Postactivation Performance Enhancement With Low-Load Upper-Body Exercise Using Blood Flow Restriction or Electrical Muscle Stimulation in Volleyball


Akçay N., Kamiş O., KESKİN K., Özmen T., Sofuoğlu C., Süpürgeci N., ...Daha Fazla

Journal of Strength and Conditioning Research, 2026 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1519/jsc.0000000000005539
  • Dergi Adı: Journal of Strength and Conditioning Research
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, SportDiscus, DIALNET, Academic Search Ultimate (EBSCO), Natural Science Collection (ProQuest), Biological Science Database (ProQuest), Health Research Premium Collection (ProQuest), Pharma Collection (ProQuest)
  • Anahtar Kelimeler: blood flow restriction, electrostimulation, serve speed, strength, volleyball
  • Gazi Üniversitesi Adresli: Evet

Özet

Abstract – Akçay, N, Kamiş, O, Keskin, K, Özmen, T, Sofuoğlu, C, Süpürgeci, N, Rolnick, N, and Montoye, A. Post-activation performance enhancement with low-load upper-body exercise using blood-flow restriction or electrical muscle stimulation in volleyball. J Strength Cond Res XX(X): 000–000, 2026—This study aimed to compare the acute effects of low-load resistance exercise (LL-RE) performed alone, with blood flow restriction (BFR), or with electrical muscle stimulation (EMS) on handgrip strength and serve speed during single- and multijoint upper-body exercises in well-trained male volleyball players. Fifteen collegiate volleyball players (age: 20.9 ± 2.8 years, height: 180.1 ± 6.4 cm; body mass: 83 ± 5.7 kg) completed 6 randomized sessions at 72-hour intervals. Bench press and triceps push-down were performed 30% of 1RM for 4 sets (30, 15, 15, and 15 repetitions), with 30 seconds of rest between sets in 3 conditions: LL-RE alone, LL-RE + BFR (50% arterial occlusion pressure), and LL-RE + EMS (75 Hz). Only one exercise was performed per experimental session; therefore, 3 sessions involved the bench press and 3 sessions involved the triceps push-down. Handgrip strength and serve speed were assessed 5 minutes postexercise. After bench press, handgrip strength was significantly greater after LL-RE with BFR (Δ = +3.7 kg, p = 0.043, d = 0.77) and LL-RE + EMS (Δ = +3.4 kg, p = 0.036, d = 0.79) compared with baseline, with no differences compared with LL-RE alone. After the triceps push-down, LL-RE combined with EMS elicited significantly greater improvements in handgrip strength than LL-RE alone (Δ = +2.1 kg, p = 0.029, d = 0.86), while all 3 conditions showed significant increases compared with baseline (LL-RE alone: +4.4 kg, p = 0.010; BFR: +5.9 kg, p = 0.002; EMS: +6.5 kg, p < 0.001, d = 1.02–1.39). Serve speed did not differ significantly across conditions (p > 0.05). These findings demonstrate that LL-RE combined with BFR or EMS can modestly enhance acute handgrip strength, particularly during single-joint exercise; however, volleyball serve speed did not differ across all 6 experimental conditions. For coaches and athletes, incorporating LL-RE with BFR or EMS as part of a warm-up routine may provide small but meaningful acute improvements in upper-body strength performance.