Full Course Description

Blood Flow Restriction Training Certification


Program Information


  1. Examine the benefits of blood flow restriction (BFR) training
  2. Distinguish indications and contraindications of BFR Training
  3. Demonstrate safe and effective placement of BFR cuffs
  4. Debate various uses of BFR on the spectrum of rehabilitation and performance
  5. Analyze the utility of BFR in the rehabilitation setting
  6. Develop a training program for a potential patient or client


Implications for Clinical Settings
Physiological mechanisms

  • Effects on strength, hypertrophy and cardiovascular function
  • Arterial vs venous occlusion 
  • Mechanical vs metabolic hypertrophy

Current evidence in research
Broader implications

  • Avoid muscle loss after surgery
  • Lower intensity effort that results in improvement

Differences in Stimulus: The Various Tools of BFR
Occlusion application 

  • Compression wraps and BFR bands
  • Cuffs and tourniquet systems

Application zones


What are the magic numbers? 
Modifiable Variables: Load vs Reps vs Occlusion
Compression scale

  • Relative vs absolute pressure
  • Limb circumference and occlusive pressure

Practical Applications
Considerations for exercise stimulus
Upper extremity exercises
Lower extremity exercises
Elderly and Post-Surgery
Healthy and Athletic Populations
Increasing aerobic capacity


Treating Your Patients
Which diagnoses respond best to treatment?
Atrophy, sarcopenia
Limitations, safety and contraindications

Copyright : 06/27/2020

Blood Flow Restriction (BFR) – An Emerging Breakthrough in Rehab Care

Program Information


  1. Investigate the evidence supporting blood flow restriction training  
  2. Assess the populations with most to benefit from BFR 
  3. Demonstrate safe and effective placement of BFR cuffs


Evidence Supporting Blood Flow Restriction Training 

  • Origins 
  • Research trends 
  • Latest meta analyses 

Populations who benefit the most from BFR 

  • Post-op, painful/load compromised, athletic endurance athletes 
  • Validated with scientific evidence 
  • Uses across sports medicine continuum 

How Blood Flow Restriction Training Works 

  • Muscle cell physiology 
    • Metabolic pathways 
    • Hypertrophy/strength timelines 
    • Energy systems 
    • Mechanical vs metabolic stimulus 
    • Force-velocity relationship 
    • Muscle fiber recruitment 

Local skeletal muscle adaptions 

  • Cell swelling 
  • Metabolite induced fatigue 
  • Satellite cell proliferation 
  • Hypoxia 
  • Bone growth 

Systematic adaptions 

  • Cardiovascular system regulation 
  • Pressor reflex 
  • VO2max 
  • VEGF 
  • Soft tissue repair 
  • Tendon repair 
  • Muscle damage 
  • Reduced pain 

Indications and Contraindications of BFRT 

  • Relative vs absolute contraindications 
  • Thrombus and tPA 

Placement of BFR Cuffs 

  • Tourniquet and Doppler application 
  • Avoidable tourniquet risks 
  • Importance of LOP assessment 

Copyright : 07/30/2020

Blood Flow Restriction Training to Maximize Rehab Outcomes for All Patients

Program Information


  1. Differentiate the various forms of BFR from bedridden up to return to play
  2. Appraise differing protocols and programming of BFR from young postoperative patients to geriatric patients with OA.
  3. Analyze the utility of BFR in the rehabilitation setting and how to manipulate BFR variables or programming based on your rehab goals


From Bed Ridden to Return to Play: Differentiate the various forms of BFR

  • IPC
  • Cellular swelling
  • Aerobic BFR
  • Isolated BFR
  • Compound BFR
  • Protocols and Programming of BFR
Different uses of BFRT from young postoperative patients to geriatric patients with OA.  
  • Case examples
  • Match BFR application based on goal and patient
  • Compare BFR use for TKA, ALCr, tibial exocytosis, Achilles non-op, RTC
Programming based on goals: Manipulating the BFR variables
  • Onboarding: education is the key
  • Adjusting BFR and exercise parameters 
  • BFR RT and aerobic guidelines
  • BFR programming guidelines

Copyright : 07/30/2020