias in randomized trials. BMJ, l4898. https://doi.org/10.1136/bmj.l4898
Vineyard, A., Gallucci, A., Imbus, S., Garrison, J., & Conway, J. (2020). Residents case report: Musculocutaneous nerve injury in a collegiate baseball pitcher. The International Journal of Sports Physical Therapy, 15(5), 804–813. https://doi.org/10.26603/ijspt20200804
dc.rights.*.fl_str_mv Atribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.rights.local.spa.fl_str_mv Abierto (Texto Completo)
dc.rights.accessrights.none.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv Atribución-NoComercial-SinDerivadas 2.5 Colombia
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Abierto (Texto Completo)
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.coverage.campus.spa.fl_str_mv CRAI-USTA Bogotá
dc.publisher.spa.fl_str_mv Universidad Santo Tomás
dc.publisher.program.spa.fl_str_mv Pregrado Cultura Física, Deporte y Recreación
dc.publisher.faculty.spa.fl_str_mv Facultad de Cultura Física, Deporte y Recreación
institution Universidad Santo Tomás
bitstream.url.fl_str_mv https://repository.usta.edu.co/bitstream/11634/53608/1/2023juanjosebeltran.pdf
https://repository.usta.edu.co/bitstream/11634/53608/2/Carta%20aprobacion%20facultad%20.pdf
https://repository.usta.edu.co/bitstream/11634/53608/3/Carta%20de%20derecho%20de%20autor.pdf
https://repository.usta.edu.co/bitstream/11634/53608/4/license_rdf
https://repository.usta.edu.co/bitstream/11634/53608/5/license.txt
https://repository.usta.edu.co/bitstream/11634/53608/6/2023juanjosebeltran.pdf.jpg
https://repository.usta.edu.co/bitstream/11634/53608/7/Carta%20aprobacion%20facultad%20.pdf.jpg
https://repository.usta.edu.co/bitstream/11634/53608/8/Carta%20de%20derecho%20de%20autor.pdf.jpg
bitstream.checksum.fl_str_mv d372389dbfdbd081fd1e3b313a30683b
be9a9b50b6e9d626c6c99cc2c4505d52
6986431729abd7b7946b4cd9805402f2
217700a34da79ed616c2feb68d4c5e06
aedeaf396fcd827b537c73d23464fc27
c33805155e058cf5534ba15171b787f2
326b3a60b38e1fc3ebc817c3af60a1cb
d11896edd43342ec0e0a0455e038cd45
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositorio Universidad Santo Tomás
repository.mail.fl_str_mv noreply@usta.edu.co
_version_ 1860881920891551744
spelling Argüello Gutiérrez, Yenny PaolaBeltrán Velásquez, Juan JoséGarcía Torres, SantiagoGarcía Salazar, John Sebastiánhttps://orcid.org/0000-0001-8335-4936https://scholar.google.com/citations?hl=es&user=cTCAk0kAAAAJhttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000001918Universidad Santo Tomás2024-01-22T16:40:41Z2024-01-22T16:40:41Z2024-01-15Beltrán Velásquez, J. J., García Torres, S. y García Salazar, J. S. (s.f.). Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión Sistemática. [Trabajo de Grado, Universidad Santo Tomás]. Repositorio Institucional.http://hdl.handle.net/11634/53608reponame:Repositorio Institucional Universidad Santo Tomásinstname:Universidad Santo Tomásrepourl:https://repository.usta.edu.coEl entrenamiento de restricción de flujo sanguíneo (RFS) es un método efectivo utilizado tanto en procesos de optimización de las cualidades físicas como parte del manejo de enfermedades crónicas. El objetivo de esta revisión sistemática fue establecer los efectos del entrenamiento de restricción de flujo sanguíneo en las enfermedades crónicas. A nivel metodológico se siguieron los lineamientos establecidos por la metodología PRISMA para el desarrollo de revisiones sistemáticas, se tuvo como ecuación de búsqueda: blood flow restriction therapy OR blood flow restriction exercise OR blood flow restriction training AND chronic disease, en las bases de datos PubMed/MEDLINE, LILACS, DOAJ, EBSCO y Scopus; luego de los filtros establecidos y el proceso de selección se seleccionaron 34 artículos para este estudio. Para la evaluación del