Ischemia–Reperfusion Intervention: From Enhancements in Exercise Performance to Accelerated Performance Recovery—A Systematic Review and Meta-Analysis

Rhaí André Arriel, Jéssica Ferreira Rodrigues, Hiago Leandro Rodrigues de Souza, Anderson Meireles, Luís Filipe Moutinho Leitão, Antonio Crisafulli and Moacir Marocolo
Additional contact information
Rhaí André Arriel: Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora 36036-330, Brazil
Jéssica Ferreira Rodrigues: Department of Agrarian Sciences, Federal Institute of Minas Gerais, Bambuí 38900-000, Brazil
Hiago Leandro Rodrigues de Souza: Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora 36036-330, Brazil
Anderson Meireles: Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora 36036-330, Brazil
Luís Filipe Moutinho Leitão: Superior School of Education, Polytechnic Institute of Setubal, 2910-761 Setubal, Portugal
Antonio Crisafulli: Sports Physiology Lab., Department Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy
Moacir Marocolo: Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora 36036-330, Brazil

IJERPH, 2020, vol. 17, issue 21, 1-16

Abstract: It has been demonstrated that brief cycles of ischemia followed by reperfusion (IR) applied before exercise can improve performance and, IR intervention, applied immediately after exercise (post-exercise ischemic conditioning—PEIC) exerts a potential ergogenic effect to accelerate recovery. Thus, the purpose of this systematic review with meta-analysis was to identify the effects of PEIC on exercise performance, recovery and the responses of associated physiological parameters, such as creatine kinase, perceived recovery and muscle soreness, over 24 h after its application. From 3281 studies, six involving 106 subjects fulfilled the inclusion criteria. Compared to sham (cuff administration with low pressure) and control interventions (no cuff administration), PEIC led to faster performance recovery ( p = 0.004; ES = −0.49) and lower increase in creatine kinase ( p < 0.001; effect size (ES) = −0.74) and muscle soreness ( p < 0.001; ES = −0.88) over 24 h. The effectiveness of this intervention is more pronounced in subjects with low/moderate fitness level and at least a total time of 10 min of ischemia (e.g., two cycles of 5 min) is necessary to promote positive effects.

Keywords: intermittent occlusion; blood flow occlusion; sports; ergogenic; ischemic postconditioning (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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