ClinicalTrials.gg
Not yet recruitingNCT07275138Updated Dec 10, 2025

Acute Cardiovascular and Neuromuscular Responses to Walking With Blood Flow Restriction (BFR) in Older Adults

An interventional study of Walking in Healthy Older Adults, sponsored by Universidade da Coruña. Not yet recruiting at 2 sites in 2 countries. Open to participants aged 60 Years to 90 Years. Per ClinicalTrials.gov, last updated 2025-12-10.

Sponsored by Universidade da Coruña · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jan 2026, 10 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
60 Years to 90 Years
Sex
All
01

Study summary

The goal of this clinical trial is to explore how walking combined with different levels of partial blood flow restriction (BFR) affects cardiovascular, neuromuscular, and movement (kinematic) variables in older adults.

The main questions it aims to answer are:

Does walking with BFR increase internal effort, as shown by cardiovascular changes, and is this effect proportional to the level of restriction?

Does walking with BFR temporarily reduce neuromuscular control, and is this reduction greater at higher restriction levels?

Does walking with BFR change gait movement patterns?

This study uses a crossover design, meaning that each participant will complete all four conditions and serve as their own control.

Participants will:

Take part in walking sessions under four conditions with different levels of restriction: BFR40%, BFR80%, SHAM (0% BFR), and CON (without BFR).

Have their cardiovascular responses, muscle performance, and gait movement patterns measured.

Report their perceptions of the sessions, including Rate of Perceived Exertion (RPE), satisfaction, and possible side effects.

Read the detailed description

This innovative research project aims to explore the effect of the novel BFR technique, combined with walking, as a non-pharmacological strategy to prevent or reverse sarcopenia and thereby improve the quality of life in sedentary older adults. BFR involves the use of a specialized pneumatic cuff to restrict venous blood flow to a muscle while partially inhibiting arterial flow, and it can be applied either at rest or in combination with exercise.

The application of BFR combined with exercise has shown promise as a tool to induce favorable physiological effects at lower training doses, that is, at lower intensities (e.g., lower intensities or slower walking or running speeds), compared to active control groups. However, despite the promising benefits reported in some studies, comprehensive investigation of the cardiovascular and neuromuscular responses during BFR combined with walking remains a largely unexplored area, both in healthy participants and special populations. This knowledge gap is particularly relevant when considering the substantial benefits that older adults and individuals with mobility limitations could gain from BFR combined with walking, especially given their potential difficulty in adhering to the minimum exercise dosage requirements recommended by the World Health Organization

02

Conditions studied

  • Healthy Older Adults

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Keywords

  • Blood Flow Restriction (BFR)
  • walking exercise
  • older adults
  • Gait Kinematic
  • Cardiovascular Response
  • Neuromuscular Performance
  • Crossover Study
  • Physical Function
  • safety
  • Endurance training
  • Low-impact exercise
  • Aerobic exercise
  • Physical activity
  • functionality
  • Elderly
  • Senior
  • Age 60+
  • Community-dwelling
  • Non-institutionalized
  • Partial Blood Flow Restriction
  • Limb Occlusion Training
  • Vascular Occlusion Training
  • KAATSU Training
  • Low-load resistance training with BFR
  • Occlusion exercise
  • walking
  • walking training
  • exercise training
03

In context

Motor Activity

9,798 studies on the registry are indexed under Motor Activity; 1,910 are open to participants now.

This study's planned enrollment of 20 is below the median of 60 across 8,388 interventional studies indexed under Motor Activity.

Browse Motor Activity studies →

Lead sponsor

Universidade da Coruña is the lead sponsor of 33 studies on the registry; 8 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
60 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Aged between 60 and 90 years.

Exclusion criteria

Exclusion Criteria:

  • Being institutionalized.
  • Peripheral vascular disease, defined by an ankle-brachial index (ABI) outside the normal range (0.9-1.4).
  • Uncontrolled arterial hypertension (>180/110 mmHg).
  • Any to exercise, based on self-reported medical history and PAR-Q+.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    BFR40%

    BFR set at 40% of the participant's arterial occlusion pressure (AOP).

    Behavioral: Walking

  • Experimental
    BFR80%

    BFR set at 80% of the participant's AOP.

    Behavioral: Walking

  • Sham comparator
    BFR0%

    BFR set at 0% of the participant's AOP.

    Behavioral: Walking

  • Active comparator
    CON

    No BFR cuffs.

