Personalized Blood Flow Restriction Rehabilitation (PBFR) is a paradigm shifting intervention for the rehabilitation professional with hundreds of peer-reviewed articles in the scientific literature. By applying a tourniquet briefly and intermittently to an exercising limb you can induce significant and substantial strength, hypertrophy and endurance changes while using a very light load. By attending this one day training course for PBFR training, clinicians will:
Translate the physiology behind mechanical tension compared to metabolic accumulation training and the downstream effects.

• Manipulate blood flow restriction protocols to create a local or systemic response within the soft tissues.
• Differentiate limb occlusion pressures objectively for each individual athlete/patient.
• Translate appropriate tourniquet safety measures to the outpatient/training room setting.
• Recommend and implement a rehabilitation blood flow restriction protocol for patients after injury or surgery.

UPDATED COURSE INFORMATION

To ensure the safety of course participants and Owens Recovery Science (ORS) staff, all attendees are expected to comply with current CDC guidelines and host site protocols regarding masks (we recommend wearing a mask at the course), hygiene, and distancing when attending an ORS certification course.

• If you are unvaccinated and have been exposed to someone diagnosed with COVID-19 in the last 14 days or are experiencing signs or symptoms consistent with COVID-19, please do not attend the course.

Outline

 Personalized Blood Flow Restriction Rehabilitation

08:00 Introduction to ORS and Blood Flow Restriction Training

08:15 History of Blood Flow Restriction and Evolution into Clinical Practice 08:40 BFR Methods: Occlusion Pressure

09:00 5 Minute Break

09:05 Lab One: Cuff Selection and Measuring Occlusion Pressure 9:40 5 Minute Break

9:45 BFR Methods: Intro to Passive, Endurance, and Resistance Applications

10:15 BFR Mechanisms: iEMG, Myostatin, IGF-1, MSC’s, Myocyte Swelling, VEGF, MPS

10:45 Safety: Clotting, Hemodynamics, Muscle Damage 11:15 Lab Two: Lower Extremity Exercise

12:00 Lunch Break (1 hour)

1:00 Skeletal Muscle: Understanding Anabolic Resistance

1:20 Prehab: Metabolic Stress, Scar, Blood Flow, Muscle Protein Synthesis 1:40 Acute Rehab: Timing and Research to Support Early Interventions 2:05 Lab Three: Upper Extremity Exercises

2:45 5 Minute Break

2:50 Chasing Optimal: Nutritional Considerations

3:05 Endurance Exercise Research and Understanding Key Parameters 3:30 BFR for Analgesia: Research and Potential Mechanisms

3:45 BFR Resistance Exercise: Potential Targets and Key Parameters

4:10 Effects for the Proximal Muscles: Theories and Research for the Hip and Shoulder

4:30 Clinical Reasoning: Entry Points and Decision Making on Indications 4:40 BFR and Bone

4:50 BFR and Tendon

5:00 Applications for Older Populations 5:15 Wrap Up and Group Exam

5:30 Adjournment

Course Objectives

At the conclusion of the course the participant will:

• Translate the physiology behind mechanical tension compared to metabolic accumulation training and the downstream effects.
• Manipulate blood flow restriction protocols to create a local or systemic response within the soft tissues.
• Differentiate limb occlusion pressures objectively for each individual athlete/patient.
• Translate appropriate tourniquet safety measures to the outpatient/training room setting.
• Recommend and implement a rehabilitation blood flow restriction protocol for patients after injury or surgery.

This course is pre-approved by the AR Board of Physical Therapy and NATA BOC