2022, Number 1
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Rev Nefrol Dial Traspl 2022; 42 (1)
Effects of physical training with vascular flow restriction during hemodialysis
Almanza A, Giusiano P, Martincorena N, Brites P, Gómez J, Peláez A
Language: Spanish
References: 24
Page: 11-21
PDF size: 287.41 Kb.
ABSTRACT
Background: Vascular flow restriction
is a novel training method that has
been shown to achieve cardiovascular
and neuromuscular adaptations similar
to those obtained during conventional
training; it promises the development
of muscle strength and trophism,
combining the low intensity loads with
partial restriction of blood flow in the
muscle.
Objective: To analyze evidence
on the effectiveness of vascular flow
restriction during physical retraining in
patients with chronic renal failure with
renal function replacement therapy.
Methods: Electronic databases were
used; PubMed, Cochrane Library,
LILACS, PEDro, Science Direct,
and Google Scholar. Clinical trials
conducted in people receiving dialysis
or hemodialysis were included. Texts
in both English and Spanish were
searched.
Results: The search and
selection identified five scientific
articles and a doctoral thesis, which
were evaluated under the criteria of the
PEDro scale, three of which measured
strength and physical capacity and
the remaining two, alterations in dialysis adequacy
and hemodynamic parameters.
Conclusions:
Using this rehabilitation and/or training tool
has positive effects clinically similar to those of
conventional training with respect to strength and
muscle hypertrophy in a wide range of ages and
physical states. Both physical function and quality
of life showed an improvement, being especially
interesting for populations limited physically that
cannot benefit from high-intensity training.
REFERENCES
Sarmiento Becerra OM, Puentes Salazar AM, HernándezAE. ¿Cuál es la seguridad de un programa de ejercicios,como intervención, durante la hemodiálisis para elpaciente con enfermedad renal crónica? Rev ColomNefrol. 2019;6(1):35-47. doi: 10.22265/acnef.6.1.328.
Cobo Sevilla V, Alulema Villacis LJ. Efectividaddel entrenamiento del acondicionamiento físicoen pacientes que reciben hemodiálisis [Internet].Repositorio de la Universidad Técnica de Ambato,2015. Disponible en: (consulta: 20/11/2021).
Hill NR, Fatoba ST, Oke JL, Hirst JA, O’CallaghanCA, Lasserson DS, et al. Global Prevalence of ChronicKidney Disease - A Systematic Review and Meta-Analysis. PLoS One. 2016;11(7):e0158765. doi:10.1371/journal.pone.0158765.
González-Bedat MC, Ferreiro Fuentes A, Ceretta ML.Registro Uruguayo de Diálisis. Informe anual 2017.Montevideo: Sociedad Uruguaya de Nefrología, 2019.78 p.
Uruguay. Fondo Nacional de Recursos. Informe anualde diálisis crónica 2018 [Internet]. Montevideo: UnidadRegistros Médicos, 2019. Disponible en: (consulta: 20/11/2021).
Sheng K, Zhang P, Chen L, Cheng J, Wu C, ChenJ. Intradialytic exercise in hemodialysis patients: asystematic review and meta-analysis. Am J Nephrol.2014;40(5):478-90. doi: 10.1159/000368722.
Segura Ortí E, Momblanch Amorós MT, Martí MonrosA, Martínez JF, Ruescas Nicolau A, Cardo Maza A, etal. Ejercicio de fuerza durante la hemodiálisis: unaforma de mejorar la calidad de vida [Internet]. EnfermNefrol. Disponible en: (consulta: 20/11/2021).
Hughes L, Paton B, Rosenblatt B, Gissane C, PattersonSD. Blood flow restriction training in clinicalmusculoskeletal rehabilitation: a systematic review andmeta-analysis. Br J Sports Med. 2017;51(13):1003-11.doi: 10.1136/bjsports-2016-097071.
Rodrigues Neto G, Silva JCG, Umbelino RKC,Silva HG, Neto EAP, Oliota-Ribeiro LS, et al. Arethere differences in auscultatory pulse in total bloodflow restriction between positions, limbs and bodysegments? Rev Bras Cineantropom Desempenho Hum.2018;20(5):381-90. doi: 10.5007/1980-0037.2018v20n5p381.
Granada Jaraba E. Eficacia, seguridad y parámetrosrelevantes en el entrenamiento de baja intensidad conrestricción de flujo sanguíneo: revisión bibliográfica[Tesis]. Academia-e [Repositorio de la UniversidadPública de Navarra], 2018. Disponible en: (consulta: 20/11/2021).