riesgo de sesgo de los estudios, se utilizó la herramienta RoB 2; de cada artículo se analizaron: características de la técnica de RFS utilizada; enfermedad incluida en el estudio; intervención de ejercicio o entrenamiento utilizado en combinación con la RFS y efectos sistémicos reportados. Después del análisis se pudo evidenciar que la RFS reporta efectos positivos en los pacientes intervenidos, tales como la reducción del dolor en la recuperación de lesiones, prevención de la atrofia muscular y mejoría en la fuerza muscular. También se evidencia que este tipo de entrenamientos deben ser implementados por profesionales de la salud para evitar problemas físicos y de salud tales como formación de trombos o generación de zonas isquémicas y necróticas.Blood Flow Restriction Training (BFR) is an effective method used both in the optimization of physical qualities and as part of the management of chronic diseases. The aim of this systematic review was to establish the effects of blood flow restriction training on chronic diseases. Methodologically, the guidelines established by the PRISMA methodology for the development of systematic reviews were followed, with the search equation: blood flow restriction therapy OR blood flow restriction exercise OR blood flow restriction training AND chronic disease, in the databases PubMed/MEDLINE, LILACS, DOAJ, EBSCO, and Scopus; after the established filters and the selection process, 34 articles were selected for this study. For the assessment of the risk of bias of the studies, the RoB 2 tool was used; from each article, the following were analyzed: characteristics of the BFR technique used; disease included in the study; exercise or training intervention used in combination with BFR and reported systemic effects. After the analysis, it was evidenced that BFR reports positive effects on the intervened patients, such as pain reduction in injury recovery, prevention of muscle atrophy, and improvement in muscle strength. It is also evident that this type of training should be implemented by healthcare professionals to avoid physical and health problems such as thrombus formation or the generation of ischemic and necrotic areas.Profesional en Cultura Física, Deporte y RecreaciónPregradoapplication/pdfspaUniversidad Santo TomásPregrado Cultura Física, Deporte y RecreaciónFacultad de Cultura Física, Deporte y RecreaciónAtribución-NoComercial-SinDerivadas 2.5 Colombiahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Efectos del Entrenamiento de Restricción de Flujo Sanguíneo en las Enfermedades Crónicas: Una Revisión SistemáticaBlood flow restriction therapyBlood flow restriction trainingBlood flow restriction exerciseChronic diseaseCultura Física Deporte y RecreaciónEntrenamiento-FísicoLesionesTerapia de restricción del flujo sanguíneoEjercicio con restricción del flujo sanguíneoEntrenamiento con restricción del flujo sanguíneoEnfermedad crónicaTrabajo de gradoinfo:eu-repo/semantics/acceptedVersionhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesisCRAI-USTA BogotáAhmadabadi, Z., Nemati, J., Mousavinia, S., & Rezaei, R. (2022). Acute Effect of Single Bout Aerobic exercise with and without Blood Flow Restriction on Hemodynamic and Coagulation Indicators in Hypertension Disease, Journal of Sport, and Exercise Psychology, 15(2), 52–63. https://doi.org/10.52547/joeppa.15.2.52Alves, T., Abdalla, P., Bohn, L., Da Silva, L., Santos, A., Tasinafo, M., Venturini, A., Mota, J., & Machado, D. (2022). Acute and chronic cardiometabolic responses induced by resistance training with blood flow restriction in HIV patients. