In partnership with the University of Tennessee and Northeast Seminars

The University of Tennessee Blood Flow Restriction Training Certificate program (BFRT) is the first University based certificate program that offers an evidence-based, equipment agnostic look at the application of blood flow restriction for use in therapy, training, and strength and conditioning.

The proper application of BFRT requires a basic knowledge of anatomy, the cardio-pulmonary system, endocrinology, and skeletal-muscular structure. It also required advanced training in the proper application of BFRT based on predetermined outcomes.


  • The program consists of four parts:

  • 8 hours - Online, On Demand

  • 5 hours - Interactive, Online

  • Case Study

  • Test


Physical Therapists, PTAs, Surgeons, MD’s, Chiropractors, Occupational Therapists, Athletic Trainers, Strength and Conditioning Coaches


14 hours ProCert CE

NSCA in process

NATA in process


Lonnie Paulos, MD, Orthopedic Surgeon

Trent Nessler, PT, MPT, DPT

Kevin Wilk, PT, DPT, FAPTA, Past President-Sports Section of the APTA

David Levine, PT, PhD, DPT, Certified D.N.


Taught by recognized experts that include an orthopedic surgeon, DPT’s and Athletic Trainers.  The online portion of the course familiarizes the participant with the science behind BFRT. The agenda includes anatomy of the cardiopulmonary system, endocrine system, and musculoskeletal system.

Participants will achieve a basic, working knowledge of the various factors that contribute to the successful application of BFRT. They will be able to explain these factors to others including professionals, patients, and clients.

You will understand contraindications and side effects of BFRT not only post-surgery, but also in non-surgical application, strength and conditioning, and fitness.


  • An Introduction to BFRT

  • Discussion of Regulatory Issues

  • The Cardiopulmonary system

  • Endocrinology

  • The Musculoskeletal system

  • Types of BFRT Equipment

  • Safety, Contraindications, Effects

  • The Business of BFRT

  • A Review of Research

  • BFRT in Rehabilitation

  • BFRT in Strength and Fitness

  • An Introduction to Protocols

  • BFRT and Related Modalities


The lab allows participants to use BFRT under guided instruction. Protocols based on years of BFRT application are shown. The instructor will guide you through the actual use of BFRT (using the provided cuffs) and you will experience for yourself its effect and better understand the role of the clinician and participant in optimizing proper treatment. 

With our live “Max Interactive” format, you can see the instructor and they can see you.  Ask questions, show applications, make comments and guide other participants.

Instructions include the use of body weight, manual manipulation, CLX TheraBand’s, and equipment normally found in clinics and gyms.


  • Introduction and Review of BFRT I: Online Coursework

  • Regulations, Professional Requirements

  • Review and Discussion of Contraindications and Side Effects

  • Demonstration of Proper Placement of BFRT, Observation, Interrogation, Pulse, Capillary Refill

  • Demonstration of BFRT Fatigue State, Participants apply to each other in Contralateral to Experience Effect

  • Demonstration and Application of BFR for Rehab Upper and Lower Extremities

  • Demonstration and Application of BFR in Strength and Conditioning – Return to Play

  • Demonstration and Application of BFR in Athletic Performance

  • Demonstration and Application of BFR for “At-Risk” and Osteoarthritis Patients

  • Interactive Q&A


Participants are required to submit one case study on a subject of their choosing and subject to approval by the course instructor. The case study should span at least 3-4 weeks with 3 applications per week minimum.

Participants must take an online test and pass with at least 70% correct answers. Participants may retake the test until they achieve a passing score.

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