PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Effects of General Exercise after Blood Flow Restriction on Trunk Muscles Thickness for Children with Spasticity Cerebral Palsy

혈류제한 후 일반적 운동이 경직성 뇌성마비 아동의 몸통 근육 두께에 미치는 영향

  • Park, Jae-Cheol (Department of Physical Therapy, Chunnam Techno University) ;
  • Lee, Dong-Kyu (Department of Physical Therapy, Chunnam Techno University)
  • 박재철 (전남과학대학교 물리치료과) ;
  • 이동규 (전남과학대학교 물리치료과)
  • Received : 2021.12.06
  • Accepted : 2022.01.11
  • Published : 2022.04.30
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Abstract

Purpose: The purpose of this study was to identify the effects of general exercise after blood flow restriction on trunk muscles thickness in children with spastic cerebral palsy. Methods: Twenty children with cerebral palsy were assigned randomly to an experimental (n = 10) or a control (n = 10) group. The experimental group performed general exercise after blood flow restriction, while the control group performed general exercise alone. The study used an ultrasonic instrument to measure trunk muscles thickness. The Wilcoxon signed-rank test was used to determine differences before and after treatment, and the Mann-Whitney U test was used to determine differences between treatment groups. Results: From a comparison within the groups, the experimental and control groups showed significant difference in trunk muscle thickness after the experiment (p < 0.05). In a comparison between the two groups, the experimental group showed more significant difference in trunk muscle thickness than the control group (p < 0.05). Conclusion: Based on these results, general exercise after blood flow restriction effectively improves trunk muscle thickness in children with cerebral palsy.

