Personalized Blood Flow Restriction Training

April 9, 2022
8-6 PM Saturday



[Click Here to Register on our Partner's Site] 

Course Description

Personalized Blood Flow Restriction Rehabilitation (PBFR) is a paradigm shifting intervention for the rehabilitation professional with hundreds of peer-reviewed articles in the scientific literature. By applying a tourniquet briefly and intermittently to an exercising limb you can induce significant and substantial strength, hypertrophy and endurance changes while using a very light load.

Current ACSM guidelines recommend that individuals perform resistance training at a load of >65% 1 repetition maximum (1RM) to achieve strength and hypertrophy gains. However, individuals undergoing rehabilitation after injury or surgery are often contraindicated to perform such loads. Recently a novel technique, Blood Flow Restriction Training, has demonstrated that the utilization of a tourniquet system applied proximal to an exercising limb can allow individuals to gain strength and hypertrophy greater than work matched controls and similar to high load training while utilizing very low loads (20-30% 1 RM).

Successful mastery of the course objectives will prepare the clinician to understand and utilize blood flow restriction (BFR) training. This is a rigorously researched area (hundreds of published peer reviewed articles) that allows individuals to restore strength and hypertrophy safely after injury with very low loads. The clinician will learn the physiological principles behind blood flow restriction training to include enhanced muscle protein synthesis, systemic responses and increased gene expression. From this the clinician will be introduced to the use of BFR in clinical settings to improve strength and hypertrophy after surgery or injury, mitigate the atrophy associated with disuse or non-weight bearing and learn the potential role of BFR on bone healing. To perform this technique the clinician will need to use a specialized surgical tourniquet. The FDA regulates tourniquets and lists them as a Class I medical device. This course will instruct the clinician in proper tourniquet safety including AORN guidelines. This will include the understanding and measurement of limb occlusion pressure, the use of pneumatic tourniquets and proper tourniquet cuffs that minimize potential injury. This is an advanced level of difficulty course secondary to the need to have a strong science foundation to understand the physiological principles that take place. This is a treatment that is not covered as core coursework for ATCs, PTs and OTs.

At the conclusion of the course the healthcare provider will be proficient in the science and mechanisms of BFR. Additionally, they will be versed in the application of BFR for clinical applications and the appropriate risks and contraindications. Competency will be demonstrated during lab check offs in proper tourniquet system use, limb occlusion pressure determination and exercise prescription and monitoring. Lastly, proficiency will also be demonstrated on a post-course examination.


To ensure the safety of course participants and Owens Recovery Science (ORS) staff, all attendees are expected to comply with current CDC guidelines and host site protocols regarding masks (we recommend wearing a mask at the course), hygiene, and distancing when attending an ORS certification course.

  • If you are unvaccinated and have been exposed to someone diagnosed with COVID-19 in the last 14 days or are experiencing signs or symptoms consistent with COVID-19, please do not attend the course.

Course Objectives

By attending this one day training course for PBFR training, clinicians will:

  • Translate the physiology behind mechanical tension compared to metabolic accumulation training and the downstream effects.
  • Manipulate blood flow restriction protocols to create a local or systemic response within the soft tissues.
  • Differentiate limb occlusion pressures objectively for each individual athlete/patient.
  • Translate appropriate tourniquet safety measures to the outpatient/training room setting.
  • Recommend and implement a rehabilitation blood flow restriction protocol for patients after injury or surgery


About the Instructor

Ben Weatherford, PT, DPT, graduated with his Doctorate of Physical Therapy from the University of the Incarnate Word School of Physical Therapy in 2015. He spent 14 weeks as an intern under Johnny Owens, MPT, at the Center for the Intrepid (CFI). While at the CFI, he was fully immersed in the development and implementation of Personalized Blood Flow Restriction Rehabilitation protocols and clinical applications. He assisted with the Return to Run Clinical Pathway for wounded service members. He is currently Director of Business Development for Owens Recovery Science, Inc. Additionally, he is a clinical instructor for Personalized Blood Flow Restriction Rehabilitation continuing education and a rehabilitation consultant to professional and collegiate sports teams.

Ben pursued his career in physical therapy after playing two years on the ITF tennis tour. His passion for sports carries over into his teaching and patient care.


07:30 Course Registration & Sign-in/Continental Breakfast

08:00 Introduction to Blood Flow Restriction Training
08:25 Overview of Muscle Physiology
08:50 Muscle Stress, Adaptation, and Healing
09:10 Blood Flow Restriction History

09:30 BFR Safety and Tissue Damage
10:00 5-Minute Break

10:05 Lab One: Application of Blood Flow Restriction Training to the Lower Extremity and Lower Extremity Exercises
11:05 5-Minute Break
11:10 Application: Best Practices, Safety, and Objectivity
11:45 Anabolic Resistance and Muscle Protein Synthesis
12:00 Lunch Break (1 hour)
01:00 Anabolic Resistance and Muscle Protein Synthesis (cont'd)
01:15 Cellular Swelling and Ischemic Preconditioning
01:45 Cell Morphology and Satellite Cells
02:00 Lab Two: Application of Blood Flow Restriction Training to the Upper Extremity and Upper Extremity Exercises
02:45 5-Minute Break
02:50 Myostatin and Scar
03:15 Analgesia
03:30 Physiology of Bone and BFR
03:55 Changes in Proximal Muscles
04:15 Endurance Exercise and Adaptation with BFR
04:35 Lab Three: Application of Blood Flow Restriction Training to Endurance exercises for the Upper and Lower Extremity
05:10 Rehabilitation Prescription and BFR: Recap of Best Evidence
05:30 Post Course Testing/Test Review
06:00 Adjournment


Texas Children's Hospital - West Campus


1st Floor Conference Center, Rooms WH-01A & WH-01B
18200 Katy Freeway
Houston, TX 77094

Click here for directions

Hotel Accommodations

Courtyard Houston I-10/Park Row

18010 Park Row
Houston, TX 77084


Distance .4 miles

For More Information


Send us an email


Who Should Attend

PTs, PTAs, ATs, DCs, and MDs.


8.5 contact hours for PTs/PTAs; 8.5 EBPs for ATs