Sunday, August 23, 2015

Doing KAATSU With Multiple Sclerosis



Occasionally, individuals with multiple sclerosis (MS) ask if they can do KAATSU.

The answer is YES. With individuals with multiple sclerosis, the KAATSU Specialist ask the individuals to do what they can with KAATSU. Individuals with multiple sclerosis fatigue early, but are otherwise normal. KAATSU Global fundamentally recommends the following:

* exercises that are safe to do (e.g., no falling off spinning bikes)
* get muscle mass distal to (below) the KAATSU Air Bands contracting rhythmically
* exercise the affected muscle mass to the extent the individuals can, regardless if it is distal to the KAATSU Air Bands
* exercises can include push-ups, leg squats, hip raises (on back), holding a weight ball and moving side to side, walking, or any kind of resistance training
* individuals should always be well-hydrated and never feel numbness in the limbs or lightheadedness
* individuals should always have a rosy/pink KAATSU color in their limbs due to the blood engorgement

Below is a standard regimen for individuals with multiple sclerosis developed by Dr. Yoshiaki Sato in Japan after thousands of sessions:

Regimen:
Includes KAATSU Cycle (on either arms and/or legs) + KAATSU 3-point exercises (on either arms and/or legs) or KAATSU Performance Training (on either arms and/or legs)

Frequency:
2-3 times per week minimum, but sometimes more frequent if desired/possible

KAATSU Cycle Regimen (Standard):
Step 1: Find the user's Optimal SKU (e.g., 200 SKU)
Step 2: Do 1-2 sets of the standard KAATSU Cycle (i.e., 8 cycle of 20 seconds on + 5 seconds off)
Step 3: Proceed to either Advanced KAATSU Cycle** or KAATSU 3-point Exercises on arms

KAATSU Cycle Regimen (Advanced)**:
Option 1
Step 1: Find the user's Optimal SKU (e.g., 200 SKU)
Step 2: Purposefully increase SKU to a higher pressure level than Optimal (e.g., 260 SKU)
Step 3: Do 1-2 sets of the Advanced KAATSU Cycle at this higher level as possible (i.e., 8 cycle of 20 seconds on + 5 seconds off)

Option 2
Step 1: Find the user's Optimal SKU (e.g., 200 SKU)
Step 2: Purposefully increase SKU to a higher pressure level than Optimal (e.g., 260 SKU)
Step 3: Do 1-2 sets of the Advanced KAATSU Cycle for longer at this higher level as possible (i.e., 8 cycle of 40 seconds on + 10 seconds off)

Option 3
Step 1: Find the user's Optimal SKU (e.g., 200 SKU)
Step 2: Purposefully increase SKU to a higher pressure level than Optimal (e.g., 260 SKU)
Step 3: Do 1-2 sets of the Advanced KAATSU Cycle for longer at this higher level as possible (i.e., 8 cycle of 60 seconds on + 20 seconds off)

** As the user becomes stronger and more accustomed to KAATSU, their ability to handle higher pressures for longer periods becomes readily apparent, but the user and the KAATSU Specialist should always start off conservatively. The body will acclimate well, but at the beginning, the user and KAATSU Specialist should always error on the side of lower pressures.

KAATSU 3-Point Exercises for Arms:
Step 1: Find the user's Optimal SKU (e.g., 200 SKU)
Step 2: 3 sets of the hand grips (note: the number of repetitions should decrease with each subsequent set)
Step 3: 3 sets of bicep curls
Step 4: 3 sets of tricep extensions
Step 5: Proceed to KAATSU 3-point Exercise on legs

KAATSU 3-Point Exercises for Legs:
Step 1: Find the user's Optimal SKU (e.g., 200 SKU)
Step 2: 3 sets of the toe curls (note: the number of repetitions should decrease with each subsequent set)
Step 3: 3 sets of heel raises
Step 4: 3 sets of either squats (quarter or full) or leg curls

KAATSU Performance Training for either Arms or Legs:
Step 1: Find the user's Optimal SKU (e.g., 200 SKU)
Step 2: Do the preferred activity of the patient (e.g., walking, resistance training, stretching, mobility exercises, rehabilitation)

Note: The number of repetitions should decrease with each subsequent set. Alternatively, if the user is walking on a treadmill, the total time should be limited to 20 minutes. If the user is using his upper body, the total number should be limited to 15 minutes. Users can elect to do both arms and legs during the same session if they wish.

Yvonne C. Learmonth and her colleagues at the University of Illinois at Urbana-Champaign conducted a study in 2015 called "A novel approach to low level resistance training in multiple sclerosis; Kaatsu occlusion training".

Their research was funded by a grant awarded from the American College of Sports Medicine [see poster on left or here].

Their conclusion was that 6 weeks of thrice weekly low-level resistance training in people mildly to moderately affected with MS results in large and significant changes in lower limb strength. This suggests that short progressive low level resistance training intervention may be an effective intervention for many people affected with MS. Occlusion resistance training appears safe and acceptable to people mildly to moderately affected with MS.

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