Blood Flow Restriction Training Flashcards
What is BFR training?
Patient engages low intensity, high repetition resistance training while wearing a tourniquet around proximal part UE or LE in order to create hypoxia environment
What is metabolite theory?
Hypoxic Environment (shift to anaerobic metabolism)
- Lactate production
- Muscle activation
- GH
- IGF (1) & satellite cells
- Myostatin
- Mammalian Target of Rapamycin
What does lactate do and through what 2 processes ?
Increase muscle activation
- Anaerobic glycolysis & Lactate & hydrogen ions driving muscle activation
What is anaerobic glycolysis?
- Glucose –> pyruvate –> lactate
- BFRT results in subsequent increase in lactate
(Exercise + tourniquet necessary)
How do lactate & hydrogen ions drive muscle activation?
Stimulates group III & IV afferents
- Inhibit alpha motor neurons –> increased motor unit recruitment to combat failure
- Motor unit firing is affected by force, speed of contraction & o2 availability
What is the proposed benefit of BFR?
-Increased strength & hypertrophy
-Increased aerobic capacity
- Positive tendon adaptions
- Increased bone turnover
- Pain relief/analgesia
What are the contraindications to manual therapy?
- Hypersensitivity of skin
- Very irritable
- Conditions not fully evaluated
- Osteoporosis
- Pregnancy
- Steroid or anticoagulant
What are the mechanical effects of STM? (Muscle & Skin)
Muscle
- Increase blood flow to skeletal muscle & increase venous return
- Slow muscle atrophy following injury
- Increase ROM
Skin
- Increase skin temp
- Indirect vasomotor action
- Soften scar tissue
What is the difference between active & latent trigger point?
Active
- Painful at rest
- Refers familiar pain
Latent
- Asymptomatic
What is the therapeutic effects of transverse friction massage?
- Traumatic hyperremia
- Pain Relief
- Decreasing scar tissue
What are the indications for TFM?
- Acute or subacute ligament, tendon or muscle injury
- Chronically inflamed bursa
- Adhesion
- before manipulation
What are the contraindication for TFM?
- Hematomas
- Debilitated or open skin
- Peripheral nerves
- Patients who have diminished sensation in area
What are absolute contraindications for cupping?
- Patients w/ cancer
- Patients w/ organ failure
- Pacemaker
- Hemophilia or similar condition
What is lymphedema?
abnormal accumulation of protein rich lymph fluid in fatty tissues just under skin
What is primary lymphedema?
Rare
- Inherited
