The short answer is no, you don't need a certification to use blood flow restriction training. The BFR is within the scope of practice for both physical therapists and athletic trainers. According to the American Physical Therapy Association (APTA), blood flow restriction training is part of the scope of practice of a licensed physical therapist. Under the APTA, additional BFR certification is NOT required, however, therapists must be competent and follow evidence-based practice.
For most healthy customers, BFR can be a beneficial addition to training. But, if you have any questions about whether someone should use the training technique, ask them to talk to their doctor first about it. BFR can be a useful tool for increasing hypertrophy and muscle strength if used correctly. This will be valid both for people with load restrictions and for athletes under certain conditions.
It is important to review the pros and cons of bfr training to decide if it will be beneficial to you. While a specific certification is not required to take the BFR, it is important to obtain the advice of an experienced professional before participating in this type of training. Stray-Gundersen, “the muscle pump squeezes blood out of distended capillaries and veins, passes the venous obstruction and passes into the central circulation. Pressure on the proximal limb keeps blood in the muscle tissue, which can increase the volume of cells.
Each method is applied around the upper thigh or upper arm, using enough pressure to allow arterial blood inflow while occluding venous outflow. The venous outflow goes from a reasonably constant flow with exercise without BFR, to one in which there are periods of absence of flow (muscle relaxation) and high flow (during muscle contraction), which causes a metabolic crisis in the muscles. Blood flow restriction training, also known as occlusion training, is a strategy to build muscle mass and strength with lighter weights. Although “blood flow restriction” or “occlusion training” training has existed for quite some time, it has recently begun to grow in popularity among a variety of populations.
Blood flow restriction (BFR) training, also known as Kaatsu training or occlusion training, involves the use of a tourniquet, elastic band, or pressure cuff placed at the proximal attachment of a limb to the torso to allow arterial blood to enter active muscles while restricts the outflow of blood vein back to the torso during exercise. This process can be done in a variety of ways, such as applying an elastic bandage that stretches to create pressure; rolling a non-elastic material to a perceived tension; or inflating a pneumatic cuff with air to create pressure (similar to a blood pressure cuff). When the metabolism of adenosine triphosphate (ATP) is greater than the production of ATP, which occurs during exercise at higher intensities, there is a rapid accumulation of by-products (metabolites), which can change the acidity of the blood. With the restriction of blood flow, muscles are forced to stay longer on these metabolites, which causes greater adaptations.
They observed that a narrower cuff required more pressure, while a wider cuff could occlude a larger volume of blood flow with less pressure applied. Like any exercise method, it is not known exactly how BFR causes hypertrophy; however, according to numerous studies carried out on the technique, occlusion of venous blood flow combined with resistance training at a relatively low intensity seems to create the specific mechanisms responsible for hypertrophy. Physiotherapist training provides physiotherapists with the necessary knowledge (muscular and vascular anatomy, and physiology and physiology of exercise), as well as the skills (prescribing therapeutic exercise, monitoring physiological vital signs and blood flow) to perform and control this type of exercise therapeutic. Johnny Owens, PT, MPT, and Stephania Bell, PT, Discuss Blood Flow Restriction Training Within Physical Therapy.