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. 2022 Jul 6:13:882472.
doi: 10.3389/fphys.2022.882472. eCollection 2022.

Current Trends in Blood Flow Restriction

Affiliations

Current Trends in Blood Flow Restriction

Molly Cuffe et al. Front Physiol. .

Abstract

Purpose: The purpose of the study was to explore how individuals in the United States of America applied BFR/KAATSU devices and administered BFR/KAATSU training. In addition, the study sought to examine safety topics related to BFR/KAATSU training. Methods: The study was completed using survey research. Subjects were recruited through Facebook, email, and word of mouth. The survey was developed, piloted, and finally deployed March 22, 2021-April 21, 2021. Results: In total, 148 consented to the research; 108 completed the survey, and of those 108, 70 indicated current use with BFR/KAATSU equipment. Professions represented included athletic training, personal training, physical therapy, and strength and conditioning. Among those currently using BFR/KAATSU training (n = 70), the following results were found. The most common devices used were inflatable devices (n = 43, 61.4%). Education completed prior to device administration was formal (n = 39, 55.7%) and/or self-directed (n = 37, 52.9%). Barriers were faced by 29 (41.4%) when trying to enact training. Techniques and parameters varied during application. Screening processes were used (n = 50, 71.4%) prior to training. The devices were used to determine restrictive pressure (n = 31, 44.3%), and a supine position was used most when determining initial restrictive pressure (n = 33, 47.1%). For subsequent restrictive pressure measurements, respondents repeated the same method used initially (n = 38, 54.3%). Workload was often defined as the length of time under tension/load (n = 22, 31.4%) and exercise was directly supervised (n = 52, 74.3%). Adverse effects included bruising, lightheadedness, and cramping (n = 15, 21.4%). The devices have also been applied on those with pathology (n = 16, 22.9%). Conclusion: Those using blood flow restriction/KAATSU devices came from several professions and used an assortment of devices for BFR/KAATSU training. Individuals applied devices using a variety of parameters on populations for which efficacy has and has not been well defined.

Keywords: BFR training; application; blood flow restriction; kaatsu training; safety.

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Conflict of interest statement

Co-author JN is a certified trainer for BStrong™ and provides BFR courses independent of BStrong™ as well. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

    1. Barili A., Corralo V. D. S., Cardoso A. M., Mânica A., Bonadiman B. D. S. R., Bagatini M. D., et al. (2018). Acute Responses of Hemodynamic and Oxidative Stress Parameters to Aerobic Exercise with Blood Flow Restriction in Hypertensive Elderly Women. Mol. Biol. Rep. 45, 1099–1109. 10.1007/s11033-018-4261-1 - DOI - PubMed
    1. Bell Z. W., Dankel S. J., Spitz R. W., Chatakondi R. N., Abe T., Loenneke J. P. (2020). The Perceived Tightness Scale Does Not Provide Reliable Estimates of Blood Flow Restriction Pressure. J. Sport Rehabil. 29 (4), 516–518. 10.1123/jsr.2018-0439 - DOI - PubMed
    1. Bezerra de Morais A. T., Santos Cerqueira M., Moreira Sales R., Rocha T., Galvão de Moura Filho A. (2017). Upper Limbs Total Occlusion Pressure Assessment: Doppler Ultrasound Reproducibility and Determination of Predictive Variables. Clin. Physiol. Funct. Imaging 37 (4), 437–441. 10.1111/cpf.12330 - DOI - PubMed
    1. Millis R. M., Bond V., Curry B. H., Kumar K., Pemminati S., Gorantla V. R., et al. (2017). Restricted Blood Flow Exercise in Sedentary, Overweight African-American Females May Increase Muscle Strength and Decrease Endothelial Function and Vascular Autoregulation. J. Pharmacopunct 20 (1), 23–28. 10.3831/KPI.2017.20.002 - DOI - PMC - PubMed
    1. Bryk F. F., dos Reis A. C., Fingerhut D., Araujo T., Schutzer M., Cury R. P., et al. (2016). Exercises with Partial Vascular Occlusion in Patients with Knee Osteoarthritis: A Randomized Clinical Trial. Knee Surg. Sports Traumatol. Arthrosc. 24 (5), 1580–1586. 10.1007/s00167-016-4064-7 - DOI - PubMed