Relationship between blood flow and performance recovery: A randomized, placebo-controlled study
Open accessAbstract
Purpose: To investigate the effect of different limb blood-flow levels on cycling-performance recovery, blood lactate concentration, and heart rate. Methods: Thirty-three high-intensity intermittent-trained athletes completed two 30-s Wingate anaerobic test sessions, 3 × 30-s (WAnT 1–3) and 1 × 30-s (WAnT 4), on a cycling ergometer. WAnT 1–3 and WAnT 4 were separated by a randomly assigned 24-min recovery intervention selected from among blood-flow restriction, passive rest, placebo stimulation, or neuromuscular electrical-stimulation-induced blood flow. Calf arterial inflow was measured by venous occlusion plethysmography at regular intervals throughout the recovery period. Performance was measured in terms of peak and mean power output during WAnT 1 and WAnT 4. Results: After the recovery interventions, a large (r = .68 [90% CL .42; .83]) and very large (r = .72 (90% CL .49; .86]) positive correlation were observed between the change in calf arterial inflow and the change in mean and peak power output, respectively. Calf arterial inflow was significantly higher during the neuromuscular-electrical-stimulation recovery intervention than with the blood-flow-restriction, passive-rest, and placebo-stimulation interventions (P < .001). This corresponds to the only intervention that allowed performance recovery (P > .05). No recovery effect was linked to heart rate or blood lactate concentration levels. Conclusions: For the first time, these data support the existence of a positive correlation between an increase in blood flow and performance recovery between bouts of high-intensity exercise. As a practical consideration, this effect can be obtained by using neuromuscular electrical stimulation-induced blood flow since this passive, simple strategy could be easily applied during short-term recovery.
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Cites
Skeletal muscle fatigue: cellular mechanisms
Allen, D. G., Lamb, G. D., & Westerblad, H. (2008) · Physiological Reviews · doi:10.1152/physrev.00015.2007 · Cited by 2,495 · see citing works
Takarada, Y., Takazawa, H., Sato, Y., Takebayashi, S., Tanaka, Y., & Ishii, N. (2000) · Journal of Applied Physiology · doi:10.1152/jappl.2000.88.6.2097 · Cited by 849 · see citing works
Stress, Sleep and Recovery in Elite Soccer: A Critical Review of the Literature
Nédélec, M., Halson, S., Abaidia, A.-E., Ahmaidi, S., & Dupont, G. (2015) · Sports Medicine · doi:10.1007/s40279-015-0358-z · Cited by 291 · see citing works
Postexercise Cold Water Immersion Benefits Are Not Greater than the Placebo Effect
Broatch, J. R., Petersen, A. C., & Bishop, D. J. (2014) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000348 · Cited by 158 · see citing works
Muscle lactate metabolism in recovery from intense exhaustive exercise: impact of light exercise
Bangsbo, J., Graham, T. E., Johansen, L., & Saltin, B. (1994) · Journal of Applied Physiology · doi:10.1152/jappl.1994.77.4.1890 · Cited by 149 · see citing works
Effect of cold water immersion on repeated cycling performance and limb blood flow
Vaile, J., O’Hagan, C., Stefanovic, B., Walker, M. A., Gill, N., & Askew, C. D. (2010) · British Journal of Sports Medicine · doi:10.1136/bjsm.2009.067272 · Cited by 139 · see citing works
Substrates for muscle glycogen synthesis in recovery from intense exercise in man
Bangsbo, J., Gollnick, P. D., Graham, T. E., & Saltin, B. (1991) · The Journal of Physiology · doi:10.1113/jphysiol.1991.sp018478 · Cited by 137 · see citing works
Muscle blood flow and oxygen uptake in recovery from exercise
BANGSBO, J., & HELLSTEN, Y. (1998) · Acta Physiologica Scandinavica · doi:10.1046/j.1365-201x.1998.0331e.x · Cited by 118 · see citing works
Effectiveness of Active Versus Passive Recovery Strategies After Futsal Games
Tessitore, A., MEEUSEN, R. R., Pagano, R., Benvenuti, C., Tiberi, M., & Capranica, L. (2008) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e31817396ac · Cited by 110 · see citing works
Effects of Four Recovery Methods on Repeated Maximal Rock Climbing Performance
Heyman, E., de Geus, B., MERTENS, I., & MEEUSEN, R. R. (2009) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318195107d · Cited by 106 · see citing works
Korthuis, R. J. (2011) · Colloquium Series on Integrated Systems Physiology From Molecule to Function · doi:10.4199/c00035ed1v01y201106isp023 · Cited by 104 · see citing works
Effects of Massage on Limb and Skin Blood Flow after Quadriceps Exercise
