Journals / Journal of Global Sport and Education Research / 2026 / Cilt: 9 Sayı: 1

The Effect of Different Limb Occlusion Pressure Ranges on Strength Parameters and Total Repetition in Nordic Hamstring Exercises Performed with Blood Flow Restriction Method

Kan Akışı Kısıtlama Yöntemi ile Uygulanan Nordic Hamstring Egzersizinde Farklı Uzuv Tıkanma Basınç Aralıklarının Kuvvet Parametreleri ile Tekrar Sayısı Üzerine Etkisi

Necdet Eray Pişkin(NİĞDE ÖMER HALİSDEMİR ÜNİVERSİTESİ, SPOR BİLİMLERİ FAKÜLTESİ, ANTRENÖRLÜK EĞİTİMİ BÖLÜMÜ)0000-0001-7255-078X
Pages
1–12
Publication Date
2026-03-23
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Examination of the study findings revealed a decrease in the number of successful repetitions, particularly in relation to increasing LOP pressure (F=164.328, p<0.001, η²=0.873).

📌 3 Key Takeaways

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Objective & Hypothesis:The aim of this study is to investigate the effect of nordic hamstring exercise (NHE) applied with BFR on successful repetition and hamstring muscle strength (peak torque-average power) at different LOP ranges. 25 male athletes aged 18-22 years were included in the study.
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Key Findings & Data:After these measurements, athletes performed NHE exercises at 60%, 70%, and 80% of their LOP pressure at 96 hour intervals using the BFR method with four sets of failure to repetition on an H-BORD device.
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Conclusion & Impact:Examination of the study findings revealed a decrease in the number of successful repetitions, particularly in relation to increasing LOP pressure (F=164.328, p<0.001, η²=0.873).
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Kan akışı kısıtlama · nordic hamstring · pik tork

Abstract

The aim of this study is to investigate the effect of nordic hamstring exercise (NHE) applied with BFR on successful repetition and hamstring muscle strength (peak torque-average power) at different LOP ranges. 25 male athletes aged 18-22 years were included in the study. Participants were assigned as a single group for cross-sectional at different times. Three-repetition peak torque hamstring measurements were taken athlete using an H-BORD device without BFR. After these measurements, athletes performed NHE exercises at 60%, 70%, and 80% of their LOP pressure at 96 hour intervals using the BFR method with four sets of failure to repetition on an H-BORD device. At each stage, participants' hamstring peak torque, average power values, and the number of successful repetitions were recorded. For the analysis of normally distributed data, a one-factor repeated measures ANOVA test was applied to compare measurements under three different conditions, and the Bonferroni test was preferred among post-hoc tests. Examination of the study findings revealed a decrease in the number of successful repetitions, particularly in relation to increasing LOP pressure (F=164.328, p<0.001, η²=0.873). In terms of strength parameters, except for the non-dominant 60% and 70% comparison (p=0.715, d=0.161) , it was determined that as LOP pressure increased, both peak torque (F=26.742, p<0.001, η²=0.527) and average power (F=23.027, p<0.001, η²=0.490) levels resulted in lower levels. Consequently, increasing LOP pressure from 60% to 80% during NHE combined with BFR reduced the number of successful repetitions, and a pressure-dependent decrease in peak torque and average power was observed. Based on these findings, it can be suggested that in high-intensity resistance exercises such as NHE combined with BFR, the LOP ranges recommended in the literature should be varied during planning to limit performance loss and maintain strength output.