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-19857-3Barbosa, J., Maia, T., Alves, P., Bezerra, S., Moura, E., De Medeiros, A., Fuzari, H., Da Rocha, L., & De Melo, P. (2018). Does blood flow restriction training increase the diameter of forearm vessels in chronic kidney disease patients? A randomized clinical trial. Journal of Vascular Access, 19(6), 626–633. https://doi.org/10.1177/1129729818768179Barili, A., Da Silva, V., Cardoso, A., Mânica, A., Da Silva, B., Bagatini, M., Da Silva, M., De Oliveira, G., & De Sá, C. (2018). Acute responses of hemodynamic and oxidative stress parameters to aerobic exercise with blood flow restriction in hypertensive elderly women. Molecular Biology Reports, 45(5), 1099–1109. https://doi.org/10.1007/s11033-018-4261-1Cardoso, R., Araujo, A., Del Vechio, F., Böhlke, M., Barcellos, F., Oses, J., Freitas, M., & Rombaldi, A. (2019). Intradialytic exercise with blood flow restriction is more effective than conventional exercise in improving walking endurance in hemodialysis patients: a randomized controlled trial. Clinical Rehabilitation, 34(1), 91–98. https://doi.org/10.1177/0269215519880235Cardoso, R., Araujo, A., Orcy, R., Böhlke, M., Oses, J., Del Vecchio, F., Barcellos, F., Gonzalez, M., & Rombaldi, A. (2019). Effects of continuous moderate exercise with partial blood flow restriction during hemodialysis: A protocol for a randomized clinical trial. MethodsX, 6, 190–198. https://doi.org/10.1016/j.mex.2019.01.005Ceballos, A., Zeppieri, G., & Bialosky, J. (2022). Resident Case Series: Blood Flow Restriction as an Adjunct to Strengthening Exercises in Two Patients with Subacromial Impingement and High Irritability. PubMed, 17(5), 931–940. https://pubmed.ncbi.nlm.nih.gov/35949378Cerqueira, M., & De Brito, W. (2019). Effects of blood flow restriction exercise with very low load and low volume in patients with knee osteoarthritis: protocol for a randomized trial. Trials, 20(1). https://doi.org/10.1186/s13063-019-3238-2Chulvi‐Medrano, I. (2015). Resistance Training with Blood Flow Restriction and Hypertensive Subjects. Journal of Human Kinetics, 46(1), 7–8. https://doi.org/10.1515/hukin-2015-0028Clarkson, M., Brumby, C., Fraser, S., McMahon, L., Bennett, P., & Warmington, S. (2020). Hemodynamic and perceptual responses to blood flow-restricted exercise among patients undergoing dialysis. American Journal of Physiology-renal Physiology, 318(3), F843–F850. https://doi.org/10.1152/ajprenal.00576.2019Clarkson, M., Fraser, S., Bennett, P., McMahon, L., Brumby, C., & Warmington, S. (2017). Efficacy of blood flow restriction exercise during dialysis for end stage kidney disease patients: protocol of a randomised controlled trial. BMC Nephrology, 18(1). https://doi.org/10.1186/s12882-017-0713-4Cohen, E., Cleffi, N., Ingersoll, M., & Karpatkin, H. (2020). Blood-Flow restriction training for a person with primary progressive multiple sclerosis: a case report. Physical Therapy, 101(3). https://doi.org/10.1093/ptj/pzaa224Cuddeford, T., & Brumitt, J. (2020). In‐season rehabilitation program using blood flow restriction therapy for two decathletes with patellar tendinopathy: A case report. The International Journal of Sports Physical Therapy, 15(6), 1184–1195. https://doi.org/10.26603/ijspt20201184Curran, M., Bedi, A., Mendias, C., Wojtys, E., Kujawa, M., & Palmieri-Smith, R. (2020). Blood flow restriction training applied with High-Intensity Exercise does not improve quadriceps muscle function after anterior cruciate ligament reconstruction: a randomized controlled trial. American Journal of Sports Medicine, 48(4), 825–837. https://doi.org/10.1177/0363546520904008De Araújo, J., Silva, E., Silva, J., De Souza, T., De Oliveira, E., Guerra, I., & Sousa, M. (2014). The Acute Effect of Resistance Exercise with Blood Flow Restriction with Hemodynamic Variables on Hypertensive Subjects. Journal of Human Kinetics, 43(1), 