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Effects of Handgrip Training with Venous Restriction on Brachial Artery Vasodilation


Medicine & Science in Sports & Exercise: July 2010 - Volume 42 - Issue 7 - p 1296-1302
doi: 10.1249/MSS.0b013e3181ca7b06
BASIC SCIENCES: Contrasting Perspectives

Previous studies have shown that resistance training with restricted venous blood flow (Kaatsu) results in significant strength gains and muscle hypertrophy. However, few studies have examined the concurrent vascular responses following restrictive venous blood flow training protocols.

Purpose: The purpose of this study was to examine the effects of 4 wk of handgrip exercise training, with and without venous restriction, on handgrip strength and brachial artery flow-mediated dilation (BAFMD).

Methods: Twelve participants (mean ± SD: age = 22 ± 1 yr, men = 5, women = 7) completed 4 wk of bilateral handgrip exercise training (duration = 20 min, intensity = 60% of the maximum voluntary contraction, cadence = 15 grips per minute, frequency = three sessions per week). During each session, venous blood flow was restricted in one arm (experimental (EXP) arm) using a pneumatic cuff placed 4 cm proximal to the antecubital fossa and inflated to 80 mm Hg for the duration of each exercise session. The EXP and the control (CON) arms were randomly selected. Handgrip strength was measured using a hydraulic hand dynamometer. Brachial diameters and blood velocity profiles were assessed, using Doppler ultrasonography, before and after 5 min of forearm occlusion (200 mm Hg) before and at the end of the 4-wk exercise.

Results: After exercise training, handgrip strength increased 8.32% (P = 0.05) in the CON arm and 16.17% (P = 0.05) in the EXP arm. BAFMD increased 24.19% (P = 0.0001) in the CON arm and decreased 30.36% (P = 0.0001) in the EXP arm.

Conclusions: The data indicate handgrip training combined with venous restriction results in superior strength gains but reduced BAFMD compared with the nonrestricted arm.

Department of Kinesiology, Louisiana State University, Baton Rouge, LA

Address for correspondence: Michael A. Welsch, Ph.D., Department of Kinesiology, Louisiana State University, 112 Long Field House, Baton Rouge, LA 70803; E-mail:

Submitted for publication September 2009.

Accepted for publication November 2009.

©2010The American College of Sports Medicine