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Proposed Mechanisms of Blood Flow Restriction Training

presented by Ed Le Cara, DC, PhD, MBA, ATC, CSCS

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Disclosure Statement:

Financial— Ed Le Cara is the co-owner, Body Lounge Park Cities (Dallas, TX). He is also the Director of Education, Smart Tools Plus (Cleveland, OH) and an Adjunct Professor, Rocky Mountain University of Health Professions. He receives compensation from MedBridge for the production of this course. Nonfinancial— No relevant nonfinancial relationship exists.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 46 Minutes; Learning Assessment Time: 34 Minutes

Blood flow restriction training (BFRT) can increase strength and hypertrophy. Comparing mechanisms of strength and hypertrophy during high-load training versus BFRT and low-load training guides clinicians to program effective rehabilitation and training programs. This course is intended for physical and occupational therapy practitioners, and strength and conditioning specialists.

Meet Your Instructor

Ed Le Cara, DC, PhD, MBA, ATC, CSCS

Dr. Le Cara has been a strength and conditioning coach, athletic trainer, and chiropractor for more than 20 years. He holds a PhD in athletic training and is board certified in both sports medicine and rehabilitation. He currently co-owns a boutique multidisciplinary sports medicine clinic in Dallas, Texas--Body Lounge Park Cities--where he treats patients full-time.…

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1. Muscle Anatomy and Function

Understanding the importance of muscle for movement, metabolism, and resilience is important in order to promote lifelong resistance training. Lifelong resistance training allows maintenance and even growth of more muscle mass compared to losing muscle over time (sarcopenia).

2. Low-, Moderate-, and High-Load Training

The differences between low-, moderate-, and high-load training can be substantial. It is important to understand how programing to build muscle is similar but different in all three cases.

3. Fiber Type Recruitment and Cellular Swelling

By allowing a small amount of blood to the limb and restricting venous return, blood begins to pool in the extremity. This pooling builds up and eventually pushes fluid into the muscle cell, which stimulates muscle protein synthesis. Pooling also allows the buildup of metabolites in the occlused limb, which results in early fatigue of type I muscle fibers.

4. Autocrine and Paracrine Response

Understanding the cell's response to resistance exercise helps us understand the mechanisms and benefits of strength training. The body and brain also respond with local and systemic hormone release to help recover from a training episode.

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