79–85. https://doi.org/10.2478/hukin-2014-0092De Luca, H., Neves, R., Deus, L., Maia, B., Maya, Á., Tzanno-Martins, C., Souza, M., Silva, J., Haro, A., Costa, F., Moraes, M., Simões, H., Prestes, J., & Stone, W. (2021). Low-load resistance training with blood flow restriction prevent renal function decline: The role of the redox balance, angiotensin 1–7 and vasopressin. Physiology & Behavior, 230, 113295. https://doi.org/10.1016/j.physbeh.2020.113295De Luca, H., Neves, R., Deus, L., Souza, M., Haro, A., Costa, F., Silva, V., Santos, C., Moraes, M., Simões, H., Navalta, J., & Prestes, J. (2020). Blood flow restriction training blunts chronic kidney disease progression in humans. Medicine and Science in Sports and Exercise, 53(2), 249–257. https://doi.org/10.1249/mss.0000000000002465De Souza, T., De Souza, P., Pereira, J., Neto, E., Dutra, T., De Mendonça, M., Neto, L., Santos, A., & Cirilo-Sousa, M. (2021). Strength training with blood flow restriction in HIV patients positive: a case study. Motricidade, 17(3). https://doi.org/10.6063/motricidade.20573Deus, L., De Luca, H., Neves, R., Reis, A., Honorato, F., De Araújo, T., Souza, M., Haro, A., Silva, V., Barbosa, J., Padula, I., De Andrade, R., Simões, H., Prestes, J., Stone, W., De Melo, G., & Rosa, T. (2022). Metabolic and hormonal responses to chronic blood-flow restricted resistance training in chronic kidney disease: a randomized trial. Applied Physiology, Nutrition, and Metabolism, 47(2), 183–194. https://doi.org/10.1139/apnm-2021-0409Deus, L., Neves, R., De Luca, H., Reis, A., Honorato, F., Silva, V., De Araújo, T., Souza, M., Sousa, C., Simões, H., Prestes, J., Neto, L., Santos, C., De Melo, G., Stone, W., & Rosa, T. (2021). Improving the prognosis of renal patients: The effects of blood flow‐restricted resistance training on redox balance and cardiac autonomic function. Experimental Physiology, 106(4), 1099–1109. https://doi.org/10.1113/ep089341Douris, P., Cogen, Z., Fields, H., Greco, L., Hasley, M., Machado, C., Romagnuolo, P., Stamboulis, G., & DiFrancisco‐Donoghue, J. (2018). The effects of blood flow restriction training on functional improvements in an active single subject with Parkinson disease. The International Journal of Sports Physical Therapy, 13(2), 247–254. https://doi.org/10.26603/ijspt20180247Faltus, J., Owens, J., & Hedt, C. (2018). Theoretical applications of blood flow restriction training in managing chronic ankle instability in the basketball athlete. The International Journal of Sports Physical Therapy, 13(3), 552–560. https://doi.org/10.26603/ijspt20180552Fan, Y., Bai, D., Cheng, C., & Tian, G. (2023). The effectiveness and safety of blood flow restriction training for the post-operation treatment of distal radius fracture. Annals of Medicine, 55(2). https://doi.org/10.1080/07853890.2023.2240329Ferlito, J., Rolnick, N., Ferlito, M., De Marchi, T., Deminice, R., & Salvador, M. (2023). Acute effect of low-load resistance exercise with blood flow restriction on oxidative stress biomarkers: A systematic review and meta-analysis. PLOS ONE, 18(4), e0283237. https://doi.org/10.1371/journal.pone.0283237Hughes, L., Paton, B., Rosenblatt, B., Gissane, C., & Patterson, S. (2017). Blood flow restriction training in clinical musculoskeletal rehabilitation: a systematic review and meta-analysis. British Journal of Sports Medicine, 51(13), 1003–1011. https://doi.org/10.1136/bjsports-2016-097071Killinger, B., Lauver, J., Donovan, L., & Goetschius, J. (2020). The effects of blood flow restriction on muscle activation and hypoxia in individuals with chronic ankle instability. Journal of Sport Rehabilitation, 29(5), 633–639. https://doi.org/10.1123/jsr.2018-0416Kohlbrenner, D., Aregger, C., Osswald, M., Sievi, N., & Clarenbach, C. (2021). Blood-Flow–Restricted