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University of Tennessee UT-BFRT Certificate

UT-BFRT  was developed in cooperation with Northeast Seminars and RockCuff and 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 APTA defines Blood Flow Restriction Therapy as follows: 

“BFRT is achieved through the application of external pressure over the extremities. The applied pressure is sufficient to maintain arterial inflow while occluding venous outflow distal to the occlusion site. The goal is to enable patients to make greater strength gains while lifting lighter loads, thereby reducing the overall stress placed on the limb.”

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.

Course Details

Run Time: 8 hours

Instructional Level: Physical Therapists, PTA's, Athletic Trainers, Occupational Therapists, MD's, Strength and Conditioning Trainers, Students

Requirements: Personal Computer, Smartphone, or Tablet with access to the Internet for online course review.

Course Evaluation: Yes

Certificate of Completion: Yes

Workbook/Handout: Yes. Available in the App

The Hands-on Course:

  • Live Demonstration and Interactive Practice

  • Use of Actual Equipment  

  • Use of Bodyweight, CLX Bands, and Equipment typically available in Clinics

  • Supplement information on hydration, supplementation, nutrition

Course Agenda

Minutes       Format       Topic


 30               Lecture      Introduction and review of online course

 15               Lecture      Regulations and Professional Requirements

 30               Lecture      Review of Contraindications and Side Effects

 45               Lab            Demonstration of Placement, Observation, Capillary Refill, Pulse, LOP

 15               Break

 45               Lab            Demonstration of BFRT Fatigue, Participants apply BFRT to Others

 90               Lab            BFRT for Lower Extremities

 60               Lunch

 60               Lab            BFRT for Upper Extremities

 90               Lab            BFRT in Strength and Conditioning, Return to Play

 15               Break        

 45               Lab            BFRT for Athletic Performance

 15               Lab            BFRT in "At Risk" and Osteoarthritis

 30               Q&A          Interactive Q&A


Behavioral Objectives

Upon completion of the course the participant will be able to:

  • Design a comprehensive intake questionnaire as part of an Informed Consent form based on evidence and local board requirements.


  • Able to apply case study evidence, evaluate measured CSA and strength gains for a patient in their early 20”s based on the chemical mechanisms produced by BFRT


  • Compare the benefits of BFRT to the use of high-intensity interval training (HIIT) for a patient with limited mobility following ACL surgery


  • Theorize the expected outcomes when using BFR protocols for elderly patients with muscle disuse 


  • Propose an integrate return-to-play protocol with at least 4 BFRT exercises for a post-surgical patient following ACL surgery


  • Design a strength and conditioning protocol using 4 BFRT exercises for female volleyball players to improve vertical leap


  • Propose 3 changes using BFRT to an existing non-BFRT rehabilitation protocol for a patient with shoulder pain

Featured Case Study

Blood flow restriction therapy may protect against bone loss following ACL reconstruction

Date:          March 16, 2019

Source: American Orthopaedic Society for Sports Medicine

Summary: Anterior Cruciate Ligament (ACL reconstruction patients often face bone and muscle loss immediately following the procedure. Researchers note that combining blood flow restriction (BFR) therapy with traditional rehabilitation efforts may slow loss and reduce return to function time.

"Providing BFR as part of the rehabilitation efforts following ACL surgery, appears to help preserve the bone, recover muscle loss and improve function quicker, according to our research," said lead author, Bradley Lambert, PhD -- Orthopedic Biomechanics Research Laboratory, Department of Orthopedics & Sports Medicine, Houston Methodist Hospital).

"BFR is a suitable additive therapy to ACL rehabilitation for the purposes of minimizing the loss, and enhancing the recovery of muscle, bone, and physical function. While further research is needed to fully illuminate the physiologic mechanisms responsible for our results, these findings likely have wide ranging implications for fields outside of ACL rehab alone such as injury prevention, age-related muscle and bone loss, military rehabilitation, and potentially space flight," said Lambert.


The followng bibliography is part of the 1,400 Case studies and article available through the course.


