Evidence map›Paper›PMID 42191902›Full record

Trial reportEuropean journal of applied physiology2026

Effects of high-intensity and blood-flow-restricted resistance training on tendon adaptations in older men.

Leonardo Cesanelli, Giedrius Dranevičius, Mantas Mickevicius, Danguolė Satkunskiene, Pornpimol Muanjai, Vida Janina Česnaitienė, Oron Levin, Wouter Vints, Nerijus Masiulis, Sigitas Kamandulis

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of applied physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05744167 (Resistance Training and Muscle - Brain Crosstalk), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05744167 nacompletednot on this map

Resistance Training and Muscle - Brain Crosstalk

TypeinterventionalSponsorLithuanian Sports UniversityRan2022 to 2023Enrolled60ConditionsAging, Cognitive Decline, Sarcopenia, FrailtyArmsBFRT, MDRT
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Leonardo CesanelliInstitute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania. leonardo.cesanelli@lsu.lt.ORCID http://orcid.org/0000-0003-2822-1836
Giedrius DranevičiusInstitute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania.
Mantas MickeviciusInstitute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania.
Danguolė SatkunskieneInstitute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania.
Pornpimol MuanjaiAllied Health Sciences Faculty, Burapha University, Chonburi, Thailand.
Vida Janina ČesnaitienėInstitute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania.
Oron LevinInstitute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania.
Wouter VintsInstitute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania.
Nerijus Masiulis *Institute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania.
Sigitas Kamandulis *Institute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study investigated the effects of combined concentric-eccentric high-intensity resistance training (HIRT) and low-load blood flow restriction training (BFRT) on tendon properties and function in older men.

methodsThis parallel three-group controlled trial with constrained allocation included two exercise interventions (i.e., HIRT and BFRT) and a non-exercise control (CON). Participants in the exercise groups trained twice weekly for 12 weeks, and the total relative training volume was matched between groups. Assessments before and after the intervention included patellar tendon stiffness as the primary outcome, followed by tendon morpho-mechanical characteristics (cross-sectional area and tangent modulus) and knee extensor strength.

resultsLeg extension one-repetition maximum (1RM) increased in both HIRT (+ 40.4%, p < 0.001) and BFRT (+ 18.1%, p < 0.01) but not in CON (p > 0.05). HIRT significantly increased PT stiffness (+ 5.5%, p = 0.034) but not BFRT (PT stiffness: - 4.1%); the presence of divergent outcomes was supported by a significant time × intervention interaction (p < 0.05). PT cross-sectional area (CSA) increased in both training groups compared with CON (+ 4.3% in HIRT, + 3.6% in BFRT; both p < 0.001) but did not differ between HIRT and BFRT (p > 0.05). Changes in muscle strength correlated positively with tendon adaptations: the change (Δ) in 1RM correlated with Δstiffness (r = 0.35, p = 0.034) and ΔPTCSA (r = 0.45, p = 0.004).

conclusionThese findings suggest that HIRT may be more effective than BFRT for improving tendon mechanical function in older adults, whereas BFRT appears to preferentially affect tendon morphology rather than material properties over 12 weeks. CLINICALTRIALS: gov Identifier: NCT05744167.

Indexed as

Adaptation, PhysiologicalPatellar LigamentResistance TrainingTendonsAgedHumansMaleMuscle, SkeletalMuscle StrengthRegional Blood FlowCross-sectional areaPatellar tendonPeak torqueStiffnessStrength trainingTraining specificity

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.