Keywords

References

  1. Abd-Elfattah HM, Aly SM. Effect of core stability exercises on hand functions in children with hemiplegic cerebral palsy. Annals of Rehabilitation Medicine. 2021;45(1):71-78. https://doi.org/10.5535/arm.20124
  2. Ali MS, Abd El-Aziz HG. Effect of whole-body vibration on abdominal thickness and sitting ability in children with spastic diplegia. Journal of Taibah University Medical Sciences. 2021;16(3):379-386. https://doi.org/10.1016/j.jtumed.2020.11.006
  3. Bowman EN, Elshaar R, Milligan H, et al. Proximal, distal, and contralateral effects of blood flow restriction training on the lower extremities: a randomized controlled trial. Sports Health. 2019;11(2):149-156. https://doi.org/10.1177/1941738118821929
  4. Centner C, Lauber B. A systematic review and meta-analysis on neural adaptations following blood flow restriction training: what we know and what we don't know. Frontiers in physiology. 2020;11:887. https://doi.org/10.3389/fphys.2020.00887
  5. Centner C, Wiegel P, Gollhofer A, et al. Effects of blood flow restriction training on muscular strength and hypertrophy in older individuals: a systematic review and meta-analysis. Sports Medicine. 2019;49(1):95-108. https://doi.org/10.1007/s40279-018-0994-1
  6. Ferlito JV, Pecce SAP, Oselame L, et al. The blood flow restriction training effect in knee osteoarthritis people: a systematic review and meta-analysis. Clinical Rehabilitation. 2020;34(11):1378-1390. https://doi.org/10.1177/0269215520943650
  7. Fry CS, Glynn EL, Drummonf MJ, et al. Blood flow restriction exercise stimulates mTORC1 signaling and muscle protein synthesis in older men. Journal of Appled Physiology. 2010;108(5):1199-1209. https://doi.org/10.1152/japplphysiol.01266.2009
  8. Gulati S, Sondhi V. Cerebral palsy: an overview. The Indian Journal of Pediatrics. 2018;85(11):1006-1016. https://doi.org/10.1007/s12098-017-2475-1
  9. Hodges PW, Eriksson AM, Shirley D, et al. Intra-abdominal pressure increases stiffness of the lumbar spine. Journal of biomechanics. 2005;38(9):1873-1880. https://doi.org/10.1016/j.jbiomech.2004.08.016
  10. Hodges PW, Gandevia SC. Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm. Journal of applied Physiology. 2000;89(3):967-976. https://doi.org/10.1152/jappl.2000.89.3.967
  11. Hunt JE, Galea D, Tufft G et al. Time course of regional vascular adaptations to low load resistance training with blood flow restriction. Journal of Appled Physiology. 2013;115(3):403-411. https://doi.org/10.1152/japplphysiol.00040.2013
  12. Jessee MB, Dankel SJ, Buckner SL, et al. The cardiovascular and perceptual response to very low load blood flow restricted exercise. International Journal of Sports Medicne. 2017;38(08):597-603. https://doi.org/10.1055/s-0043-109555
  13. Kim CY, Choi JD, Kin SY et al. Reliability and Validity of Ultrasound Imaging and sEMG Measurement to External Abdominal Oblique and Lumbar Multifidus Muscles. Korean Research Society of Physical Therapy. 2011;18(1)1:37-46.
  14. Kallem Seyyar G, Aras B, Aras O. Trunk control and functionality in children with spastic cerebral palsy. Developmental neurorehabilitation. 2019;22(2):120-125. https://doi.org/10.1080/17518423.2018.1460879
  15. Kim DH, An DH, Yoo WG. Changes in trunk sway and impairment during sitting and standing in children with cerebral palsy. Technology and Health Care. 2018;26(5):761-768. https://doi.org/10.3233/thc-181301
  16. Kwon HY, Ahn SY. The effects of leg blood flow restriction exercise on muscle size and muscle strength. PNF and Movement. 2012;10(1):61-70. https://doi.org/10.21598/JKPNFA.2012.10.1.61
  17. Larkin KA, MacNeil RG, Dirain M, et al. Blood flow restriction enhances post-resistance exercise angiogenic gene expression. Medicine and science in sports and exercise. 2012;44(11):2077-2083. https://doi.org/10.1249/MSS.0b013e3182625928
  18. Laurentino G, Ugrinowitsch C, Aihara A, et al. Effects of strength training and vascular occlusion. International journal of sports medicine. 2008;29(08):664-667. https://doi.org/10.1055/s-2007-989405
  19. Laurentino GC, Ugrinowitsch C, Roschel H, et al. Strength training with blood flow restriction diminishes myostatin gene expression. Medicine & Science In Sports & Exercise. 2012;44(3):406-412. https://doi.org/10.1249/mss.0b013e318233b4bc
  20. Lixandrao ME, Ugrinowitsch C, Berton R, et al. Magnitude of muscle strength and mass adaptations between high-load resistance training versus low-load resistance training associated with blood-flow restriction: a systematic review and meta-analysis. Sports medicine. 2018;48(2):361-378. https://doi.org/10.1007/s40279-017-0795-y
  21. Moreno-De-Luca A, Millan F, Pesacreta DR, et al. Molecular diagnostic yield of exome sequencing in patients with cerebral palsy. Journal of the American Medical Association. 2021;325(5):467-475. https://doi.org/10.1001/jama.2020.26148
  22. Norrud BC, Raheim M, Sudmann TT, et al. Facilitating new movement strategies: Equine assisted physiotherapy for children with cerebral palsy. Journal of Bodywork and Movement Therapies. 2021;26:364-373. https://doi.org/10.1016/j.jbmt.2020.12.022
  23. Park E, Castle K. The effect of an isometric trunk training during spinning in a child with cerebral palsy: a case report. Interprofessional Journal of Healthcare and Research. 2021;1(1):32-42.