HINDS, T., McEwan, I. M., PERKES, J., Dawson, E. A., Ball, D. R., & George, K. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000135789.47716.db · Cited by 99 · see citing works
Glycogen Synthesis in Muscle Fibers during Active Recovery from Intense Exercise
Fairchild, T. J., ARMSTRONG, A. A., RAO, A., LIU, H., LAWRENCE, S., & Fournier, P. A. (2003) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000058436.46584.8e · Cited by 94 · see citing works
Changes in Lower-Leg Blood Flow During Warm-, Cold-, and Contrast-Water Therapy
Fiscus, K. A., Kaminski, T. W., & Powers, M. E. (2005) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2004.11.046 · Cited by 76 · see citing works
Muscle Glycogen Resynthesis after Short Term, High Intensity Exercise and Resistance Exercise
Pascoe, D. D., & Gladden, L. B. (1996) · Sports Medicine · doi:10.2165/00007256-199621020-00003 · Cited by 74 · see citing works
Comparison of Swim Recovery and Muscle Stimulation on Lactate Removal After Sprint Swimming
Neric, F. B., Beam, W. C., Brown, L. E., & Wiersma, L. D. (2009) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e3181bc1b7a · Cited by 72 · see citing works
Muscle blood flow response to contraction: influence of venous pressure
Valić, Z., Buckwalter, J. B., & Clifford, P. S. (2004) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00151.2004 · Cited by 57 · see citing works
Cortis, C., Tessitore, A., D’Artibale, E., MEEUSEN, R. R., & Capranica, L. (2010) · International Journal of Sports Medicine · doi:10.1055/s-0030-1248242 · Cited by 52 · see citing works
Specificity and context in post-exercise recovery: it is not a one-size-fits-all approach
Minett, G. M., & Costello, J. T. (2015) · Frontiers in Physiology · doi:10.3389/fphys.2015.00130 · Cited by 49 · see citing works
Venous hemodynamics of the lower extremities in response to electrical stimulation
Faghri, P. D., Votto, J. J., & Hovorka, C. F. (1998) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(98)90368-9 · Cited by 46 · see citing works
Abraham, P., Mateus, V., Bieuzen, F., Ouédraogo, N., Cissé, F., & Lefthériotis, G. (2013) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2012.08.117 · Cited by 28 · see citing works
Self-citationMalone, J. K., Coughlan, G., Crowe, L., Gissane, G. C., & Caulfield, B. (2011) · European Journal of Applied Physiology · doi:10.1007/s00421-011-2212-9 · Cited by 26 · see citing works
Bieuzen, F., Pournot, H., Roulland, R., & Hausswirth, C. (2012) · Journal of Athletic Training · doi:10.4085/1062-6050-47.4.02 · Cited by 24 · see citing works
Self-citationEffect of Three Different Between-Inning Recovery Methods on Baseball Pitching Performance
Warren, C. D., Brown, L. E., Landers, M. R., & Stahura, K. A. (2011) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e318208adfe · Cited by 23 · see citing works
Bieuzen, F., Borne, R., Toussaint, J., & Hausswirth, C. (2013) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2013-0185 · Cited by 22 · see citing works
Self-citationGrūnovas, A., Šilinskas, V., Poderys, J., & Trinkūnas, E. (2007) · PubMed · Cited by 21 · see citing works
Effects of Electrostimulation Therapy on Recovery From Acute Team-Sport Activity
Finberg, M., Braham, R. A., Goodman, C., Gregory, P. L., & Peeling, P. (2013) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.8.3.293 · Cited by 18 · see citing works
Electrostimulation’s Enhancement of Recovery During a Rugby Preseason
Beaven, C. M., Cook, C. J., Gray, D., Downes, P., Murphy, I. R., Drawer, S., Ingram, J. R., Kilduff, L. P., & Gill, N. (2013) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.8.1.92 · Cited by 18 · see citing works
Henriksson, J., & Knol, M. (2005) · Acta Physiologica Scandinavica · doi:10.1111/j.1365-201x.2005.01498.x · Cited by 16 · see citing works
Borne, R., Hausswirth, C., Costello, J. T., & Bieuzen, F. (2015) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.12392 · Cited by 10 · see citing works
Self-citationChanges in Lower-Leg Blood Flow During Warm-, Cold-, and Contrast-Water Therapy
Shrier, I. (2006) · Yearbook of Sports Medicine · doi:10.1016/s0162-0908(08)70263-0 · Cited by 7 · see citing works
Flagged first, then by citations
1 of the 32 references couldn’t be matched to a known paper.
Research works printed but not linked: 9
- [1]1. Barnett A. Using recovery modalities between training sessions in elite athletes: does it help? Sports Med 2006;36:781-796.
- [7]7. MacRae BA, Cotter JD, Laing RM. Compression garments and exercise: garment considerations, physiology and performance. Sports Med 2011;41:815-843.
