Cuff Bladder Position Impacts Occlusion Pressure


Demand is coming-Are you ready?

Cuff Bladder Position Impacts Occlusion Pressure
Nicholas M. Licameli, PT,DPT



Numerous factors can influence the assessment of limb occlusion pressure (LOP), an important variable in prescription of blood flow restriction training.  This study sought to determine if the bladder position (either inside- medially or outside- laterally) of the cuff had an influence on LOP and to determine if there did exist a difference, if it was clinically meaningful.

Thirty-two individuals (13 F, 19 M; ~22 y.o) were positioned in supine and had a 12-cm wide Hokanson cuff applied to the legs in a randomized fashion with the bladder applied either inside or outside. Doppler assessment to determine LOP was done on the posterior tibial artery until no audible signals were detectable.

Results showed a difference with the outside bladder requiring higher pressures to occlude the limb. The difference between inside and outside cuff bladder position was about 17 mm Hg and the difference between the two was worse with higher pressures and larger thighs.

Clinical applicability: Along with the position of the cuff, bladder position should be standardized as well in documentation.


SOURCE: Spitz et al. (2019). The position of the cuff bladder has a large impact on the pressure needed for blood flow restriction.


****Remember, the decision to use BFR, or any treatment for that matter, should be based on the pillars of evidence-based practice.

Are you ready to meet the growing demand as a Confident BFR Provider?


Be sure to check out our engaging 4-hour On Demand On-Line BFR Training course at

Our course is for both Rehab and Fitness professionals and will provide everything you will need to overcome the three hurdles for successful BFR Training and help guide you to become a Confident Successful BFR Provider.

Use this LINK for $75 off the original price! Or use coupon code BFR75 at checkout.

Leave a Comment

Your email address will not be published. Required fields are marked *