Introduction: Resistance exercise associated with blood flow restriction utilizes external pressure to limit vascular flow during exercise whereas arterial flow is maintained. Blood flow restriction associated with resistance exercise has been linked with enhancing muscle strength and hypertrophy. While the effects of blood flow restriction on muscular metabolism and tissue alterations have been extensively studied, the involvement of neuromuscular processes, especially in lower leg muscles, is not well understood. Results from this study will provide critical information on physiological mechanisms related a viable strategy for improving muscular performance. Purpose: The purpose of this study is to determine alterations in motor unit behavior of the tibialis anterior muscle after a resistance exercise program associated with blood flow restriction. Our working hypothesis is that blood flow restriction to working muscles will induce greater changes in neuromuscular properties, lean mass and muscle size compared with a training at same intensity without blood flow restriction. Methods: Approximately 60 individuals, both male and female, within the age range of 18-40 years old will be recruited. participants will be required to attend 10 test sessions. The first test session will be a familiarization session followed by 2 training sessions per week for 4 weeks. During each training session the participant will perform an isotonic exercise.

Dry needling, a relatively new therapy, was created in 1979 by Czech physician Karel Lewit. That being said, the addition of electrical stimulation is still finding its’ place among pain management therapies. Utilizing a real-life setting, such as my advisor clinic, gives a real-life interpretation of what dry needling could potentially be applied. Understanding this form of treatment could potentially decrease pain and aid in a faster recovery. In this study, drying needling with electronic stimulation highjacks the nervous system by overstimulating the irritated area to treat chronic muscle tension. The study applied a pre- and post-design, allowing us to compare a range of motion (via Goniometer), pain (via Numerical Rating Scales or NRS), and recovery time. Data gathered so far includes many participants with the most common condition; chronic lower/upper back pain. Even though the study is ongoing, the recorded data support our hypothesis of instant, if not mostly resolved, conditions in just one session. Future studies should look into a more specific population with conditions such as myoclonus, muscle dystrophy, and even headaches. Nevertheless, we believe the treatment method could be an alternative for pain management and even result in muscle strengthening in Certain situations.