Özet

Bu çalışmanın amacı, KAK yöntemiyle uygulanan nordic hamstring egzersizinin (NHE) farklı LOP aralıklarında başarılı tekrar sayısı ve hamstring kas kuvveti (pik tork-ortalama güç) üzerine etkisinin incelenmesidir. Çalışmaya 18-22 yaş aralığında 25 erkek sporcu dahil edilmiştir. Katılımcılar tek grup olarak farklı zamanlarda çapraz ölçümlere katılmıştır. H-BORD cihazı ile her sporcunun üç tekrarlı hamstring pik tork ölçümleri KAK yöntemi kullanılmadan alınmıştır. Sporcular bu ölçümlerden sonra 96 saatlik aralıklarla LOP basınçlarının %60’ı %70’i ve %80’i ile NHE egzersizini KAK yöntemiyle dört set tükenmişlik tekrar sayısında H-BORD cihazı ile uygulamıştır.Her aşamada katılımcıların hamstring pik tork ve ortalama güç değerleri ile gerçekleştirilen başarılı tekrar sayıları kayıt altına alınmıştır. Normal dağılım gösteren verilerin analizinde üç farklı koşuldaki ölçümlerin karşılaştırılması için tek faktörlü tekrarlı ölçümler ANOVA testi uygulanmış olup post-hoc testlerden Bonferroni testi tercih edilmiştir. Çalışma bulguları incelendiğinde özellikle artan LOP basıncına bağlı olarak başarılı tekrar sayısında düşüş gözlenmiştir (F=164.328, p<0.001, η²=0.873). Kuvvet parametrelerinde ise non-dominant %60-%70 karşılaştırması hariç (p=0.715, d=0.161) , LOP basıncı arttıkça hem pik tork (F=26.742, p<0.001, η²=0.527) hem de ortalama güç (F=23.027, p<0.001, η²=0.490) düzeyinin daha düşük seviyelerde sonuçlandığı belirlenmiştir. Sonuç olarak, KAK ile uygulanan NHE sırasında LOP basıncının %60’tan %80 seviyelere artırılması başarılı tekrar sayısını azaltmış, pik tork ve ortalama güçte basınca bağlı düşüş tespit edilmiştir. Bu bulgular doğrultusunda KAK ile birleştirilen NHE gibi yüksek şiddetli direnç egzersizlerinde performans kaybını sınırlayıp kuvvet çıktısını korumak için literatürde önerilen LOP aralıklarının değişken tutularak planlanması önerilebilir.

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Cite This Article

Pişkin, N. E. (2026). The Effect of Different Limb Occlusion Pressure Ranges on Strength Parameters and Total Repetition in Nordic Hamstring Exercises Performed with Blood Flow Restriction Method. Journal of Global Sport and Education Research, Cilt: 9 Sayı: 1, 1–12. https://doi.org/10.55142/jogser.1861996

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References (41)