Lencina Bonorino S, de Sá CA, da Silva Corralo V,Michelini Olkoski M, da Silva-Grigoletto ME, BarrosSaretto C, et al. Hemodynamic responses to strengthexercise with blood flow restriction in small musclegroups. Rev Bras Cineantropom Desempenho Hum. 2019;21:e56258. doi: 10.5007/1980-0037.2019v21e56258.
Bahamondes-Avila C, Lagos J, Bustos L, Alvarez-Castillo J, Berral de la Rosa FJ, Salazar LA. Efectos deun entrenamiento de miembro inferior con restricciónparcial del flujo sanguíneo en la fuerza musculary biomarcadores sistémicos de daño muscular einflamación. Int J Morphol. 2018;36(4):1210-5. doi:10.4067/S0717-95022018000401210.
Head P, Austen B, Browne D, Campkin T, BarcellonaM. Effect of practical blood flow restriction trainingduring bodyweight exercise on muscular strength,hypertrophy and function in adults: a randomisedcontrolled trial. Int J Ther Rehabil. 2015;22(6):263-4.doi: 10.12968/ijtr.2015.22.6.263.
Cook SB, Cleary CJ. Progression of blood flowrestricted resistance training in older adults at risk ofmobility limitations. Front Physiol. 2019;10:738. doi:10.3389/fphys.2019.00738.
Fuquen Rivas DA, Gracia Díaz AJ. Revisión teóricadel entrenamiento con restricción del flujo sanguíneohacia la hipertrofia y fuerza muscular. Rev ActividadFis Deporte. 2019;5(2):142-70. doi: 10.31910/rdafd.v5.n2.2019.1264.
Tegtbur U, Haufe S, Busse MW. Anwendungund Effekte des “blood flow restriction training”.Unfallchirurg. 2020;123:170-5. doi: 10.1007/s00113-020-00774-x.
Picón-Martínez M, Chulvi-Medrano I, Alonso-AubinDA. Uso del entrenamiento con restricción del flujosanguíneo en España: un estudio transversal. J SportHealth Res. 2019;11(2):171-86.
Araújo Júnior AT de, Cirilo-Sousa MS, RodriguesNeto G, Poderoso R, Veloso Neto G, GarridoND, et al. Oxygen uptake and resistance exercisemethods: the use of blood flow restriction. Rev BrasMed Esporte. 2018;24(5):343-6. doi: 10.1590/1517-869220182405180336.
Evangelista AL, Rica RL, Paulo AC, Vieira RP,Corso SD, Santos Dias A, et al. Acute and subacuteeffects of resistance training with and without bloodflow restriction on muscle thickness and cytokines.Motricidade. 2019;15(1):79-86. doi: 10.6063/motricidade.14910.
Días EC, Orcy R, Antunes MF, Kohn R, RombaldiAJ, Ribeiro L, et al. Intradialytic exercise with bloodflow restriction: Something to add to hemodialysisadequacy? Findings from a crossover study. HemodialInt. 2020;24(1):71-8. doi: 10.1111/hdi.12793.
Cardoso RK, Araujo AM, Del Vechio FB, BohlkeM, Barcellos FC, Oses JP, et al. Intradialyticexercise with blood flow restriction is more effectivethan conventional exercise in improving walkingendurance in hemodialysis patients: a randomizedcontrolled trial. Clin Rehabil. 2020;34(1):91-8. doi:10.1177/0269215519880235.
Clarkson MJ, Fraser SF, Bennett PN, McMahon LP,Brumby C, Warmington SA. Efficacy of blood flowrestriction exercise during dialysis for end stage kidneydisease patients: protocol of a randomised controlledtrial. BMC Nephrol. 2017;18(1):294. doi: 10.1186/s12882-017-0713-4.
Barbosa JB, Maia TO, Alves PS, Bezerra SD, MouraEC, Medeiros AIC, et al. Does blood flow restrictiontraining increase the diameter of forearm vesselsin chronic kidney disease patients? A randomizedclinical trial. J Vasc Access. 2018;19(6):626-33. doi:10.1177/1129729818768179.
Clarkson MJ, Brumby C, Fraser SF, McMahon LP,Bennett PN, Warmington SA. Hemodynamic andperceptual responses to blood flow-restricted exerciseamong patients undergoing dialysis. Am J PhysiolRenal Physiol. 2020;318(3):F843-F850. doi: 10.1152/ajprenal.00576.2019.