Strength Training combined with High-Load Strength and Endurance Training in pulmonary Rehabilitation for COPD: a case report. Physical Therapy, 101(6). https://doi.org/10.1093/ptj/pzab063Kruithof, E., Thomas, S., & Tripp, P. (2018). Blood flow restriction therapy following microfracture surgery for osteochondritis dissecans in a collegiate athlete. International Journal of Athletic Therapy and Training, 23(6), 230–233. https://doi.org/10.1123/ijatt.2017-0018Lamberti, N., Straudi, S., Donadi, M., Tanaka, H., Basaglia, N., & Manfredini, F. (2020). Effectiveness of blood flow‐restricted slow walking on mobility in severe multiple sclerosis: A pilot randomized trial. Scandinavian Journal of Medicine & Science in Sports, 30(10), 1999–2009. https://doi.org/10.1111/sms.13764Laswati, H., Sugiarto, D., Poerwandari, D., Pangkahila, J., & Kimura, H. (2018). Low-Intensity Exercise with Blood Flow Restriction Increases Muscle Strength without Altering hsCRP and Fibrinogen Levels in Healthy Subjects. Chinese Journal of Physiology, 61(3), 188–195. https://doi.org/10.4077/cjp.2018.bag567Lima-Soares, F., Cholewa, J., De Araújo, K., Lancha, A., Garcia, E., De Chaves, R., Lauver, J., Hall, M., Laurentino, G., Cabido, C., Rossi, F., & Zanchi, N. (2019). Blood flow restriction and blood flow restriction resistance training improves muscle mass, muscle strength and mobility in an older patient with osteoarthrosis carrying the ACTN3 endurance genotype: A case report. Geriatrics & Gerontology International, 19(5), 458–459. https://doi.org/10.1111/ggi.13634Lipker, L., Persinger, C., Michalko, B., & Durall, C. (2019). Blood flow restriction therapy versus standard care for reducing quadriceps atrophy after anterior cruciate ligament reconstruction. Journal of Sport Rehabilitation, 28(8), 897–901. https://doi.org/10.1123/jsr.2018-0062Lixandrão, M., Roschel, H., Ugrinowitsch, C., Miquelini, M., Alvarez, I., & Libardi, C. (2019). Blood-Flow restriction resistance exercise promotes lower pain and ratings of perceived exertion compared with either High- or Low-Intensity Resistance exercise performed to muscular failure. Journal of Sport Rehabilitation, 28(7), 706–710. https://doi.org/10.1123/jsr.2018-0030Loenneke, J., Fahs, C., Rossow, L., Abe, T., & Bemben, M. (2012). The anabolic benefits of venous blood flow restriction training may be induced by muscle cell swelling. Medical Hypotheses, 78(1), 151–154. https://doi.org/10.1016/j.mehy.2011.10.014Mahmoud, W., Osailan, A., Ahmed, A., Elnaggar, R., & Radwan, N. (2021). Optimal parameters of blood flow restriction and resistance training on quadriceps strength and cross-sectional area and pain in knee osteoarthritis. Isokinetics and Exercise Science, 29(4), 393–402. https://doi.org/10.3233/ies-200235McGuinness, L., & Higgins, J. (2020). Risk‐of‐bias Visualization (robvis): An R package and Shiny web app for visualizing risk‐of‐bias assessments. Research Synthesis Methods, 12(1), 55–61. https://doi.org/10.1002/jrsm.1411Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. (2009). Preferred reporting items for Systematic Reviews and Meta-Analyses: the PRISMA statement. PLOS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097Neto, G., De Pontes, H., Sousa, J., Júnior, A., De Araújo, J., Aniceto, R., & Sousa, M. (2014). Effects of High-Intensity Blood Flow Restriction exercise on muscle fatigue. Journal of Human Kinetics, 41(1), 163–172. https://doi.org/10.2478/hukin-2014-0044Nobre, R., Cardoso, R., Araujo, A., Orcy, R., Ribas, L., Catto, R., Conteratto, A., Aquino, J., Rombaldi, A., & Böhlke, M. (2022). Is It Safe for Hemodialysis Patients to Seek Gains with Less Pain? Acute Hemodynamic Response to Intradialytic Blood Flow Restriction Training. Int J Exerc Sci, 15(2), 