This article will demonstrate why personal trainers should consider the use of blood flow restriction (BFR) and BFR technology for appropriate medically-screened clients that provides an objective way to apply pressure, whether that is through manual or automated cuffs.

The primary aim of this study was to systematically compare the effectiveness of blood flow restriction training (BFR) versus traditional resistance training (TRT) to improve muscle size in healthy adults. Secondary outcomes were improvements in muscle strength and endurance. We performed a systematic searchwithmeta-analysis. Using predetermined criteria, 541 unique articles were identified through databases and bibliographies. After screening titles, abstracts, and full texts, 20 articles were included in the review. All 20 articles evaluated muscle hypertrophy, 19 evaluated strength, and 1 evaluated endurance in response to BFR and TRT. Data from 10 articles were included in the meta-analysis. In the qualitative analysis, TRT and BFR increased muscle size without differences between conditions for at least 1 hypertrophy outcome in 13 studies, and TRT or BFR differentially improved hypertrophy in 5 studies. TRT and BFR increased strength without differences between conditions for at least 1 outcome in 15 studies, and TRT or BFR differentially improved strength in 9 studies. Results from the meta-analysis indicate no differences in muscle size (ES 5 0.045, 95% CI [20.278 to 0.367]) or strength (ES520.149, 95% CI [20.439 to 0.141]) improvements with BFR versus TRT. Practitioners can implement BFR training to increase muscle size and strength as appropriate, especially for training periods of 8 weeks or longer.

Learn to identify proper scenarios for implementation of blood flow restriction (BFR) training for rehabilitation and performance enhancement, and understand indications and precautions for implementing BFR. This session from the NSCA’s 2016 TSAC Annual Training demonstrates proper usage and technique with standard exercises while using BFR.

In this session from the 2019 NSCA National Conference, Gary Boros, Associate Director of Sports Performance at the University of Denver, and Chris Jarmon, Sport Performance Coach at Landow Performance, discuss the understanding of the science and research behind blood flow restriction (BFR); connects research insights in performance, rehabilitation, and general fitness; and discerns the ideal use cases, equipment, and training protocols for BFR.

The innovative technology found in portable BFR training systems can help tactical personnel achieve greater strength and hypertrophic gains, as well as optimize training programs and overall performance.

This article compares an equipment-heavy Army Combat Fitness Test to a minimal-equipment training program and test.

This article seeks to provide personal trainers with eight brief modifications that clients can benefit from if they suffer from both acute and chronic lower back pain (LBP).

This article provides a brief overview of literature where regional hypertrophy was reported. It also discusses the basic science and application of regional hypertrophy training.

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Jacob Wilson, PhD, CSCS,*D, presents at the NSCA's 2013 National Conference on the controversial topic of blood flow restriction training and its effects on strength and hypertrophy