Bennett, H and Slattery, F. Effects of blood flow restriction training on aerobic capacity and performance: A systematic review. J Strength Cond Res 33(2): 572–583, 2019—Blood flow restriction (BFR) is a novel training method that can elicit training adaptations at low training intensities. Recent research has aimed to determine the effect of aerobic exercise with BFR on aerobic fitness and performance, with conflicting results. This review aimed to systematically identify and assess studies that have combined BFR with aerobic exercise in humans, establishing its effect on aerobic fitness and performance. Five databases (Medline, Web of Science, SPORTDiscus, CINHAL, and ScienceDirect) were searched. Two authors independently conducted all searches and reviewed all abstracts, determining article suitability. The Quality Assessment Tool for Quantitative Studies was used to assess risk of bias in each study. Fourteen studies were included for analysis. Blood flow restriction aerobic exercise increased measures of aerobic fitness and performance in younger adults when using occlusion pressures ≥130 mm Hg. In older adults, measures of aerobic performance improved; however, measures of aerobic fitness remained unchanged. These findings must be interpreted with caution because methodological limitations were present in all trials. Short-term BFR aerobic exercise seems to offer a valid method of improving aerobic performance and fitness in healthy adults when using occlusion pressures ≥130 mm Hg. Conversely, it seems to strictly enhance aerobic performance in older adults without impacting aerobic fitness, potentially suggesting different mechanisms of adaptation between older and younger individuals. Despite methodological limitations, BFR aerobic exercise seems to have applications in scenarios where high-intensity aerobic exercise is not appropriate, although more high-quality research is needed to further demonstrate this.

BackgroundDespite the known occupational hazards, it is not yet clear whether long-term career firefighting leads to a greater rate of decline in lung function than would normally be expected, and how this rate of change is affected by firefighting exposures and other risk/protective factors.MethodsA systematic search of online electronic databases was conducted to identify longitudinal studies reporting on the rate of change in the forced expiratory volume in one second (FEV1) of forced vital capacity (FVC). Included studies were critically appraised to determine their risk of bias using the Research Triangle Institute Item Bank (RTI-IB) on Risk of Bias and Precision of Observational Studies.ResultsTwenty-two studies were identified for inclusion, from four different countries, published between 1974 and 2016. Examined separately, studies were categorised by the type of firefighting exposure. Firefighters experienced variable rates of decline in lung function, which were particularly influenced by cigarette smoking. The influence of routine firefighting exposures is unclear and limited by the methods of measurement, while firefighters exposed to ‘non-routine’ severe exposures unanimously experienced accelerated declines.ConclusionsThe data provided by longitudinal studies provide an unclear picture of how the rate of change in lung function of firefighters relates to routine exposures and how it compares to the rate of change expected in a working-age population. Non-smoking firefighters who routinely wear respiratory protection are more likely than otherwise to have a normal rate of decline in lung function. Exposure to catastrophic events significantly increases the rate of decline in firefighter lung function but there is limited evidence detailing the effect of routine firefighting. Future studies will benefit from more robust methods of measuring exposure.Trial registrationInternational Prospective Register of Systematic Reviews (PROSPERO), registration number (CRD42017058499).

Multicomponent movement assessment tools have become commonplace to measure movement quality, proposing to indicate injury risk and performance capabilities. Despite popular use, there has been no attempt to compare the components of each tool reported in the literature, the processes in which they were developed, or the underpinning rationale for their included content. As such, the objective of this systematic review was to provide a comprehensive summary of current movement assessment tools and appraise the evidence supporting their development. A systematic literature search was performed using PRISMA guidelines to identify multicomponent movement assessment tools. Commonalities between tools and the evidence provided to support the content of each tool was identified. Each tool underwent critical appraisal to identify the rigor in which it was developed, and its applicability to professional practice. Eleven tools were identified, of which 5 provided evidence to support their content as assessments of movement quality. One assessment tool (Soccer Injury Movement Screen [SIMS]) received an overall score of above 65% on critical appraisal, with a further 2 tools (Movement Competency Screen [MCS] and modified 4 movement screen [M4-MS]) scoring above 60%. Only the MCS provided clear justification for its developmental process. The remaining 8 tools scored between 40 and 60%. On appraisal, the MCS, M4-MS, and SIMS seem to provide the most practical value for assessing movement quality as they provide the strongest reports of developmental rigor and an identifiable evidence base. In addition, considering the evidence provided, these tools may have the strongest potential for identifying performance capabilities and guiding exercise prescription in athletic and sport-specific populations.

Background and Objective We aimed to assess the validity of using the Global Lung Function Initiative's (GLI) 2012 equations to interpret lung function data in a healthy workforce of South Australian Metropolitan Fire Service (SAMFS) personnel. Methods Spirometry data from 212 healthy, nonsmoking SAMFS firefighters were collected and predicted normal values were calculated using both the GLI and local population derived (Gore) equations for forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and FEV1/FVC. Two-tailed paired sample Student's t-tests, Bland-Altman assessments of agreement, and z-scores were used to compare the two prediction methods. Results The equations showed good agreement for mean predicted FEV1, FVC, and FEV1/FVC. Mean z-scores were similar for FEV1 and FVC, although not FEV1/FVC, but greater than 0.5. Differences between the calculated lower limits of normal (LLN) were significant (p < 0.01), clinically meaningful, and resulted in an 8% difference in classification of abnormality using the FEV1/FVC ratio. Conclusions The GLI equations predicted similar lung function as population-specific equations and resulted in a lower incidence of obstruction in this sample of healthy SAMFS firefighters. Further, interpretation of spirometry data as abnormal should be based on both an FEV1 and FEV1/FVC ratio < LLN.

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