434–441. https://pubmed.ncbi.nlm.nih.gov/35516909Pearson, S., & Hussain, S. (2014). A review on the Mechanisms of Blood-Flow Restriction Resistance Training-Induced Muscle Hypertrophy. Sports Medicine, 45(2), 187–200. https://doi.org/10.1007/s40279-014-0264-9Scott, B., Loenneke, J., Slattery, K., & Dascombe, B. (2014). Exercise with Blood Flow Restriction: An Updated Evidence-Based Approach for Enhanced Muscular Development. Sports Medicine, 45(3), 313–325. https://doi.org/10.1007/s40279-014-0288-1Silva, I., Barbosa, J., De Araújo, A., & De Melo, P. (2021). Effect of an exercise program with blood flow restriction on the muscular strength of patients with chronic kidney disease: A randomized clinical trial. Journal of Bodywork and Movement Therapies, 28, 187–192. https://doi.org/10.1016/j.jbmt.2021.06.022Skiba, G., De Andrade, S., & Rodacki, A. (2021). Effects of functional electro-stimulation combined with blood flow restriction in affected muscles by spinal cord injury. Neurological Sciences, 43(1), 603–613. https://doi.org/10.1007/s10072-021-05307-xSterne, J., Savović, J., Page, M., Elbers, R., Blencowe, N., Boutron, I., Cates, C., Cheng, H., Corbett, M., Eldridge, S., Emberson, J., Hernán, M., Hopewell, S., Hróbjartsson, A., Junqueira, D., Jüni, P., Kirkham, J., Lasserson, T., Li, T., McAleenan, A., Reeves, B., Sheperd, S., Shrier, I., Stewart, L., Tilling, K., White, I., Whiting, P. & Higgins, J. (2019). RoB 2: a revised tool for assessing risk of bias in randomized trials. BMJ, l4898. https://doi.org/10.1136/bmj.l4898Vineyard, A., Gallucci, A., Imbus, S., Garrison, J., & Conway, J. (2020). Residents case report: Musculocutaneous nerve injury in a collegiate baseball pitcher. The International Journal of Sports Physical Therapy, 15(5), 804–813. https://doi.org/10.26603/ijspt20200804ORIGINAL2023juanjosebeltran.pdf2023juanjosebeltran.pdfTrabajo de gradoapplication/pdf497126https://repository.usta.edu.co/bitstream/11634/53608/1/2023juanjosebeltran.pdfd372389dbfdbd081fd1e3b313a30683bMD51open accessCarta aprobacion facultad .pdfCarta aprobacion facultad .pdfCarta aprobación facultadapplication/pdf202136https://repository.usta.edu.co/bitstream/11634/53608/2/Carta%20aprobacion%20facultad%20.pdfbe9a9b50b6e9d626c6c99cc2c4505d52MD52metadata only accessCarta de derecho de autor.pdfCarta de derecho de autor.pdfCarta de derechos de autorapplication/pdf543974https://repository.usta.edu.co/bitstream/11634/53608/3/Carta%20de%20derecho%20de%20autor.pdf6986431729abd7b7946b4cd9805402f2MD53metadata only accessCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repository.usta.edu.co/bitstream/11634/53608/4/license_rdf217700a34da79ed616c2feb68d4c5e06MD54open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-8807https://repository.usta.edu.co/bitstream/11634/53608/5/license.txtaedeaf396fcd827b537c73d23464fc27MD55open accessTHUMBNAIL2023juanjosebeltran.pdf.jpg2023juanjosebeltran.pdf.jpgIM Thumbnailimage/jpeg10066https://repository.usta.edu.co/bitstream/11634/53608/6/2023juanjosebeltran.pdf.jpgc33805155e058cf5534ba15171b787f2MD56open accessCarta aprobacion facultad .pdf.jpgCarta aprobacion facultad .pdf.jpgIM Thumbnailimage/jpeg7162https://repository.usta.edu.co/bitstream/11634/53608/7/Carta%20aprobacion%20facultad%20.pdf.jpg326b3a60b38e1fc3ebc817c3af60a1cbMD57open accessCarta de derecho de autor.pdf.jpgCarta de derecho de autor.pdf.jpgIM Thumbnailimage/jpeg8424https://repository.usta.edu.co/bitstream/11634/53608/8/Carta%20de%20derecho%20de%20autor.pdf.jpgd11896edd43342ec0e0a0455e038cd45MD58open access11634/53608oai:repository.usta.edu.co:11634/536082024-01-23 03:04:17.936open accessRepositorio Universidad Santo Tomásnoreply@usta.edu.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

Publicaciones similares