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Post-Activation Performance Enhancement in Single and Multi-Joint Exercises With BFR and EMS in Male Volleyball Players

Post-activation Performance Enhancement in Multi- vs Single-Joint Movements: A Comparative Study of BFR and EMS in Male Volleyball Athletes

Status
Active, not recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06874829
Acronym
PAPE-BFR-EMS
Enrollment
15
Registered
2025-03-13
Start date
2025-02-10
Completion date
2025-10-29
Last updated
2025-03-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Volleyball Players, Post Activation Potentiation, Muscle Strength

Keywords

Post-activation performance, Blood Flow Restriction Exercise, volleyball, Hand Grip Strength, Service Speed

Brief summary

Investigators used a randomized controlled crossover design to compare the effect of blood flow restriction (BFR) and electrical muscle stimulation (EMS) protocols on post-activation performance enhancement (PAPE) in multi-joint versus single-joint exercises. Participants took part in six test sessions 72 hours apart. In the BFR group, 50% of the arterial occlusion pressure (AOP) was used. In the EMS group, a 75 Hz current was applied. In the Low Resistance exercise group, only exercise was performed without any condition. Bench press (multi-joint) and triceps push-down (single-joint) exercises were used in the conditions.

Detailed description

Participants took part in six test sessions 72 hours apart. All tests were performed between 2 and 4 pm to reduce the influence of circadian rhythms or fatigue on performance. Anthropometric measurements, 1 RM test, and grip strength and serving speed tests were determined before the practice session on the first day as a control condition. On the other six experimental days, players were randomly assigned to protocols (BFR, EMS, and LOW-LOAD) using software (http://www.randomizer.org). In the BFR group, 50% of the arterial occlusion pressure (AOP) was used. In the EMS group, a 75 Hz current was applied. In the Low Resistance exercise group, only exercise was performed without any condition. Bench press (multi-joint) and triceps push-down (single-joint) exercises were used in the conditions. In all protocols, participants performed a standardized warm-up protocol consisting of a 5-minute run at 9 km/h on a treadmill and a general warm-up consisting of 3 minutes of whole-body light stretching exercises. Following the warm-up and pre-exercise protocols, grip strength and service speed tests were performed with rest periods.

Interventions

EMS will be applied bilaterally to the wrist flexor and elbow extensor muscles using a portable EMS stimulator (Compex Rehab 400, Medicompex SA, Ecublens, Switzerland). Four 2 mm thick, self-adhesive electrodes (5x5 cm) will be placed on the superficial aspect of each muscle group. The athletes will simultaneously receive EMS intervention with a pulse frequency of 75 Hz and a duration of 400 μs (19 seconds rest between pulses) during bench press and triceps pushdown exercises. Bench press and triceps push down exercises will be performed with 30% 1TM, 30-15-15-15 repetitions and thirty seconds rest between sets.

OTHERBlood Flow Restriction

The arterial occlusion pressures (AOP) of the athletes randomized to the experimental group will be obtained automatically with the digital LED display CAC device BFR Unit (Fit Cuffs BFR Unit, Denmark). The AOP pressure device BFR Unit (Fit Cuffs BFR Unit, Denmark) will be used to apply 50% occlusion pressure during exercise. Bench press and triceps push down exercises will be performed with 30% 1TM, 30-15-15-15 repetitions and thirty seconds rest between sets.

Bench press and triceps pushdown exercises will be performed with 30% 1RM, 30-15-15-15 repetitions and 30 seconds rest between sets.

Sponsors

Karabuk University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)

Masking description

Participants were strictly separated and think their intervention is the main intervention. The same is true for care providers. Outcome assessors were unaware of participant group status and were not allowed to ask correspondingly.

Intervention model description

Crossover Assignment

Eligibility

Sex/Gender
MALE
Age
18 Years to 30 Years
Healthy volunteers
Yes

Inclusion criteria

* Being healthy * Male volleyball athletes * Willing to maintain the intervention for all sessions

Exclusion criteria

* Being under 18 years old * Having a chronic disease * Contraindication for Electromyostimulation (EMS) * Contraindication for Blood Flow Restriction (BFR) * Contraindications for exercise

Design outcomes

Primary

MeasureTime frameDescription
Service speedFrom baseline to the end of treatment at 8 weeksService speed will assess by standard radar apparatus (Net Playz Smart Pro Speed Radar, USA) and will record in km/h.
Hand Grip strengthFrom baseline to the end of treatment at 8 weeksHand grip strength will assess by hand grip dynamometer (Takei 5,101, Tokyo, Japan) and will record in kg.

Other

MeasureTime frameDescription
Anthropometric Measurements 1BaselineParticipants' height (cm) will assess by using a stadiometer (Holtain Stadiometer, England).
Anthropometric Measurements 2BaselineBody weight (kg) will asses by Inbody 270 (Biospace, California, USA).
Bench Press 1Repetition maximum TestBaselineThe 1RM values of the participants will assess by using a bench press machine.
Anthropometric Measurements 4BaselineBody fat percentage (%) will asses by Inbody 270 (Biospace, California, USA). Baseline
Anthropometric Measurements 3BaselineBody mass index (BMI) (kg/m2) will asses by Inbody 270 (Biospace, California, USA).
Triceps Push Down 1 repetition maximum TestBaselineThe participants will instruct to assume a standing position in front of the triceps push-down machine, holding the bar with both hands in the pronated position at shoulder width. During the execution of this exercise, the participants will maintain their arms near their torso, ensuring that there was no contact between the arms and the body.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026