Vascular occlusion training for inclusion body myositis: a novel therapeutic approach.
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.
Gualano
Bruno
B
School of Physical Education and Sport, University of São Paulo. gualano@usp.br
Ugrinowitsch
Carlos
C
Neves
Manoel
M
Lima
Fernanda R
FR
Pinto
Ana Lúcia S
AL
Laurentino
Gilberto
G
Tricoli
Valmor A A
VA
Lancha
Antonio H
AH
Roschel
Hamilton
H
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*