    Behavioral: Walking

Interventions

  • BehavioralWalking

    Participants will perform two continuous 10-minute walking bouts, separated by a 3-minute seated recovery period to allow reperfusion following BFR or pause, along a rectangular 40-meter walking circuit (15×5 m). Walking cadence will be standardized at 112 steps per minute.

    Also known as: Physical activity, Aerobic exercise, Cardio exercise, Endurance exercise, Functional movement

06

What researchers measure

Primary outcomes

  1. Blood pressure

    Systolic, diastolic and mean blood pressure will be obtained by a photoplethysmography sensor. Units: mmHg

    Time frame: 25 minutes

  2. Heart rate

    The average and maximum values will be obtained using a chest-worn heart rate sensor. Unit: beats per minute (bpm)

    Time frame: 60 minutes

  3. RR-Interval Time-Domain Metrics

    Standard time-domain HRV metrics-including mean RR intervals (meanRR), the standard deviation of normal-to-normal intervals (SDNN), and the root mean square of successive differences (RMSSD)-will be derived from inter-beat interval data exported from a chest-worn heart rate sensor (epochs of 5 min). Units: milliseconds (ms).

    Time frame: 60 minutes

  4. RR-Interval Nonlinear Metric

    Short-term fractal scaling (DFA α1) will be calculated from inter-beat interval data exported from a chest-worn heart rate sensor (epochs of 5 min). Units: dimensionless.

    Time frame: 60 minutes

  5. Maximum isometric strength

    Maximum voluntary isometric contraction (MVIC) force during a knee-extension task will be recorded using a force-gauge device. Unit: Newtons (N)

    Time frame: 10 minutes

  6. Force steadiness

    Force steadiness will be evaluated from the RMSSD of the coefficient of variation (CV) during a 30-s submaximal isometric knee-extension contraction at 30% MVIC, using a force-gauge device with data-analysis software. Unit: Percentage (%)

    Time frame: 10 minutes

Secondary outcomes

  1. Arterial stiffness

    It will be assessed by finger-toe pulse wave velocity (PWV) method. Units: m/s

    Time frame: 25 minutes

  2. Temporal Gait Parameters

    Mean temporal gait parameters-including stride time, step time, and stance time-will be derived from IMU-based measurements. Units: milliseconds (ms).

    Time frame: 20 minutes

  3. Temporal Gait Variability

    Stride-to-stride temporal variability (stride time, step time, stance time) will be computed from walking recordings collected using a wearable inertial measurement unit (IMU) equipped with a triaxial accelerometer and gyroscope. Variability will be expressed as the coefficient of variation (CV) for each temporal metric. Units: Percentage (%)

    Time frame: 20 minutes

  4. Postural Stability

    Postural stability in mediolateral (ML) and anterior-posterior (AP) directions will be assessed during quiet standing under four conditions (eyes open/closed × firm/foam surface). A wearable IMU will record triaxial centre-of-mass acceleration. Stability metrics will be computed as -ln\[m/s²\], where higher values reflect lower acceleration and therefore better postural control. Units: -ln\[m/s²\]

    Time frame: 10 minutes

  5. Internal subjective load

    Perceived exertion during walking will be quantified every 5 minutes using the OMNI-RES scale. Units: Points (0-10).

    Time frame: 20 minutes

  6. Adverse effects

    Severity of adverse sensations (e.g., tingling, burning, numbness, fatigue, discomfort, petechiae) potentially associated with BFR will be recorded. Units: Points (0-5).

    Time frame: 20 minutes

  7. Affective Responses

    Affective valence during the exercise bout will be assessed using the Visual Analogue Feeling Scale. Units: Points (-5 to +5).

    Time frame: 20 minutes

07

Study locations

2 sites
  • Faculty of Sport of University of Porto
    Porto, Porto District 4200-450, Portugal
  • Faculty of Education of University of La Laguna
    San Cristóbal de La Laguna, Santa Cruz de Tenerife 38204, Spain
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07275138
Lead sponsor
Universidade da Coruña
Collaborators
Ministry of Work and Welfare - Xunta de Galicia, Universidade do Porto, University of La Laguna
Responsible party
Sponsor
First posted
Dec 10, 2025
Start date
Dec 8, 2025 (estimated)
Primary completion
Jan 2026 (estimated)
Completion
Jan 2026 (estimated)
Last update
Dec 10, 2025

Study contacts

Marta Sevilla-Sanchez, Postdoctoral research
Contact
marta.sevilla@udc.es
34 637 235 257

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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