Key Points• The blood flow restriction (BFR) stimulus should be individualized for each participant. In particular, consideration should be given to the restrictive pressure applied and cuff width used.• BFR elicits the largest increases in muscular development when combined with low-load resistance exercise, though some benefits may be seen using BFR alone during immobilization or combined with low-workload cardiovascular exercise.• For healthy individuals, training adaptations are likely maximized by combining low-load BFR resistance exercise with traditional high-load resistance exercise. 2 AbstractA growing body of evidence supports the use of moderate blood flow restriction (BFR) combined with low-load resistance exercise to enhance hypertrophic and strength responses in skeletal muscle. Research also suggests that BFR during lowworkload aerobic exercise can result in small but significant morphological and strength gains, and BFR alone may attenuate atrophy during periods of unloading.While BFR appears to be beneficial for both clinical and athletic cohorts, there is currently no common consensus amongst scientists and practitioners regarding the best practice for implementing BFR methods. If BFR is not employed appropriately, there is a risk of injury to the participant. It is also important to understand how variations in the cuff application can affect the physiological responses and subsequent adaptation to BFR training. The optimal way to manipulate acute exercise variables, such as exercise type, load, volume, inter-set rest periods and training frequency, must also be considered prior to designing a BFR training program. The purpose of this review is to provide an evidence-based approach to implementing BFR exercise. These guidelines could be useful for practitioners using BFR training in either clinical or athletic settings, or for researchers in the design of future studies investigating BFR exercise.3

The purpose of the study was to describe the differences in the activity demands of sub-elite and elite Australian men's basketball competition. Ten elite (age 28.3 ± 4.9 years, mass 97.0 ± 13.9 kg, height 197.4 ± 8.3 cm) and 12 sub-elite (age 26.1 ± 5.3 years, mass 85.9 ± 13.2 kg, height 191.4 ± 7.6 cm) Australian basketball players participated in the study. Player activity was analysed using video-based time-motion analysis across multiple in-season matches. Customized analytical software was used to calculate player activity into frequencies, mean and total durations (s), and mean and total distances (m) for standing/walking, jogging, running, sprinting, low shuffling, high shuffling, and dribbling movements. Only movement frequency was calculated for jumping and upper body activity. Multivariate analysis of variance revealed that elite players performed significantly more total movement changes (P <0.001), and experienced greater activity workloads while jogging (P <0.01) and running (P <0.002). In contrast, sub-elite players performed significantly more standing/walking (P <0.023) and sprinting (P <0.003) activities. These data suggest that elite basketball competition requires a greater intermittent workload and more sustained activity demands, whereas sub-elite competition may involve greater bursts of activity and longer recovery periods. These differences are likely to reflect variations in player skill and fitness, as well as playing structure between playing standards.

Cognitive function defines performance in objective tasks that require conscious mental effort. Extreme environments, namely heat, hypoxia, and cold can all alter human cognitive function due to a variety of psychological and/or biological processes. The aims of this Focused Review were to discuss; (1) the current state of knowledge on the effects of heat, hypoxic and cold stress on cognitive function, (2) the potential mechanisms underpinning these alterations, and (3) plausible interventions that may maintain cognitive function upon exposure to each of these environmental stressors. The available evidence suggests that the effects of heat, hypoxia, and cold stress on cognitive function are both task and severity dependent. Complex tasks are particularly vulnerable to extreme heat stress, whereas both simple and complex task performance appear to be vulnerable at even at moderate altitudes. Cold stress also appears to negatively impact both simple and complex task performance, however, the research in this area is sparse in comparison to heat and hypoxia. In summary, this focused review provides updated knowledge regarding the effects of extreme environmental stressors on cognitive function and their biological underpinnings. Tyrosine supplementation may help individuals maintain cognitive function in very hot, hypoxic, and/or cold conditions. However, more research is needed to clarify these and other postulated interventions.

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