Blood flow restriction (BFR) training

Blood flow restriction (BFR) training is a technique used to increase muscle size and strength. It is employed by physical therapists as well as body builders and athletes. It is also known as occlusion therapy. It involves using some form of compression device wrapped around the upper portion of a limb to restrict blood flow. The controlled restriction of blood flow causes changes in the muscle cells. Proponents say these changes promote rapid growth in the muscle cells, allowing faster healing for injured limbs and increasing strength and performance of healthy limbs. However, the practice carries the risk of cutting off too much blood flow or causing blood clots, and should be done under the supervision of a physical therapist or another trained professional.

Overview

Blood flow restriction training is also known as Kaatsu training. This name was given by the person generally credited with developing the method, Yoshiaki Sato. While maintaining a kneeling position for a long period during a Buddhist prayer service in 1966, Sato noticed that the muscles in his leg swelled much like they did while he exercised.

After years of experimentation that sent him to the emergency room at least once with a blood clot, Sato developed a technique for using a compression device around his limbs that increased the effects of exercise. He called this Kaatsu training. The technique has been popular in Japan for years and eventually spread around the world.

BFR training involves using a compression device similar to a blood pressure cuff that is applied to the upper portion of an arm or leg prior to exercise. Specially made devices exist for this purpose, but some people use compression bandages or tourniquets wrapped around the limb. The device or band is applied so that the blood carried by arteries that are deeper in the limb can get into the arm or leg, but the blood in the veins, which are closer to the surface, cannot flow back to the heart. In most cases, the aim of BFR training is to restrict about 50 to 80 percent of the blood flow to the limb.

The person then engages in exercise with the device in place. This forces blood to fully fill blood vessels and muscles that proponents of the technique claims tricks the brain into believing the body is exercising harder than it really is. This increases the production of lactic acid, the substance that makes muscles burn when a person uses them strenuously. Lactic acid breaks down muscle fibers so new ones are made. The technique is also said to increase other hormones and chemicals related to muscle growth. Therefore, proponents claim, BFR training promotes fast buildup of new muscle, which is said to be beneficial to both patients recovering from an illness or injury and those who are building muscle for athletic purposes.

Medical experts caution against using the technique without supervision of a trained expert. They point to the risk of blood clots and damage to the limb. They also note that additional studies need to be performed to determine what effect altering blood flow in this way will have on the heart.

Bibliography

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“Blood Flow Restriction Training.” American Physical Therapy Association, www.apta.org/PatientCare/BloodFlowRestrictionTraining/. Accessed 22 Oct. 2018.

Gaddour, B. J. “The Fastest Way to Make Your Muscles Grow.” Men’s Health, 21 Dec. 2016, www.menshealth.com/fitness/a19534758/blood-flow-restriction-to-build-muscle/. Accessed 22 Oct. 2018.

Matthews, Mike. “Does Blood Flow Restriction (Occlusion) Training Really Work?” Legion Athletics, legionathletics.com/blood-flow-restriction-occlusion-training/. Accessed 22 Oct. 2018.

Mazzone, Nicholas. “Blood Flow Restriction Training: What Is It and Will It Work for My Patients?” New Grad Physical Therapy, 8 May 2017, newgradphysicaltherapy.com/blood-flow-restriction-training/. Accessed 22 Oct. 2018.

Sato, Y. “The History and Future of KAATSU Training.” International Journal of Kaatsu, 2005, www.kaatsu-global.com/Assets/Files/Presentations/The‗history‗and‗future‗of‗KAATSU‗Training.pdf. Accessed 22 Oct. 2018.

Spranger, Marty D., et al. “Blood Flow Restriction Training and the Exercise Pressor Reflex: A Call for Concern.” American Journal of Physiology—Heart and Circulatory Physiology, Nov. 2015, www.physiology.org/doi/full/10.1152/ajpheart.00208.2015. Accessed 22 Oct. 2018.

Wilson, Jacob. “Your Complete Guide to Blood Flow Restriction Training.” Body Building, 27 July 2018, www.bodybuilding.com/content/your-complete-guide-to-blood-flow-restriction-training.html. Accessed 22 Oct. 2018.