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The Study

Effects of velocity loss with blood flow restriction in full squat on strength gains, neuromuscular adaptations, and muscle hypertrophy

In simple terms

This study is like a fair race between four groups of athletes who all did squats with special bands, but each group stopped at a different point of tiredness. It shows that stopping at different tiredness levels leads to different results—like bigger muscles or stronger jumps. But it doesn’t prove that one way is better for everyone, just for these guys in this experiment.

55%

Analysis score

55/ 90

Maximum 90 for a randomized controlled trial.

Where the score came from

Reporting0
Methodology61
Publication100
Statistical54
Study type (basis of the score)
Randomized Controlled Trial
Level 1b - Individual RCT
What’s the bottom line?

This study tested four ways to do squats with bands around the thighs to cut blood flow — stopping when you slow down by 0%, 10%, 20%, or 40% during each set.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Randomized Trials
Level 1b
55

55 / 100

Quality score

Participants are randomly assigned to treatment or control groups, minimizing bias. The gold standard for testing whether an intervention causes an effect.

Can establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Yes — 20% slowdown gives the best balance: you get stronger and more powerful without over-fatiguing, while 40% is better only if your main goal is muscle size.
  2. 2Stopping at 20% slowdown made people stronger and faster at pushing force (best RFD).
  3. 3Stopping at 40% slowdown made muscles grow biggest (especially near the hip).
  4. 4Stopping at 0% didn’t help strength much.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Biology of Sport

Year

2025

Authors

J. Sánchez-Valdepeñas, L. Rodiles-Guerrero, P. Cornejo-Daza, J. Páez-Maldonado, Clara Cano-Castillo, Beatriz Bachero‐Mena, Miguel Sánchez-Moreno, J. González-Badillo, E. S. de Villarreal, F. Pareja-Blanco

Open Access
Analysis v5

Related Content

Claims (6)

Assertion

Muscle growth occurs when muscles are subjected to mechanical tension during resistance training, and this tension can be created by lifting heavy weights for few repetitions or moderate weights for many repetitions, as long as the set is taken close to the point of inability to continue.

Mechanistic
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Assertion

When performing squat exercises with restricted blood flow, using a higher level of fatigue during each set (40% velocity loss) leads to more muscle growth in the upper part of the thigh muscle compared to using lower fatigue levels (0–20%).

Causal
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Assertion

Using blood flow restriction during squats with no velocity loss does not lead to the maximum possible increase in strength, because it does not sufficiently stimulate the muscles and nervous system to adapt.

Causal
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Assertion

During squat training with restricted blood flow, strength gains are greatest when the speed drop during sets is between 10% and 20%. Lower or higher speed drops lead to smaller improvements in strength.

Descriptive
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Assertion

For men who regularly train with resistance exercises, performing squats with restricted blood flow and controlled effort at a 20% drop in movement speed leads to greater improvements in how quickly force is generated and stronger gains across different lifting weights, without causing excessive tiredness.

Causal
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Assertion

Using blood flow restriction during strength training with a 20% reduction in movement speed improves how quickly muscles generate force over short to medium time periods, compared to using faster or slower speeds.

Causal
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