Brendan R. Scott

Exercise with Blood Flow Restriction: An Updated Evidence-Based Approach for Enhanced Muscular Development

A growing body of evidence supports the use of moderate blood flow restriction (BFR) combined with low-load resistance exercise to enhance hypertrophic and strength responses in skeletal muscle. Research also suggests that BFR during low-workload aerobic exercise can result in small but significant morphological and strength gains, and BFR alone may attenuate atrophy during periods of unloading. While BFR appears to be beneficial for both clinical and athletic cohorts, there is currently no common consensus amongst scientists and practitioners regarding the best practice for implementing BFR methods. If BFR is not employed appropriately, there is a risk of injury to the participant. It is also important to understand how variations in the cuff application can affect the physiological responses and subsequent adaptation to BFR training. The optimal way to manipulate acute exercise variables, such as exercise type, load, volume, inter-set rest periods and training frequency, must also be considered prior to designing a BFR training programme. The purpose of this review is to provide an evidence-based approach to implementing BFR exercise. These guidelines could be useful for practitioners using BFR training in either clinical or athletic settings, or for researchers in the design of future studies investigating BFR exercise.

QUANTIFYING SESSION RATINGS OF PERCEIVED EXERTION FOR FIELD-BASED SPEED TRAINING METHODS IN TEAM SPORT ATHLETES

Abstract Lockie, RG, Murphy, AJ, Scott, BR, and Janse de Jonge, XAK. Quantifying session ratings of perceived exertion for field-based speed training methods in team sport athletes. J Strength Cond Res 26(10): 2721–2728, 2012—Session ratings of perceived exertion (session RPE) are commonly used to assess global training intensity for team sports. However, there is little research quantifying the intensity of field-based training protocols for speed development. The studys aim was to determine the session RPE of popular training protocols (free sprint [FST], resisted sprint [RST], and plyometrics [PT]) designed to improve sprint acceleration over 10 m in team sport athletes. Twenty-seven men (age = 23.3 ± 4.7 years; mass = 84.5 ± 8.9 kg; height = 1.83 ± 0.07 m) were divided into 3 groups according to 10-m velocity. Training consisted of an incremental program featuring two 1-hour sessions per week for 6 weeks. Subjects recorded session RPE 30 minutes post training using the Borg category-ratio 10 scale. Repeated measures analysis of variance found significant (p < 0.05) changes in sprint velocity and session RPE over 6 weeks. All groups significantly increased 0- to 5-m velocity and 0- to 10-m velocity by 4–7%, with no differences between groups. There were no significant differences in session RPE between the groups, suggesting that protocols were matched for intensity. Session RPE significantly increased over the 6 weeks for all groups, ranging from 3.75 to 5.50. This equated to intensities of somewhat hard to hard. Post hoc testing revealed few significant weekly increases, suggesting that session RPE may not be sensitive to weekly load increases in sprint and plyometric training programs. Another explanation, however, could be that the weekly load increments used were not great enough to increase perceived exertion. Nonetheless, the progressive overload of each program was sufficient to improve 10-m sprint performance. The session RPE values from the present study could be used to assess workload for speed training periodization within a team sports conditioning program.

Training Monitoring for Resistance Exercise: Theory and Applications

Resistance exercise is difficult to quantify owing to its inherent complexity with numerous training variables contributing to the training dose (type of exercise, load lifted, training volume, inter-set rest periods, and repetition velocity). In addition, the intensity of resistance training is often inadequately determined as the relative load lifted (% 1-repetition maximum), which does not account for the effects of inter-set recovery periods, repetition velocity, or the number of repetitions performed in each set at a given load. Methods to calculate the volume load associated with resistance training, as well as the perceived intensity of individual sets and entire training sessions have been shown to provide useful information regarding the actual training stimulus. In addition, questionnaires to subjectively assess how athletes are coping with the stressors of training and portable technologies to quantify performance variables such as concentric velocity may also be valuable. However, while several methods have been proposed to quantify resistance training, there is not yet a consensus regarding how these methods can be best implemented and integrated to complement each other. Therefore, the purpose of this review is to provide practical information for strength coaches to highlight effective methods to assess resistance training, and how they can be integrated into a comprehensive monitoring program.

Blood flow restricted exercise for athletes: A review of available evidence.

