BFR in Adolescents

Summary: It is the ultimate biohack, but is BFR in adolescents a good idea? <a href="https://twitter.com/kielur_devin">Devin Kielur DAT, LAT, ATC</a> joins <a href="https://twitter.com/KyleKimbrell1">Kyle Kimbrell PT, MPT</a> to discuss procedures, protocols, outcome measures...not just hey this is cool... Blood Flow Restriction: What contraindications are there? It is like a hybrid car - there are two ways two produce energy for movement With BFR you are limiting the ability to produce aerobic energy. Too much load can be problematic post-surgery Open wounds - no BFR * With any clotting issues, there should be a doctors clearance* Post-op is the target time* The first teaching was: wait until the wound was closed* With use, there has been less concern with waiting until the wound was closed. Hypertension Who is administering it? What methodology? - you need to have the means to measure the pressure Do you need it at all? * Encourage the behavior of “Is this going to outweigh the risk?” Athletes that do not like having their BP taken. Sickle cell and diabetes could cause problems. Clotting disorders ORS has trained over 8,000 people in the US alone. What is the main goal or purpose in using it? Devin likes to focus on good sleep, nutrition, hydration, and body awareness. How do you decide what load is used? We use an RPE scale Then use our rep scheme and by the end of the exercise, we need you to be exhausted. We found the analgesic side very beneficial - the cuffs seem to settle the pain down * Tissue flossing produces a similar effect on the ischemic area and reduces pain...but it should not be counted as occlusion training Do these goals change in adolescents? Reduce pain Limit muscle atrophy Repeated inflation and deflations of the cuffs change the hydration of the cell and trick the body into “feeling normal” * This would need to occur frequently Cuffs allow for movement and walking. This allows PTs to space out the sessions RPE - <a href="https://www.researchgate.net/figure/OMNI-Resistance-Exercise-Scale-OMNI-RES-of-perceived-exertion_fig1_10916385">Omnires scale</a> “I do not want to make your pain worse, but do not tell me your pain.” I do not tell them what number I am looking for. They give me the number they feel fits 30/15/15/15 rep scheme with 30-second intervals ***use the patient as the guide*** Initial BFR goal: I want them to be mesmerized by it. This means I have set the load up and it seems really low at first. We need a continual push for growth to occur What procedures or policies would you recommend before beginning to use it. * Measure LOC* Prescribe pressure based on that number* Some companies have not* Document the number for full occlusion * Document the pressure for each session* Document the length of time the cuff was on* Document the load used* ...

BFR in Adolescents

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