Click Cuff Pro features the easiest to use BFRT products available. Fastest "on/off", micro-measurement in "millimeters", hygienic (certified "Skin Safe"), variable durometers for patients with higher BMI. Package includes:

  • Four sets of cuffs (8 total)

  • Two unique durometers

  • Clinical Bag

  • Printed "Contraindications"

  • Complete set of Theraband CLX Bands

  • App with Protocols 

  • Access to our Patient line of RockCuff products 

We also have hundreds of objective specific solutions available as individual subscriptions and priced between $49 and $179


This live course qualifies for 8 hours of CE and teaches you clinical applied BFRT protocols for:

  • Rehabilitation

  • Fitness

  • Performance Enhancement

  • Hypertrophy

  • Geriatrics

This course consists of both lecture and lab with 80% being hands on application of BFR in various applications.


  1. Muller, CHD, Ramis, TR, Ribeiro, JL. Effects of low-load resistance training with blood flow restriction on the perceived exertion, muscular resistance and endurance in healthy young adults. Sport Sciences for Health. March 2019 doi: 10.1007/s11332-019-00536-2

  2. Ferraz RBGualano BRodrigues RKurimori COFuller RLima FRDE Sá-Pinto ALRoschel H. Benefits of Resistance Training with Blood Flow Restriction in Knee Osteoarthritis.Med Sci Sports Exerc. 2018 May;50(5):897-905. doi: 10.1249/MSS.0000000000001530.

  3. Stavres J, Singer TJ, Brochetti A, Kilbane MJ, Brose SW, McDaniel J. The Feasibility of Blood Flow Restriction Exercise in Patients With Incomplete Spinal Cord Injury.PM R.2018 Dec;10(12):1368-1379. doi: 10.1016/j.pmrj.2018.05.013. Epub 2018 May 23.

  4. Hughes L, Paton B, Haddad F, Rosenblatt B, Gissane C, Patterson SD. Comparison of the acute perceptual and blood pressure response to heavy load and light load blood flow restriction resistance exercise in anterior cruciate ligament reconstruction patients and non-injured populations Physical Therapy in SportVol 33, Sept 2018, pgs 54-61 doi.org/10.1016/j.ptsp.2018.07.002  

  5. Rubens Vinicius Letieri, Ana Maria Teixeira, Guilherme Eustaquio Furtado, Carminda Goersch Lamboglia, Jordan L. Rees, Beatriz Branquinho Gomes. Effect of 16 weeks of resistance exercise and detraining comparing two methods of blood flow restric...Experimental GerontologyVol 114, Dec 2018, pgs 78-86 doi.org/10.1016/j.exger.2018.10.017

  6. Cook SB, LaRoche DP, Villa MR, Barile H, Manini TM. Blood flow restricted resistance training in older adults at risk of mobility limitations. Exp Gerontol.2017 Dec 1;99:138-145. doi: 10.1016/j.exger.2017.10.004. Epub 2017 Oct 5.

  7. Martín-Hernández, Juan; Ruiz-Aguado, Jorge; Herrero, Azael J.; Loenneke, Jeremy P.; Aagaard, Per; Cristi-Montero, Carlos; Menéndez, Héctor; Marín, Pedro J. Adaptation of Perceptual Responses to Low-Load Blood Flow Restriction Training.The Journal of Strength and Conditioning Research31(3):765-772 · March 2017 doi: 10.1519/JSC.0000000000001478

  8. Neto GR, Novaes J, Salerno VP, Cirilo-Sousa MDS. Acute Effects of Resistance Exercise With Continuous and Intermittent Blood Flow Restriction on Hemodynamic Measurements and Perceived Exertion.Perceptual and Motor Skills124(1) January 2017 doi:10.1177/0031512516677900

  9. Gorgey AS, Timmons MK, Dolbow DR, Bengel J, Fugate-Laus KC, Michener LA, Gater DR. Electrical stimulation and blood flow restriction increase wrist extensor cross-sectional area and flow meditated dilatation following spinal cord injury.Eur J Appl Physiol.2016 Jun;116(6):1231-44. doi: 10.1007/s00421-016-3385-z. Epub 2016 May 7.

  10. Jorgensen AN, Aagaard P, Nielsen JL, Frandsen U, Diederichsen LP. Effects of blood-flow-restricted resistance training on muscle function in a 74-year-old male with sporadic inclusion body myositis: a case report.Clin Physiol Funct Imaging.2016 Nov;36(6): 504-509. doi: 10.1111/cpf.12259. Epub 2015Jun19.