The Effect of Changing Limb Position on the Validity of Venous Occlusion Plethysmography

Rojeck, Amanda M., Wood, Rachel E., & Stewart, Ian B. (2007) The Effect of Changing Limb Position on the Validity of Venous Occlusion Plethysmography. Physiological Measurement, 28(8), pp. 861-867.

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Venous occlusion plethysmography (VOP) is a technique used for the non-invasive measurement of limb blood flow. A fundamental technical consideration of venous occlusion plethysmography is that the limb in question must be placed above heart level. However, in light of advances in technology and methodology, the necessity of this has been questioned. We investigated the validity of the VOP technique with the forearm approximately 10 cm above and below the level of the heart in both resting and dynamic conditions. Nine healthy male participants performed four bouts of handgrip exercise, two at each of 15% and 30% maximum voluntary contraction (MVC) (one above and one below the heart). As hypothesized, resting forearm blood flow (FBF) measured below the level of the heart was significantly lower than for above the heart (p = 0.046). However, the opposite occurred during exercise, where FBF measured after the fifth minute of handgrip contractions was significantly higher below the level of the heart (p = 0.013). Furthermore, the ability to accurately quantify FBF below the level of the heart was severely impeded by artifact, and as such VOP appears to remain constricted to use above the phlebostatic level.

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2 citations in Scopus
2 citations in Web of Science®
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ID Code: 12577
Item Type: Journal Article
Refereed: Yes
Additional Information: For more information, please refer to the journal's website (see hypertext link) or contact the author.
Keywords: plethysmography, limb position, blood flow, forearm, exercise
DOI: 10.1088/0967-3334/28/8/009
ISSN: 0967-3334
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > HUMAN MOVEMENT AND SPORTS SCIENCE (110600)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2007 Institute of Physics Publishing (IOP)
Deposited On: 02 Sep 2008 00:00
Last Modified: 22 May 2015 00:11

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