  24. Park JC, Park MS, Kim YN. Effects of different sizes of blood flow restriction areas on changes in muscle thickness. The Journal of Korean Physical Therapy. 2017;29(2):80-84. https://doi.org/10.18857/jkpt.2017.29.2.80
  25. Park JC, Kim YN. The Effect of a Modified Side-Bridge Exercise on the Thickness of Trunk Muscles in Healthy Adults. PNF and Movement. 2021; 19(1): 127-135. https://doi.org/10.21598/JKPNFA.2021.19.1.127
  26. Park JC, Kim YN. Impact of waist stabilization exercise with blood flow restriction on white area index of trunk muscle thickness density. The Journal of Korean Physical Therapy. 2016;28(2):136-141. https://doi.org/10.18857/jkpt.2016.28.2.136
  27. Patterson SD, Hughes L, Warmington S, et al. Blood flow restriction exercise: considerations of methodology, application, and safety. Frontiers in physiology. 2019;10:533. https://doi.org/10.3389/fphys.2019.00533
  28. Patterson SD, Leggate M, Nimmo MA, et al. Circulating hormone and cytokine response to low-load resistance training with blood flow restriction in older men. European journal of applied physiology. 2013;113(3):713-719. https://doi.org/10.1007/s00421-012-2479-5
  29. Rodrigues R, Ferraz RB, Kurimori CO, et al. Low-load resistance training with blood-flow restriction in relation to muscle function, mass, and functionality in women with rheumatoid arthritis. Arthritis care & research. 2020;72(6):787-797. https://doi.org/10.1002/acr.23911
  30. Saatmann N, Zaharia O-P, Loenneke JP, et al. Effects of blood flow restriction exercise and possible applications in type 2 diabetes. Trends in Endocrinology & Metabolism. 2021;32(2):106-117. https://doi.org/10.1016/j.tem.2020.11.010
  31. Santamaria V, Rachwani J, Saavedra SL, et al. The impact of segmental trunk support on posture and reaching in children with cerebral palsy. Pediatric Physical Therapy. 2016;28(3):285-293. https://doi.org/10.1097/PEP.0000000000000273
  32. Scarpelli MC, Bergamasco JGA, Arruda EA, et al. Resistance training with partial blood flow restriction in a 99-year-old individual: a case report. Frontiers in Sports and Active Living. 2021;22(3):671764.
  33. Slysz J, Stultz J, Burr JF. The efficacy of blood flow restricted exercise: a systematic review & meta-analysis. Journal of science and medicine in sport. 2016;19(8):669-675. https://doi.org/10.1016/j.jsams.2015.09.005
  34. Stavres J, Singer TJ, Brochetti A, et al. The feasibility of blood flow restriction exercise in patients with incomplete spinal cord injury. The Journal of injury, function, and rehabilitation. 2018;10(12):1368-1379. https://doi.org/10.1016/j.pmrj.2018.05.013
  35. Suga T, Okita K, Morita N, et al. Dose effect on intramuscular metabolic stress during low-intensity resistance exercise with blood flow restriction. Journal of applied physiology. 2010;108(6):1563-1567. https://doi.org/10.1152/japplphysiol.00504.2009
  36. Takano H, Morita T, Iida H et al. Hemodynamic and hormonal responses to a short-term low-intensity resistance exercise with the reduction of muscle blood flow. European Journal Applied Physiology. 2005;95(1):65-73. https://doi.org/10.1007/s00421-005-1389-1
  37. Takarada Y, Nakamura Y, Aruga S, et al. Rapid increase in plasma growth hormone after low-intensity resistance exercise with vascular occlusion. Journal of applied physiology. 2000;88(1):61-65. https://doi.org/10.1152/jappl.2000.88.1.61
  38. Takarada Y, Tsuruta T, Ishii N. Cooperative effects of exercise and occlusive stimuli on muscular function in low-intensity resistance exercise with moderate vascular occlusion. The Japanese journal of physiology. 2004;54(6):585-592. https://doi.org/10.2170/jjphysiol.54.585
  39. Thiebaud RS, Loenneke JP, Fahs CA, et al. The effects of elastic band resistance training combined with blood flow restriction on strength, total bone-free lean body mass and muscle thickness in postmenopausal women. Clinical physiology and functional imaging. 2013;33(5):344-352. https://doi.org/10.1111/cpf.12033
  40. Tsimerakis AF, Kottaras A, Iakovidis P, et al. The effect of kinesio taping on the trunk and lower limb function in children with cerebral palsy. International Journal of Advanced Research in Medixine. 2021;3(2):34-36. https://doi.org/10.22271/27069567.2021.v3.i2a.214
  41. Vanwye WR, Weatherholt AM, Mikesky AE. Blood flow restriction training: implementation into clinical practice. International journal of exercise science. 2017;10(5):649-654.
  42. Verheyden G, Nieuwboer A, De Wit L, et al. Trunk performance after stroke: an eye catching predictor of functional outcome. Journal of neurology, neurosurgery & psychiatry. 2007;78(7):694-698. https://doi.org/10.1136/jnnp.2006.101642
  43. Yasuda T, Abe T, Sato Y, et al. Muscle fiber cross-sectional area is increased after two weeks of twice daily KAATSU-resistance training. International Journal of KAATSU Training Research. 2005;1(2):65-70. https://doi.org/10.3806/ijktr.1.65
  44. Yasuda T, Fukumura K, Fukuda T, et al. Muscle size and arterial stiffness after blood flow-restricted low-intensity resistance training in older adults. Scandinavian Journal of Medicine & Science in Sports. 2014;24(5):799-806. https://doi.org/10.1111/sms.12087
  45. You JM, Park HC, Yoon SJ. The effects of different resting intervals in strength training with vascular occlusion on hormonal response and muscular strength. Korean Alliance For Health, Physical Education, Recreation, And Dance. 2008;47(6):645-658.