Potential Role of Blood Flow Restriction Training in Patients with Sarcopenia
Description
Description: Sarcopenia is a progressive and generalized skeletal muscle disorder found in older adults in whom there is loss of muscle strength and size. The loss of skeletal muscle strength impairs physical function and mobility and increases the likelihood of adverse outcomes including falls, fractures, physical disability, and mortality. Resistance training (RT) is recommended as first-line treatment for sarcopenia, but older people with or susceptible to sarcopenia may be unable or unwilling to perform the higher intensity of RT currently recommended which may also be unsafe. We challenge the current paradigm of RT for sarcopenia by using a novel method of restricting blood flow during low-intensity RT (20% of 1RM) via auto-regulated cuffs placed on the limbs. A substantial amount of compelling evidence shows that blood fl ow restriction(BFR) RT significantly improves skeletal muscle strength via increased physiological stress and activation of several mechanisms that lead to positive muscle adaptation. Improved skeletal muscle strength has been shown to significantly improve functional performance in older adults susceptible to sarcopenia. Additionally, significant improvements in vascular health and cardiopulmonary function have also been observed with low-intensity BFR RT. This session will provide evidence, methods, and results of BFR training in patients with sarcopenia.
Objectives:
- Understand the effects of BFR training in older adults without sarcopenia.
- Understand sarcopenia and current fi rst-line treatments for it.
- Analyze the results of a recent paper entitled “A call to action for blood fl ow restriction trainingin older adults with or susceptible to sarcopenia: a systematic review and meta-analysis” andevaluate the available literature regarding the potential effects of BFR training in older adultswith sarcopenia including: a. Feasibility and safety of BFR in sarcopenic populations b. Effectson skeletal muscle strength and hypertrophy c. Effects on cardiovascular and pulmonaryfunction d. Effects on vascular health e. Effects on functional performance f. Effects on survival
- Create and apply an optimal BFR training program for older adults with sarcopenia.
About The Speaker(s)
Speakers: Lawrence P. Cahalin, PT, PhD, FAPTA , Luke Hughes PhD, Johnny Gray Owens, PT, Daniel Ravelo,
PT, DPT, Dror Yair, PT DPT, Philip Wiese
Speaker Bio:
Dr. Cahalin is a Professor in the Department of Physical Therapy at theUniversity of Miami in Miami, Florida. He received his BS in Physical Therapy at SaintLouis University, a MA in Physical Therapy at the University of Iowa, and a PhD inGerontology at the University of Massachusetts Boston. He enjoys integrating theinterrelatedness of the cardiovascular, pulmonary, and muscular systems using novelexamination and management techniques. Dr. Cahalin has been actively involved inclinical research and clinical practice in cardiovascular and pulmonary physicaltherapy for over 40 years. He is an APTA Board Certifi ed Cardiovascular andPulmonary Specialist and currently serves on the Editorial Board of both the APTACardiopulmonary Physical Therapy Journal and Physiotherapy Theory and Practice -An International Journal of Physical Therapy. Dr. Cahalin is a fellow of the AmericanHeart Association, American Association of Cardiovascular and PulmonaryRehabilitation, and American Physical Therapy Association.
