title: Vascular occlusion training for inclusion body myositis: a novel therapeutic approach.
abstract: Inclusion body myositis (IBM) is a rare idiopathic inflammatory myopathy. It is known to produces remarkable muscle weakness and to greatly compromise function and quality of life. Moreover, clinical practice suggests that, unlike other inflammatory myopathies, the majority of IBM patients are not responsive to treatment with immunosuppressive or immunomodulatory drugs to counteract disease progression. Additionally, conventional resistance training programs have been proven ineffective in restoring muscle function and muscle mass in these patients. Nevertheless, we have recently observed that restricting muscle blood flow using tourniquet cuffs in association with moderate intensity resistance training in an IBM patient produced a significant gain in muscle mass and function, along with substantial benefits in quality of life. Thus, a new non-pharmacological approach for IBM patients has been proposed. Herein, we describe the details of a proposed protocol for vascular occlusion associated with a resistance training program for this population.
authors.affiliation: School of Physical Education and Sport, University of São Paulo. gualano@usp.br
authors.forename: Bruno
authors.initials: B
authors.lastname: Gualano
authors.forename: Carlos
authors.initials: C
authors.lastname: Ugrinowitsch
authors.forename: Manoel
authors.initials: M
authors.lastname: Neves
authors.forename: Fernanda R
authors.initials: FR
authors.lastname: Lima
authors.forename: Ana Lúcia S
authors.initials: AL
authors.lastname: Pinto
authors.forename: Gilberto
authors.initials: G
authors.lastname: Laurentino
authors.forename: Valmor A A
authors.initials: VA
authors.lastname: Tricoli
authors.forename: Antonio H
authors.initials: AH
authors.lastname: Lancha
authors.forename: Hamilton
authors.initials: H
authors.lastname: Roschel
mesh_terms: D015924:Blood Pressure Monitors; D006801:Humans; D053580:Muscle Strength; D009132:Muscles / Q000098:blood supply* / Q000503:physiopathology; D018979:Myositis, Inclusion Body / Q000503:physiopathology / Q000628:therapy*; D055070:Resistance Training / Q000379:methods*; D016909:Tibial Arteries / Q000502:physiology; D014655:Vascular Resistance / Q000502:physiology*