- [10]10. Malone JK, Blake C, Caulfield BM. Neuromuscular electrical stimulation during recovery from exercise: a systematic review. J Strength Cond Res 2014;28:2478- 2506.
- [14]14. Griffin MB, Nicolaides AN, Bond D, Geroulakos G, Kalodiki E. The Efficacy of New VEINOPLUS Stimulation Technology to Increase Venous Flow and Prevent Venous Stasis. Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter 2010;51:790.
- [16]16. Miller BF, Gruben KG, Morgan BJ. Circulatory responses to voluntary and electrically induced muscle contractions in humans. Phys Ther 2000;80:53-60.
- [24]24. Beedie CJ, Foad AJ. The placebo effect in sports performance: a brief review. Sports Med 2009;39:313-329.
- [25]25. Klimek AT, Lubkowska A, Szygula Z, Chudecka M, Fraczek B. Influence of the ten sessions of the whole body cryostimulation on aerobic and anaerobic capacity. Int J Occup Med Environ Health 2010;23:181-189.
- [29]29. "Relationship Between Blood Flow and Performance Recovery: A Randomized, Placebo-Controlled Study" by Borne R, Hausswirth C, Bieuzen F International Journal of Sports Physiology and Performance © 2016 Human Kinetics, Inc.
- [30]30. Hopkins WG, Marshall SW, Batterham AM, Hanin J. Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc 2009;41:3-13.
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Milanese, C., Cavedon, V., Sandri, M. F., Tam, E., Piscitelli, F., Boschi, F., & Zancanaro, C. (2018) · PLoS ONE · doi:10.1371/journal.pone.0192046 · Cited by 33 · see citing works
Cabre, H. E., Gould, L. M., Redman, L. M., & Smith‐Ryan, A. E. (2024) · Metabolites · doi:10.3390/metabo14070347 · Cited by 35 · see citing works
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Murray, A. M., Fullagar, H. H. K., Turner, A. P., & Sproule, J. (2018) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2018.05.004 · Cited by 28 · see citing works
Maia, F., Nakamura, F. Y., Sarmento, H., Marcelino, R., & Ribeiro, J. N. (2024) · Biology of Sport · doi:10.5114/biolsport.2024.133665 · Cited by 27 · see citing works
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Williams, N., Russell, M. A., Cook, C. J., & Kilduff, L. P. (2018) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2018.02.012 · Cited by 21 · see citing works
O’Riordan, S. F., Bishop, D. J., Halson, S. L., & Broatch, J. R. (2023) · Sports Medicine · doi:10.1007/s40279-022-01774-0 · Cited by 20 · see citing works
Paradis‐Deschênes, P., Lapointe, J., Joanisse, D. R., & Billaut, F. (2020) · PubMed Central · Cited by 16 · see citing works
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Cabre, H. E., Ladan, A. N., Moore, S. R., Joniak, K. E., Blue, M. N. M., Pietrosimone, B. G., Hackney, A. C., & Smith‐Ryan, A. E. (2024) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000004764 · Cited by 11 · see citing works
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Borne, R. (2016) · theses.fr (ABES) · doi:10.70675/f4e6cebfz14b2z492bzacefzd1d1a2df66d1
Self-citationMaia, F., Barreira, J., Tito, S., Nakamura, F. Y., & Ribeiro, J. (2026) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2025-0397
- Authors
- Borne, R., Hausswirth, C., & Bieuzen, F.
- Affiliations
- Université de Toulon (FR)
- Institut National du Sport, de l'Expertise et de la Performance (FR)
- Corresponding author
- Bieuzen, François
- ORCID
- Bieuzen, François
- Venue
- International Journal of Sports Physiology and Performance
- Publisher
- Human Kinetics
- Published
- 2017-02
- Volume
- 12
- Issue
- 2
- Pages
- 152-160
- ISSN
- 1555-0265 (ISSN-L)
- 1555-0273
- OpenAlex
- W2345674345
- Semantic Scholar
- c00c8ff7efc437449dc81a050bc542daebaada07
- Cited by
- 38
- References
- 32
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 6 · 2023: 4 · 2022: 5 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 5 · 2017: 2 · 2016: 2
- FWCI
- 6.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Sports Physiology and Performance (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Keywords
- blood flow, performance recovery, blood flow restriction, neuromuscular electrical stimulation, Wingate test, high-intensity intermittent training, venous occlusion plethysmography, blood lactate, heart rate, output power, recovery interventions
- MeSH terms
- Adult, Bicycling, Double-Blind Method, Electric Stimulation, Heart Rate, Humans, Regional Blood Flow, Muscle, Skeletal, Lactic Acid, Lower Extremity, Athletic Performance, Young Adult
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