OBJECTIVES This study aimed to collate current evidence regarding the efficacy of various blood flow restriction (BFR) strategies for well-trained athletes, and to provide insight regarding how such strategies can be used by these populations. DESIGN Review article. METHODS Studies that had investigated the acute or adaptive responses to BFR interventions in athletic participants were identified from searches in MEDLINE (PubMed), SPORTDiscus (EBSCO) and Google Scholar databases up to April 2015. The reference lists of identified papers were also examined for relevant studies. RESULTS Twelve papers were identified from 11 separate investigations that had assessed acute and adaptive responses to BFR in athletic cohorts. Of these, 7 papers observed enhanced hypertrophic and/or strength responses and 2 reported alterations in the acute responses to low-load resistance exercise when combined with BFR. One paper had examined the adaptive responses to moderate-load resistance training with BFR, 1 noted improved training responses to low-work rate BFR cardiovascular exercise, and 1 reported on a case of injury following BFR exercise in an athlete. CONCLUSIONS Current evidence suggests that low-load resistance training with BFR can enhance muscle hypertrophy and strength in well-trained athletes, who would not normally benefit from using light loads. For healthy athletes, low-load BFR resistance training performed in conjunction with normal high-load training may provide an additional stimulus for muscular development. As low-load BFR resistance exercise does not appear to cause measureable muscle damage, supplementing normal high-load training using this novel strategy may elicit beneficial muscular responses in healthy athletes.

Physical performance during high-intensity resistance exercise in normoxic and hypoxic conditions

Abstract Scott, BR, Slattery, KM, Sculley, DV, Hodson, JA, and Dascombe, BJ. Physical performance during high-intensity resistance exercise in normoxic and hypoxic conditions. J Strength Cond Res 29(3): 807–815, 2015—This study aimed to determine whether different levels of hypoxia affect physical performance during high-intensity resistance exercise or subsequent cardiovascular and perceptual responses. Twelve resistance-trained young men (age, 25.3 ± 4.3 years; height, 179.0 ± 4.5 cm; body mass, 83.4 ± 9.1 kg) were tested for 1 repetition maximum (1RM) in the back squat and deadlift. Following this, participants completed 3 separate randomized trials of 5 × 5 repetitions at 80% 1RM, with 3 minutes rest between sets, in normoxia (NORM; fraction of inspired oxygen [FIO2] = 0.21), moderate-level hypoxia (FIO2 = 0.16), or high-level hypoxia (FIO2 = 0.13) by a portable hypoxic unit. Peak and mean force and power variables were monitored during exercise. Arterial oxygen saturation (SpO2), heart rate (HR), and rating of perceived exertion (RPE) were assessed immediately following each set. No differences in force or power variables were evident between conditions. Similar trends were evident in these variables across each set and across the exercise session in each condition. SpO2 was lower in hypoxic conditions than in NORM, whereas HR was higher following sets performed in hypoxia. There were no differences between conditions in RPE. These results indicate that a hypoxic stimulus during high-intensity resistance exercise does not alter physical performance during repetitions and sets or affect how strenuous exercise is perceived to be. This novel training strategy can be used without adversely affecting the physical training dose experienced and may provide benefits over the equivalent training in NORM.

Intermittent hypoxic resistance training: Is metabolic stress the key moderator?

Traditionally, researchers and practitioners have manipulated acute resistance exercise variables to elicit the desired responses to training. However, recent research indicates that altering the muscular environment during resistance training, namely by implementing a hypoxic stimulus, can augment muscle hypertrophy and strength. Intermittent hypoxic resistance training (IHRT), whereby participants inspire hypoxic air during resistance training, has been previously demonstrated to increase muscle cross-sectional area and maximum strength by significantly greater amounts than the equivalent training in normoxia. However, some recent evidence has provided conflicting results, reporting that the use of systemic hypoxia during resistance training provided no added benefit. While the definitive mechanisms that may augment muscular responses to IHRT are not yet fully understood, an increased metabolic stress is thought to be important for moderating many downstream processes related to hypertrophy. It is likely that methodological differences between conflicting IHRT studies have resulted in different degrees of metabolic stress during training, particularly when considering the inter-set recovery intervals used. Given that the most fundamental physiological stresses resulting from hypoxia are disturbances to oxidative metabolism, it becomes apparent that resistance training may only benefit from additional hypoxia if the exercise is structured to elicit a strong metabolic response. We hypothesize that for IHRT to be more effective in producing muscular hypertrophy and increasing strength than the equivalent normoxic training, exercise should be performed with relatively brief inter-set recovery periods, with the aim of providing a potent metabolic stimulus to enhance anabolic responses.

