BFR in Adolescents

It is the ultimate biohack, but is BFR in adolescents a good idea?

Devin Kielur DAT, LAT, ATC joins Kyle Kimbrell PT, MPT 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 clearancePost-op is the target timeThe first teaching was: wait until the wound was closedWith 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 - 

Omnires scale

“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 LOCPrescribe pressure based on that numberSome companies have notDocument the number for full occlusion Document the pressure for each sessionDocument the length of time the cuff was onDocument the load usedinterventions should be supervised with the AT

Consider the timing of using the devices.

We are basically lifting heavy so plan with the fatigue levels of the day.

What is the variability of using the device between clinicians?

Experience can play a role in the use of BFR.

This is about equal parts perceived and realConfidence and comfort are kinda contagious

Have I done enough? - did they complete the 75 reps 2x in a row?  Then I need to increase

How is the person moving?

Are they really sore?

What are they reporting about the interventions?

Kyle takes girth measurements - within a month I should see some increase in girth size.  This allows me to check their attendance and level of exertion

We also use this to discuss nutrition and protein intake.

Watch BFR in Adolescents on Facebook

https://www.facebook.com/980579115403772/videos/1597911170390829

Contact Us

Kyle - [email protected] 

IG: @kylekimbrell 

Twitter: @kylekimbrell1

Devin: Twitter: @kielur_devin

Jeremy Jackson - MrJeremyJackson on Twitter and Facebook

Sponsors

It is the ultimate biohack, but is BFR in adolescents a good idea?

Devin Kielur DAT, LAT, ATC joins Kyle Kimbrell PT, MPT 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 – 

Omnires scale

“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
interventions should be supervised with the AT

Consider the timing of using the devices.

We are basically lifting heavy so plan with the fatigue levels of the day.

What is the variability of using the device between clinicians?

Experience can play a role in the use of BFR.

This is about equal parts perceived and real
Confidence and comfort are kinda contagious

Have I done enough? – did they complete the 75 reps 2x in a row?  Then I need to increase

How is the person moving?

Are they really sore?

What are they reporting about the interventions?

Kyle takes girth measurements – within a month I should see some increase in girth size.  This allows me to check their attendance and level of exertion

We also use this to discuss nutrition and protein intake.

Watch BFR in Adolescents on Facebook

https://www.facebook.com/980579115403772/videos/1597911170390829

Contact Us

Kyle – [email protected] 

IG: @kylekimbrell 

Twitter: @kylekimbrell1

Devin: Twitter: @kielur_devin

Jeremy Jackson – MrJeremyJackson on Twitter and Facebook

Sponsors

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

Donate and get some swag (like Patreon but for the school)

DragonflyMax – one-stop EMR

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.