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Blood Flow Restriction Therapy: Benefits, Mechanism, and Guidelines

October 30 | 2023
Posted by Erin Mills Physiotherapy

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Blood flow restriction therapy
Blood Flow Restriction (BFR) therapy, also known as occlusion training or Kaatsu training, is a cutting-edge rehabilitation and fitness technique. For this reason, it has gained significant attention in recent years. This innovative method involves the application of specialized cuffs or bands to restrict blood flow to specific limbs during exercise. In this blog, we will explore what BFR therapy is, how it works, its effects, and the important indications and contraindications associated with it.

What is Blood Flow Restriction Therapy?

This therapeutic technique is a unique training method that partially restricts blood flow to the extremities, typically the arms or legs. It uses pneumatic cuffs or specially designed bands. The goal is to temporarily reduce the amount of oxygen reaching the working muscles without completely cutting off blood flow. This restriction creates a challenging environment for the muscles, leading to various physiological responses.

How Does BFR Therapy Work?

blood flow restriction therapy bands

A company, Kaatsu, creates these pressurized bands to be used during BFR therapy

  1. Pressure Application: The key to BFR therapy lies in the precise application of pressure to the limb using cuffs or bands. This pressure is carefully regulated. It is high enough to restrict venous return (blood flow back to the heart) but low enough to allow arterial inflow (blood flow from the heart).
  2. Exercise: Once the cuffs are in place, individuals perform low-load resistance exercises, such as bodyweight exercises, light weightlifting, or resistance band exercises. These exercises are typically done with higher repetitions and shorter rest intervals.

Effects of Blood Flow Restriction Therapy:

  1. Muscle Growth: BFR therapy can stimulate muscle hypertrophy (growth) comparable to heavy resistance training. However, it uses lighter weights which reduces the risk of injury.
  2. Strength Improvement: It enhances muscular strength and endurance, making it valuable for rehabilitation after injuries or surgeries.
  3. Cardiovascular Benefits: BFR therapy can improve cardiovascular fitness due to the increased demand on the heart and vascular system.
  4. Hormonal Responses: It triggers the release of growth hormone and other anabolic hormones, aiding in muscle recovery and growth.
  5. Pain Reduction: BFR therapy has been found effective in reducing pain in various conditions, such as osteoarthritis and chronic joint pain.

When is BFR Therapy used?

Blood flow restriction therapy can be used to treat muscle atrophy

Muscle atrophy is the loss of muscle mass and leads to muscle weakness

  1. Rehabilitation: Post-surgery or injury rehabilitation, especially for athletes.
  2. Muscle Atrophy: Treating muscle atrophy caused by disuse or aging.
  3. Performance Enhancement: Improving muscle strength and endurance in athletes.

When should BFR Therapy not be used?

  1. Blood Clotting Disorders: Individuals with clotting disorders should avoid BFR therapy due to the increased risk of clot formation.
  2. High Blood Pressure: Uncontrolled hypertension is a contraindication as BFR may raise blood pressure further.
  3. Recent Surgery: It is not recommended immediately after surgery until the surgical site is fully healed.
  4. Pregnancy: Pregnant individuals should avoid BFR therapy due to the potential risks.
  5. Peripheral Vascular Disease: People with severe vascular issues should not undergo BFR therapy.

In Conclusion…

Blood Flow Restriction therapy is a promising approach with a range of benefits, from muscle growth and strength improvement to rehabilitation and pain reduction. However, it must be applied with care and under supervision, following appropriate guidelines and considering contraindications. As with any therapeutic technique, individuals should consult with a healthcare professional or trained practitioner before embarking on a BFR regimen to ensure safety and effectiveness.

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