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001) and BFR group (-3 ± 2%; p = 0.001), but not in the BFR+EMS group (-0.3 ± 3%; p = 0.8). VL muscle thickness decreased in the control group (-4 ± 4%; p = 0.005), and was trending toward a decrease in the BFR group (-8 ± 11%; p = 0.07) and increase in the BFR+EMS group (+5 ± 10%; p = 0.07). Knee-extension MVC decreased over time (p 0.005) in the control (-18 ± 15%), BFR group (-10 ± 13%), and BFR+EMS (-18 ± 15%) group, with no difference between groups (p 0.5). Unlike BFR performed in isolation, BFR+EMS represents an effect