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Blood Restriction Therapy
2
Blood Flow Restriction Training (BFRT)
Presented by Anna Sepulveda, SPTA
What is it?
- An occlusion of Blood Flow applied to upper or lower extremities via a cuff/tourniquet device
Introduction
- Provides the benefits and results of strength training without using heavy loads
History
History
- Originally used in Japan known as "KAATSU" in the 1960's and within the military for limb salvage
Today...
Johnny G. Owens, MPT
- Referenced by APTA as the "Trailblazer'" for bringing BFRT into the US.
- Since 2012 has been using "Personalized" Blood flow restriction training
Today
Companies like Athletico have implemented a similar device into their practice.
Research Study
Research
- 28 lower-limb injured male participants
- Ages: 18-50 y/o
- Injuries:
- PFPS
- ACL reconstruction
- Ankle injury
- Projectile blast related injury
Study Results
Results
Twice daily BFRT at 30% 1RM showed:
"significant improvement in lower limb muscle hypertrophy, strength, and function after three weeks of inpatient therapy compared to high load conventional training"
Women with Knee Osteoporosis
Additional Research
BFR to a 30% 1RM resistance training program:
Isotonic bilateral leg press strength and isokinetic knee extensor strength significantly more
compared to the same program without BFR
How?
Additional Research Conclusions:
How?
Resisted exercise at intensity levels lower than 50% 1RM with moderate occlusion:
Plasma growth hormone concentration
Electrical activity of targeted muscles
# of fast twitch fibers
- Hypertrophy
- Muscle strength
BFRT Certification
Johnny Owen's personalized Restriction Training Version:
- $650 Per Clinician
- 1 Day Course
Certification
Other Versions:
- not specified
Cost
$4,995 + $99 shipping
Personalized tourniquet system:
- FDA approved
- "Same standards as used in the operating room"
Cost
Amazon
$350.00
Contraindications
Addition Sources Included:
- pregnancy
- varicose veins
- Spinal Cord Injury
- Compromised circulation or PVS
- Taking medications that may alter clotting factor
- Extremities utilizing dialysis ports
- Rhabdomyalsis
- Increased intracranial pressure
History of:
- DVT
- Cancer
- Open Fracture
- Severe HTN
- Stroke
- Diabetes
- Infection
- Acidosis
Indications & contraindications
Other Sources Included:
- Pregnancy
- Varicose Veins
Indications
Ongoing Studies:
- ACL injuries
- Cardiac Rehab
- Many more...
- Post-Op
- Osteoporosis
- PFPS
- Geriatrics
- Injured athletes
Indications/Future Outlook
Questions?
References
(2017, February 18). Retrieved November 06, 2018, from https://youtu.be/
ACbWJ6I_hdk
Biscontini, C. (2017). Blood Flow Restriction Training Considerations.
Orthopedics and Rheumatology Open Access Journal, 8(5). doi:10.19080/oroaj.2017.08.555747
Ladlow, P., Coppack, R. J., Dharm-Datta, S., Conway, D., Sellon, E., Patterson, S.
D., & Bennett, A. N. (2018). Low-Load Resistance Training With Blood Flow Restriction Improves Clinical Outcomes in Musculoskeletal Rehabilitation: A Single-Blind Randomized Controlled Trial. Frontiers in Physiology, 9. doi:10.3389/fphys.2018.01269
Learn More. (n.d.). Retrieved from https://www.owensrecoveryscience.com/
learn-more/
Segal, N. A., Williams, G. N., Davis, M. C., Wallace, R. B., & Mikesky, A. E. (2015).
Efficacy of Blood Flow–Restricted, Low-Load Resistance Training in Women with Risk Factors for Symptomatic Knee Osteoarthritis. Pm&r, 7(4), 376-384. doi:10.1016/j.pmrj.2014.09.014
Takarada, Y., Takazawa, H., Sato, Y., Takebayashi, S., Tanaka, Y., & Ishii, N. (2000). Effects of
resistance exercise combined with moderate vascular occlusion on muscular function in humans. Journal of Applied Physiology, 88(6), 2097-2106. doi:10.1152/jappl.2000.88.6.2097
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https://www.bfrtherapy.com/pages/instructions
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