中国组织工程研究

中国组织工程研究 ›› 2019, Vol. 23 ›› Issue (15): 2415-2420.doi: 10.3969/j.issn.2095-4344.1142

• 组织构建综述 tissue construction review • 上一篇    下一篇

血流限制训练：加速肌肉骨骼康复的新方法

李新通1，潘玮敏2，覃华生1，曲  蕾1，张恒银1，祝新蕊1   

  1.  (西安体育学院，1研究生部，2健康科学系，陕西省西安市  710068)
  • 收稿日期:2018-12-28 出版日期:2019-05-28 发布日期:2019-05-28
  • 通讯作者: 潘玮敏，博士，教授，西安体育学院健康科学系，陕西省西安市 710068
  • 作者简介:李新通，男，1996年生，山东省泗水县人，汉族，西安体育学院在读硕士，主要从事运动损伤的预防与康复研究。
  • 基金资助:

    国家自然科学基金项目(81201409)，项目负责人：潘玮敏；国家体育总局重点攻关项目(10B019)，项目负责人：潘玮敏

Blood flow restriction training: a new method for accelerating musculoskeletal rehabilitation

Li Xintong1, Pan Weimin2, Qin Huasheng1, Qu Lei1, Zhang Hengyin1, Zhu Xinrui1   

  1.  (1Graduate School, 2Department of Health Sciences, Xi’an Physical Education University, Xi’an 710068, Shaanxi Province, China)
  • Received:2018-12-28 Online:2019-05-28 Published:2019-05-28
  • Contact: Pan Weimin, PhD, Professor, Department of Health Sciences, Xi’an Physical Education University, Xi’an 710068, Shaanxi Province, China
  • About author:Li Xintong, Master candidate, Graduate School, Xi’an Physical Education University, Xi’an 710068, Shaanxi Province, China
  • Supported by:

    the National Natural Science Foundation of China, No. 81201409 (to PWM); the Key Research & Development Project of General Administration of Sport of China, No. 10B019 (to PWM)

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摘要：

文章快速阅读：

文题释义：
血流限制训练：起源于日本的新型训练方式，通过袖带加压进行血流限制下低强度的抗阻训练，既能避免肌肉骨骼损伤后高强度抗阻训练所带来的各种风险，又能达到高强度训练所起到的增加肌肉力量和体积的效果。
肌肉骨骼康复：针对肌肉骨骼损伤的危险因素及损伤后的功能障碍，运用非手术治疗手段，改善或代偿肌肉骨骼系统的功能和能力，促使患者恢复以往的生活质量和运动水平。
摘要
背景：因受疼痛等因素影响，如果采用高强度的抗阻训练作为肌肉骨骼损伤后的康复措施，效果较差，且可能加重患者病情，尚存在一定的争议。而血流限制训练采用血流限制的方式，通过低强度抗阻训练达到高强度抗阻训练的作用，可加速患者康复进程。
目的：阐述作为加速骨骼肌肉康复新方式的血流限制训练在国内外的研究现状。
方法：检索2002年1月至2018年10月在PubMed、Cochrane Library、中国知网(CNKI)中收录的血流限制训练在肌肉骨骼康复中的相关研究。英文检索词为“blood flow restriction training；Kaatsu training；low intensity resistance training；safety；musculoskeletal rehabilitation; knee osteoarthritis；patellofemoral pain；knee joint injury；ankle joint injury；quantitative difference”，中文检索词为“血流限制训练；Kaatsu训练；低强度抗阻训练；安全性；肌肉骨骼康复；膝关节骨关节炎；髌股关节痛；膝关节损伤；踝关节损伤；定量差异”。
结果与结论：血流限制训练作为一种新型治疗方式，一方面通过个性化的精准康复方案设计，可以在减少训练负荷的同时达到类似于高强度训练的效果，对疼痛的缓解具有一定的促进作用；另一方面以其独特的优势，使抗阻训练的介入时间提前，这样更加有利于患者的快速康复。但该训练方式多应用于下肢损伤，应用于其他部位的可能性仍有待探索。

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程
ORCID: 0000-0001-7010-8875(李新通)

关键词: 血流限制训练, Kaatsu训练, 低强度抗阻训练, 安全性, 肌肉骨骼康复, 膝关节骨关节炎, 髌股关节痛, 膝关节损伤, 踝关节损伤, 定量差异

Abstract:

BACKGROUND: If high-intensity resistance training is used as a rehabilitation measure after musculoskeletal injury, it may be aggravated by factors such as pain. The blood flow restriction training can achieve high-intensity resistance training through low-intensity resistance training, which can accelerate the recovery of patients.
OBJECTIVE: To elaborate the current situation of blood flow restriction training as a new way to accelerate musculoskeletal rehabilitation at home and abroad.
METHODS: The first author searched the related studies on the musculoskeletal rehabilitation of blood flow restriction training included in PubMed, Cochrane Library and CNKI from January 2002 to October 2018. The keywords were “blood flow restriction training; Kaatsu training; low intensity resistance training; safety; musculoskeletal rehabilitation; knee osteoarthritis; patellofemoral pain; knee joint injury; ankle joint injury; quantitative difference” in English and Chinese.
RESULTS AND CONCLUSION: Blood flow restriction training, as a new treatment method, can reduce the training load and achieve the effect similar to the high-intensity resistance training by designing an individualized and precise rehabilitation scheme. Additionally, it can make the resistance training happen in advance due to its unique advantage, thus contribute to rapid rehabilitation. However, this method is mostly applied to lower limb injuries, and its feasibility for other parts still needs a further investigation.

Key words: Muscles, Skeleton, Rehabilitation, Physical Education and Training, Sports Medicine

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