Physical and Decision-Making Demands of Australian Football Umpires During Competitive Matches

Abstract Elsworthy, N, Burke, D, Scott, BR, Stevens, CJ, and Dascombe, BJ. Physical and decision-making demands of Australian football umpires during competitive matches. J Strength Cond Res 28(12): 3502–3507, 2014—This study examined the physical and decision-making requirements of elite Australian football (AF) umpires during match play. Twenty-nine field umpires were assessed across 20 AF League matches. Physical demands were monitored using global positioning system devices to record the total distance covered and high-speed running (HSR; >14.4 km·h−1) demands across each quarter. Decision-making performance was assessed through video by 3 elite umpire coaches who reviewed free-kick accuracy during each match. These data were further analyzed according to the position (mid-zone or end-zone) of the umpire when each decision was made. The average distance covered was 10,563 ± 608 m, of which 1,952 ± 494 m was HSR. Significant reductions in distance covered were observed during the third (p = 0.006) and fourth (p = 0.001) quarters, compared with the first. An average of 44 ± 8 free kicks awarded per match with a decision accuracy of 84 ± 6%; however, there were no significant differences (p > 0.05) in these measures across a match. Significantly (p ⩽ 0.05) higher physical (HSR; relative distance) and decision-making requirements were observed within the mid-zone. The current data quantify the physical and decision-making demands of AF umpiring and demonstrated that despite a high physical workload, free-kick accuracy is maintained across a match. This suggests that decision making may not be directly compromised by the intermittent running demands of AF umpires. Positional rotations between the mid-zone and end-zone position allow for the demands to be shared among all field umpires during a match.

Predicting Self-Reported Illness for Professional Team-Sport Athletes

PURPOSE To identify contributing factors to the incidence of illness for professional team-sport athletes, using training load (TL), self-reported illness, and well-being data. METHODS Thirty-two professional rugby league players (26.0 ± 4.8 y, 99.1 ± 9.6 kg, 1.84 ± 0.06 m) were recruited from the same club. Players participated in prescribed training and responded to a series of questionnaires to determine the presence of self-reported illness and markers of well-being. Internal TL was determined using the session rating of perceived exertion. These data were collected over 29 wk, across the preparatory and competition macrocycles. RESULTS The predictive models developed recognized increases in internal TL (strain values of >2282 AU, weekly TL >2786 AU, and monotony >0.78 AU) to best predict when athletes are at increased risk of self-reported illness. In addition, a reduction in overall well-being (<7.25 AU) in the presence of increased internal TL, as previously stated, was highlighted as a contributor to self-reported-illness occurrence. CONCLUSIONS These results indicate that self-report data can be successfully used to provide a novel understanding of the interactions between competition-associated stressors experienced by professional team-sport athletes and their susceptibility to illness. This may help coaching staff more effectively monitor players during the season and potentially implement preventive measures to reduce the likelihood of illnesses occurring.

High-Intensity Exercise in Hypoxia: Is Increased Reliance on Anaerobic Metabolism Important?

Hypoxic training strategies to optimize physiological exercise responses have been extensively investigated, although often with limited performance benefits over the equivalent normoxic training (Roels et al., 2007). Recently, novel methods including intermittent hypoxic resistance training (IHRT) and repeat sprint training in hypoxia (RSH) have begun to receive research attention. Early results indicate that IHRT can augment muscle hypertrophy and strength compared to normoxic training (Nishimura et al., 2010; Manimmanakorn et al., 2013a,b), while RSH improves fatigue resistance, resulting in an increased capacity for repeated maximal efforts (Galvin et al., 2013; Faiss et al., 2013b). Although performing these high-intensity activities in hypoxia appears to provide some benefits for training adaptations, the mechanisms underpinning these responses are not fully understood. The beneficial responses to high-intensity exercise in hypoxia may result from a greater reliance on anaerobic metabolism, suggesting that increased metabolic stress may drive (or at least contribute to) these adaptations (Faiss et al., 2013b; Scott et al., 2015a). Considering the likely importance of metabolic stress on adaptation to IHRT and RSH strategies, the purpose of this paper is to briefly discuss the potential benefits of high-intensity training in hypoxia with reference to the role of anaerobic processes.

Reliability of telemetric electromyography and near-infrared spectroscopy during high-intensity resistance exercise

This study quantified the inter- and intra-test reliability of telemetric surface electromyography (EMG) and near infrared spectroscopy (NIRS) during resistance exercise. Twelve well-trained young men performed high-intensity back squat exercise (12 sets at 70-90% 1-repetition maximum) on two occasions, during which EMG and NIRS continuously monitored muscle activation and oxygenation of the thigh muscles. Intra-test reliability for EMG and NIRS variables was generally higher than inter-test reliability. EMG median frequency variables were generally more reliable than amplitude-based variables. The reliability of EMG measures was not related to the intensity or number of repetitions performed during the set. No notable differences were evident in the reliability of EMG between different agonist muscles. NIRS-derived measures of oxyhaemoglobin, deoxyhaemoglobin and tissue saturation index were generally more reliable during single-repetition sets than multiple-repetition sets at the same intensity. Tissue saturation index was the most reliable NIRS variable. Although the reliability of the EMG and NIRS measures varied across the exercise protocol, the precise causes of this variability are not yet understood. However, it is likely that biological variation during multi-joint isotonic resistance exercise may account for some of the variation in the observed results.