Blood Flow Restriction Training – From the Clinic to the Field

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Lesson Plan

From The Clinic to the Field – Rehab to Performance Enhancement


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Blood Flow Restriction (BFR) training has been around the bodybuilding industry since the 60s.  What was once a training fad and highly suspect technique used by early European bodybuilders has now become a well excepted evidence-based methodology that can be used for rehabilitation and performance enhancement (Mattocks et al Curr Sports Med Rep 2018).  Studies show that BFR training can provide the same physiological benefits as heavy resistance training (Gronfeldt et al Scand J Med Sci Sports 2020), is a safe alternative to use with a geriatric population (Centner et al Sports Med 2019) as well as for post op patients (Noyes et al J Artho Relate Surg 2021; Yow et al J Foot Ankle Surg 2018) and patients rehabilitating after a shoulder surgery (Lambert et al Am J Sport Med 2021).  In addition, large systematic reviews also show that BFR training can have a similar effect as heavy resistance training on VO2max, 1RM bench and squat as well as vertical jump and sprint speed (Wortman et al Am J Sports Med 2021).

Understanding both the localized and systemic effect of BFR will allow clinicians to apply this evidence based training methodology in a safe and effective manner to allow maximal outcomes in both a clinical and sports performance environment.

Learning Objectives
•    Discuss the origins of BFR training
•    Provide a basic understanding of the localized and systemic effects of BFR training
•    Provide the latest research on BFR and evidence-based protocols for implementation
•    Cover practical application and contraindications
•    Provide two case studies for effectiveness of BFR training

Webinar Replay

Course Instructor

Trent Nessler, DPT Trent Nessler, DPT

Trent is the National Director of Sports Innovation for Select Medical and the founder | developer of the ViPerform AMI™ & ViPerform AMI™ RTSport. Trent holds a bachelor’s degree in exercise physiology, a masters in physical therapy, and a doctorate with a focus in biomechanics and motor learning. The ViPerform AMI™ (Athletic Movement Index™), a computerized 3D movement analysis system that uses wearable sensor technology (dorsaVi™) to provide lab quality biomechanical data to assess movement patterns know to put athletes at risk for non-contact injuries. The ViPerform AMI™ has been used to assess >18,000 athletes by 375+ clinics, performance centers, professional teams and physicians throughout the US. Dr. Nessler is also a Brazilian Jiu Jitsu purple belt and nationally ranked BJJ competitor.

From The Clinic to the Field – Rehab to Performance Enhancement