  1. Akarçeşme, C., Cengizel, E., Alvurdu, S., Bağcı, E., Altundağ, E., Cengizel, Ç. Ö. ve Şenel, Ö. (2024). Reliability and validity of the new portable Nordic hamstring test device (IVMES H-Bord). Proceedings of the Institution of Mechanical Engineers, Part P: Journal of Sports Engineering and Technology, 17543371241239725. doi: 10.1177/1754337124123972
  2. Alt, T., Komnik, I., Ryan, L. J., and Clark, K. P. (2024). Top speed sprinting: Thigh angular motion and eccentric hamstring strength in faster vs. slower sprinters. Human Movement Science, 98, 103280. doi: 10.1016/j.humov.2024.103280
  3. Bennett, H. ve Slattery, F. (2019). Effects of blood flow restriction training on aerobic capacity and performance: A systematic review. The Journal of Strength & Conditioning Research, 33(2), 572-583. doi: 10.1519/JSC.0000000000002963
  4. Buckner, S. L., Jessee, M. B., Dankel, S. J., Mattocks, K. T., Mouser, J. G. ve Bell, Z. W., et al. (2020). Blood flow restriction does not augment low force contractions taken to or near task failure. European Journal of Sport Science, 20(5), 650-659. doi: 10.1080/17461391.2019.1664640
  5. Clark, B. C., Manini, T. M., Hoffman, R. L., Williams, P. S., Guiler, M. K., Knutson, M. J., McGLynn, M L. ve Kushnick, M. R. (2011). Relative safety of 4 weeks of blood flow‐restricted resistance exercise in young, healthy adults. Scandinavian Journal of Medicine & Science ın Sports, 21(5), 653-662. doi: 10.1111/j.1600-0838.2010.01100.x
  6. Clarkson, M. J., Scott, B. R., Patterson, S. D. ve Warmington, S. A. (2025). Blood flow restriction exercise in high-performance sport settings: A practitioner survey. Journal of Sports Sciences, 43(19), 2133-2144. doi: 10.1080/02640414.2025.2525710
  7. Cook, C. J., Kilduff, L. P. ve Beaven, C. M. (2014). Improving strength and power in trained athletes with 3 weeks of occlusion training. International Journal of Sports Physiology and Performance. 9(1), 166-172. doi: 10.1123/ijspp.2013-0018
  8. Cuthbert, M., Ripley, N., McMahon, J. J., Evans, M., Haff, G. G. ve Comfort, P. (2020). The effect of nordic hamstring exercise intervention volume on eccentric strength and muscle architecture adaptations: A systematic review and meta-analyses. Sports Medicine, 50(1), 83-99. doi: 10.1007/s40279-019-01178-7
  9. de Queiros, V. S., Dantas, M., Neto, G. R., da Silva, L. F., Assis, M. G. ve Almeida-Neto, P. F. (2021). Application and side effects of blood flow restriction technique: A cross-sectional questionnaire survey of professionals. Medicine, 100(18), e25794. doi: 10.1097/MD.0000000000025794
  10. Feng, Y., Yin, Y., Zhao, X., Zhang, Y., Zhou, Y. ve Wu, Z. (2022). A bibliometric analysis study of blood flow restriction using CiteSpace. Journal of Physical Therapy Science, 34(10), 657-667. doi: 10.1589/jpts.34.657
  11. Geng, Y., Wu, X., Zhang, Y. ve Zhang, M. (2024). Potential moderators of the effects of blood flow restriction training on muscle strength and hypertrophy: A meta-analysis based on a comparison with high-load resistance training. Sports Medicine-Open, 10(1), 58. doi: 10.1186/s40798-024-00719-3
  12. Happ, K., Barawi, S., Niederer, D., Schwiete, C., Heinrich, C., Franz, A., Wahl, P ve Behringer, M. (2025). Effects of different arterial occlusion pressures during blood flow restriction exercise on muscle damage: a single-blind randomized controlled trial. Scientific Reports, 15(1), 27985. doi: 10.1038/s41598-025-11654-y
  13. Hughes, L., Jeffries, O., Waldron, M., Rosenblatt, B., Gissane, C., Paton, B. ve Patterson, S. D. (2018). Influence and reliability of lower-limb arterial occlusion pressure at different body positions. PeerJ, 6, e4697. doi: 10.7717/peerj.4697
  14. Ilett, M. J., Rantalainen, T., Keske, M. A., May, A. K. ve Warmington, S. A. (2019). The effects of restriction pressures on the acute responses to blood flow restriction exercise. Frontiers in Physiology, 10, 1018. doi: 10.3389/fphys.2019.01018
