Mechanisms of muscle repair after peripheral nerve injury by electrical stimulation combined with blood flow restriction training

This review elucidates the impact of electrical stimulation (ES) and blood flow restriction (BFR) training on muscle function. ES induces a transformation in muscle fibers type by rearranging myosin heavy chain isoform patterns. Additionally, it influences muscle protein synthesis and degradation th...

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Main Authors: Xiaolei Chu, Jiaojiao Sun, Jiajia Liang, Wenjie Liu, Zheng Xing, Qi Li, Qingwen Li
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2025-05-01
Series:Sports Medicine and Health Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S266633762400115X
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author Xiaolei Chu
Jiaojiao Sun
Jiajia Liang
Wenjie Liu
Zheng Xing
Qi Li
Qingwen Li
author_facet Xiaolei Chu
Jiaojiao Sun
Jiajia Liang
Wenjie Liu
Zheng Xing
Qi Li
Qingwen Li
author_sort Xiaolei Chu
collection DOAJ
description This review elucidates the impact of electrical stimulation (ES) and blood flow restriction (BFR) training on muscle function. ES induces a transformation in muscle fibers type by rearranging myosin heavy chain isoform patterns. Additionally, it influences muscle protein synthesis and degradation through specific signaling pathways such as protein kinase B/mechanistic target of rapamycin (Akt/mTOR), as well as via autophagy and the ubiquitin-proteasome system, thereby effectively maintaining muscle mass. BFR, on the other hand, restricts muscle blood flow, leading to metabolic products accumulation and localized hypoxia, which not only promotes the recruitment of fast-twitch fibers but also activates the mTOR signaling pathway, enhancing muscle protein synthesis. The combination of ES and BFR synergistically facilitates muscle protein synthesis through the mTOR pathway, thereby accelerating the recovery of muscle function following peripheral nerve injury.
format Article
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institution Kabale University
issn 2666-3376
language English
publishDate 2025-05-01
publisher KeAi Communications Co., Ltd.
record_format Article
series Sports Medicine and Health Science
spelling doaj-art-e5a2f271d16d4d299b4fda51df6aadd62025-02-01T04:12:01ZengKeAi Communications Co., Ltd.Sports Medicine and Health Science2666-33762025-05-0173173184Mechanisms of muscle repair after peripheral nerve injury by electrical stimulation combined with blood flow restriction trainingXiaolei Chu0Jiaojiao Sun1Jiajia Liang2Wenjie Liu3Zheng Xing4Qi Li5Qingwen Li6Department of Rehabilitation, Tianjin University Tianjin Hospital, Tianjin, ChinaTianjin Key, Laboratory of Exercise Physiology and Sports Medicine, Institute of Sport, Exercise and Health, Tianjin University of Sport, Tianjin, ChinaTianjin Key, Laboratory of Exercise Physiology and Sports Medicine, Institute of Sport, Exercise and Health, Tianjin University of Sport, Tianjin, ChinaTianjin Key, Laboratory of Exercise Physiology and Sports Medicine, Institute of Sport, Exercise and Health, Tianjin University of Sport, Tianjin, ChinaDepartment of Rehabilitation, Tianjin University Tianjin Hospital, Tianjin, ChinaDepartment of Rehabilitation, Tianjin University Tianjin Hospital, Tianjin, China; Corresponding author. Department of Rehabilitation, Tianjin University Tianjin Hospital, Tianjin, China.Tianjin Key, Laboratory of Exercise Physiology and Sports Medicine, Institute of Sport, Exercise and Health, Tianjin University of Sport, Tianjin, China; Corresponding author. Tianjin Key, Laboratory of Exercise Physiology and Sports Medicine, Institute of Sport, Exercise and Health, Tianjin University of Sport, Tianjin, China.This review elucidates the impact of electrical stimulation (ES) and blood flow restriction (BFR) training on muscle function. ES induces a transformation in muscle fibers type by rearranging myosin heavy chain isoform patterns. Additionally, it influences muscle protein synthesis and degradation through specific signaling pathways such as protein kinase B/mechanistic target of rapamycin (Akt/mTOR), as well as via autophagy and the ubiquitin-proteasome system, thereby effectively maintaining muscle mass. BFR, on the other hand, restricts muscle blood flow, leading to metabolic products accumulation and localized hypoxia, which not only promotes the recruitment of fast-twitch fibers but also activates the mTOR signaling pathway, enhancing muscle protein synthesis. The combination of ES and BFR synergistically facilitates muscle protein synthesis through the mTOR pathway, thereby accelerating the recovery of muscle function following peripheral nerve injury.http://www.sciencedirect.com/science/article/pii/S266633762400115XElectrical stimulationBlood flow restrictionMuscle fibersmTORMuscle protein synthesis
spellingShingle Xiaolei Chu
Jiaojiao Sun
Jiajia Liang
Wenjie Liu
Zheng Xing
Qi Li
Qingwen Li
Mechanisms of muscle repair after peripheral nerve injury by electrical stimulation combined with blood flow restriction training
Sports Medicine and Health Science
Electrical stimulation
Blood flow restriction
Muscle fibers
mTOR
Muscle protein synthesis
title Mechanisms of muscle repair after peripheral nerve injury by electrical stimulation combined with blood flow restriction training
title_full Mechanisms of muscle repair after peripheral nerve injury by electrical stimulation combined with blood flow restriction training
title_fullStr Mechanisms of muscle repair after peripheral nerve injury by electrical stimulation combined with blood flow restriction training
title_full_unstemmed Mechanisms of muscle repair after peripheral nerve injury by electrical stimulation combined with blood flow restriction training
title_short Mechanisms of muscle repair after peripheral nerve injury by electrical stimulation combined with blood flow restriction training
title_sort mechanisms of muscle repair after peripheral nerve injury by electrical stimulation combined with blood flow restriction training
topic Electrical stimulation
Blood flow restriction
Muscle fibers
mTOR
Muscle protein synthesis
url http://www.sciencedirect.com/science/article/pii/S266633762400115X
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