Four Evidence-Based Reasons to Include BFR Training in Your Program


Demand is coming-Are you ready?

Four Evidence-Based Reasons to Include BFR Training in Your Program
Nicholas M. Licameli, PT,DPT




We at the BFR Pros get asked all the time, “What are reasons to integrate BFR into a program?” You’ve got questions, we’ve got answers! Here are our top four evidence- based reasons (and the articles cited!) to include BFR training into your training regimen.

1. Increasing Muscle Hypertrophy and Strength Using Lighter Loads than Traditional
Training 1, 2 .

For gains in muscle size and strength using traditional training, we typically have to use loads from 30-90% 1RM and & 70% 1RM, respectively. With low load BFR, we see similar gains in hypertrophy when compared to traditional heavy load
training. When it comes to strength, we see improvements in strength using low load BFR when compared to traditional load-matched training. However, heavy load traditional training typically out performs low load BFR, since strength is highly specific. The fact that we can illicit gains in muscle size and strength with light loads makes BFR a GREAT option for those who are load intolerant, such as when recovering from injury or surgery.

2. Increased Max Aerobic Capacity at Lower Intensities 3, 4, 5.

Think BFR training is only for strength training? Think again! When performing aerobic exercise with BFR, we see improvements in VO2 max in healthy young adults, but also improvements in strength, power hypertrophy, and
functional outcomes in the elderly.

3. Pain Relief 5 .
Not only can BFR training help patients and athletes train with lighter loads
to work around pain, it can also decrease the actual pain itself! We’ve seen improvements in pain following ACL surgery as well as in those with generalized
knee pain.

4. Ensuring Recruitment of Type 1 and Type 2 Muscle Fibers 6 .
The nervous system activates muscle fibers based on how much force you need to produce. It starts with Type 1 muscle fibers, activating more and more until it needs to call upon Type 2 muscle fibers, activating more and more until you
eventually can’t produce any more force. High threshold motor unit recruitment, and subsequently type 2 fiber stimulus is a MECHANISM through which BFR induces hypertrophy with lower loads than would normally would be effective.

This list is far from complete! Comment below with your top reasons to include BFR training into a training routine. If you’re curious about learning EVEN more about BFR, be sure to check out our online course (below) that
goes over how to integrate BFR safely and effectively into your training!


1 Gronfeldt et al. (2020). Effect of blood‐flow restricted vs heavy‐load strength
training on muscle strength: Systematic review and meta‐analysis
2 Lixandrao et al. (2017). Magnitude of Muscle Strength and Mass Adaptations
Between High-Load Resistance Training Versus Low-Load Resistance Training
Associated with Blood-Flow Restriction: A Systematic Review and Meta-Analysis.

3 Abe T, Kearns C, and Sato Y. (2006) Muscle size and strength are increased
following walk training with restricted venous blood flow from the leg muscle,
Kaatsu-walk training. J Appl Physiol 100: 1460–1466.

4 Abe et al. (2010). Effects of low-intensity cycle training with restricted leg blood
flow on thigh muscle volume and VO2max in young men. J Sports Sci Med 9: 452.

5 Formiga et al. (2020). Effect of aerobic exercise training with and without blood
flow restriction on aerobic capacity in healthy young adults: a systematic review
with meta-analysis.

5 Hughes et al. (2020). The effect of blood flow restriction exercise on exercise-
induced hypoalgesia and endogenous opioid and endocannabinoid mechanisms of
pain modulation.

6 Bjørnsen et al. (2019) Type 1 Muscle Fiber Hypertrophy after Blood Flow-restricted
Training in Powerlifters.

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

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