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 Nessler, PT, MPT, DPT is owner of The Athlete Laband co-founder | developer of the ViMove+ AMI. A sports medicine physical therapist with 25 years’ experience, he has worked with professional athletes, first responders and military personnel his entire professional career. Dr. Nessler is an author, published researcher and internationally recognized expert in injury prevention. In partnership with DrosaVi, Dr. Nessler co-founded | developed the ViMove+ AMI.  This assessment leverages wearable sensor technology to capture 3D movement to capture 3500 data points with lab quality on how a subject moves. The ViMove+ AMI has been used in the NFL, NBA, NHL, US Military and in first responders to assess movement on >90,000 tactical and sport athletes in 5 countries. The mass data sets collected has created the largest database related to human movement and is being used in several national and prestigious research projects. Data, knowledge and programming from this system is being used to prevent injuries in sport and tactical athletes across the globe.  Dr. Nessler is a published researcher on injury prevention in peer reviewed journals and author of a 350 page textbook "How To Build A Badass Firefighter". Dr. Nessler has developed several nationally recognized injury prevention products and programs including ACL Play It Safe, Run Safe and ACL Safe and Strong. He is also a nationally recognized speaker presenting over at 30+ conferences and continuing medical education courses a year on the topic of injury prevention. Dr. Nessler is also an accomplished Brazilian Jiu Jitsu black belt, specializes in treating the combat athlete and has launched several research projects on BJJ injuries and training in law enforcement.

From The Clinic to the Field – Rehab to Performance Enhancement