  15. Jessee, M. B., Buckner, S. L., Dankel, S. J., Counts, B. R., Abe, T. ve Loenneke, J. P. (2016). The influence of cuff width, sex, and race on arterial occlusion: Implications for blood flow restriction research. Sports Medicine, 46(6), 913-921. doi: 10.1007/s40279-016-0473-5
  16. Jessee, M. B., Buckner, S. L., Mouser, J. G., Mattocks, K. T., Dankel, S. J. ve Abe, T. (2018). Muscle adaptations to high-load training and very low-load training with and without blood flow restriction. Frontiers in Physiology, 9, 1448. doi: 10.3389/fphys.2018.01448
  17. Jiang, D., Liu, Z., Ling, X., Dai, J., Long, L., Lu, Y. ve Zhou, S. (2023). Investigating the impact of inter-limb asymmetry in hamstring strength on jump, sprint, and strength performance in young athletes: comparing the role of gross force. Frontiers in Physiology, 14, 1185397. doi: 10.3389/fphys.2023.1185397
  18. Kamiş, O., Gürses, V. V., Şendur, H. N., Altunsoy, M., Pekel, H. A., Yıldırım, E. ve Aydos, L. (2024). Low-load resistance exercise with blood flow restriction versus high-load resistance exercise on hamstring muscle adaptations in recreationally trained men. The Journal of Strength & Conditioning Research, 38(10), e541-e552. doi: 10.1519/JSC.0000000000004870
  19. Krommes, K., Petersen, J., Nielsen, M. B., Aagaard, P., Hölmich, P. ve Thorborg, K. (2017). Sprint and jump performance in elite male soccer players following a 10-week nordic hamstring exercise protocol: A randomised pilot study. BMC Research Notes, 10(1), 669. doi: 10.1186/s13104-017-2986-x
  20. Laurentino, G., Ugrinowitsch, C., Aihara, A. Y., Fernandes, A. R., Parcell, A. C., and Ricard, M. (2008). Effects of strength training and vascular occlusion. International Journal of Sports Medicine, 29(8), 664-667. doi: 10.1055/s-2007-989405
  21. Libardi, C., Chacon-Mikahil, M., Cavaglieri, C., Tricoli, V., Roschel, H., and Vechin, F. (2015). Effect of concurrent training with blood flow restriction in the elderly. International Journal of Sports Medicine, 36(5), 395-399. doi: 10.1055/s-0034-1390496
  22. Lixandrao, M. E., Ugrinowitsch, C., Berton, R., Vechin, F. C., Conceição, M. S. ve Libardi, C. A. (2018). Magnitude of muscle strength and mass adaptations between high-load resistance training versus low-load resistance training associated with blood flow restriction: A systematic review and meta-analysis. Sports Medicine, 48(2), 361-378. doi: 10.1007/s40279-017-0795-y
  23. Lixandrao, M. E., Ugrinowitsch, C., Laurentino, G., Libardi, C. A., Aihara, A. Y. ve Cardoso, F. N. (2015). Effects of exercise intensity and occlusion pressure after 12 weeks of resistance training with blood-flow restriction. European Journal of Applied Physiology, 115(12), 2471-2480. doi: 10.1007/s00421-015-3253-2
  24. Loenneke, J. P., Fahs, C. A., Wilson, J. M. ve Bemben, M. G. (2011). Blood flow restriction: The metabolite/volume threshold theory. Medical hypotheses, 77(5), 748-752. doi: 10.1016/j.mehy.2011.07.029
  25. Mañago, M. M., Kimbrell, K., Hager, E. R., Dwight, H., Owens, J. ve Bade, M. (2022). Clinical use of blood flow restriction in people with neurologic conditions: A cross-sectional survey. Journal of Physical Therapy Science, 34(4), 275-283. doi: 10.1589/jpts.34.275
  26. Morin, J. B., Gimenez, P., Edouard, P., Arnal, P., Jiménez-Reyes, P. ve Samozino, P. (2015). Sprint acceleration mechanics: The major role of hamstrings in horizontal force production. Frontiers in physiology, 6, 404. doi: 10.3389/fphys.2015.00404
  27. Murphy, M. (2025). Blood flow restriction training: A tool to enhance rehabilitation and build athlete resiliency. Arthroscopy, Sports Medicine and Rehabilitation, 7(2), 101022. doi: 10.1016/j.asmr.2024.101022
  28. Neto, G. R., Santos, H. H., Sousa, J. B., Júnior, A. T., Araújo, J. P., Aniceto, R. R. ve Sousa, M. S. (2014). Effects of high-intensity blood flow restriction exercise on muscle fatigue. Journal of Human Kinetics, 41, 163. doi: 10.2478/hukin-2014-0044
  29. Olmos, A. A., Montgomery, Jr, T. R., Sears, K. N., Dinyer, T. K., Hammer, S. M. ve Bergstrom, H. C. (2024). Blood flow restriction increases necessary muscle excitation of the elbow flexors during a single high-load contraction. European Journal of Applied Physiology, 124(6), 1-14. doi: 10.1007/s00421-023-05405-y
  30. Patterson, S. D., Hughes, L., Warmington, S., Burr, J., Scott, B. R., Owens, J., Abe, T., Nielsen, J. L., Libardi, C. A., Laurentino, G., Neto, G. R., Brandner, C., Martin-Hernandez, J. ve Loenneke, J. P. (2019). Blood flow restriction exercise: considerations of methodology, application, and safety. Frontiers in Physiology, 10, 533. doi: 10.3389/fphys.2019.00533
  31. Pignanelli, C., Petrick, H. L., Keyvani, F., Heigenhauser, G. J., Quadrilatero, J., Holloway, G. P. & Burr, J. F. (2020). Low-load resistance training to task failure with and without blood flow restriction: muscular functional and structural adaptations. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 318(2), 284-295. doi: 10.1152/ajpregu.00243.2019
  32. Pişkin, N. E., ve Aktuğ, Z. B. (2024). Kan Akışı Kısıtlama Yöntemi. Gazi Kitabevi. Ankara
  33. Pişkin, N. E., Aktuğ, Z. B., Kara, M., Yavuz, G., Özturk, G. T., İbiş, S., ve Aka, H. (2025). The effect of blood flow restriction training on isokinetic strength muscle thickness and athletic performance. Journal of Musculoskeletal & Neuronal Interactions, 25(2), 208. doi: 10.22540/JMNI-25-208
  34. Pişkin, N. E., Yavuz, G., Aktuğ, Z. B., Aldhahi, M. I., Al-Mhanna, S. B., ve Gülü, M. (2024). The effect of combining blood flow restriction with the nordic hamstring exercise on hamstring strength: randomized controlled trial. Journal of Clinical Medicine, 13(7), 2035. doi: 10.3390/jcm13072035
  35. Pişkin, N. E., Aktuğ, Z. B., İbiş, S., ve Aka, H. (2022). The effect of the combined application of blood flow restriction-theraband training to lower and upper extremities on to athletic performance. Journal of Human Sciences, 19(1), 69-83. doi: 10.14687/jhs.v19i1.6267
  36. Ramis, T. R., de Lemos Muller, C. H., Boeno, F. P., Teixeira, B. C., Rech, A., ve Pompermayer, M. G. (2020). Effects of traditional and vascular restricted strength training program with equalized volume on isometric and dynamic strength, muscle thickness, electromyographic activity, and endothelial function adaptations in young adults. The Journal of Strength Conditioning Research, 34(3), 689-698 doi: 10.1519/JSC.0000000000002717
  37. Rolnick, N., Kimbrell, K., Cerqueira, M. S., Weatherford, B., ve Brandner, C. (2021). Perceived barriers to blood flow restriction training. Frontiers in Rehabilitation Sciences, 2, 697082. doi: 10.3389/fresc.2021.697082
  38. Schoenfeld, B. J., Grgic, J., Van Every, D. W., ve Plotkin, D. L. (2021). Loading recommendations for muscle strength, hypertrophy, and local endurance: a re-examination of the repetition continuum. Sports, 9(2), 32. doi: 10.3390/sports9020032
  39. Scott, B. R., Loenneke, J. P., Slattery, K. M., ve Dascombe, B. J. (2015). Exercise with blood flow restriction: An updated evidence-based approach for enhanced muscular development. Sports Medicine, 45(3), 313-325. doi: 10.1007/s40279-014-0288-1
  40. Timmins, R. G., Filopoulos, D., Nguyen, V., Giannakis, J., Ruddy, J. D., ve Hickey, J. T. (2021). Sprinting, strength, and architectural adaptations following hamstring training in Australian footballers. Scandinavian Journal of Medicine & Science in Sports, 31(6), 1276-1289. doi: 10.1111/sms.13941
  41. Zhou, L., Rothrauff, B., Chen, L., Jin, S., He, S., ve He, J. (2025). Comparison of blood flow restriction training rehabilitation and general rehabilitation exercise after anterior cruciate ligament reconstruction: a meta‐analysis of randomized controlled trials. Knee Surgery, Sports Traumatology, Arthroscopy, 33(8), 2713-2728. doi: 10.1002/ksa.12527