Trends and Practices on Blood Flow Restriction Training Are Not Largely Aligned With the Contemporary Evidence

Most respondents reported having much confidence (n=47, 44.6%) in using BFRT, and they used it for a mean of 2.6±1.7 years. Significant variability among respondents was found in devices used, limb occlusion pressure calculation methods, the reperfusion scheme, the number of exercises implemented, and the percentage of complete occlusion pressure used for exercising. Most used BFRT in musculoskeletal conditions of the upper and lower limb (n=88, 86.3%), aiming improvements in strength and muscle volume (n=93, 90.3%), by using external load (n=82, 79.6%). The majority of the respondents (n=69, 67.0% attended a short course for BFRT, of which 55.1% (n=56) believed it was not evidence-based. No significant associations were found between the years of experience or attendance in a BFRT course with practices and perceptions of the surveyed physiotherapists (all p>0.05). Conclusion: Current BFRT practices are largely not aligned with contemporary scientific evidence and recommendations.

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Publication Details

Journal
Cureus
Published
2025-04-05
DOI
https://doi.org/10.7759/cureus.81766
Primary Topic
Cardiac, Anesthesia and Surgical Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Trends and Practices on Blood Flow Restriction Training Are Not Largely Aligned With the Contemporary Evidence

Stefanos Karanasios, Vasileios Korakakis, Alexandra Korakaki, Roula Kotsifaki et al.
Cureus
Cardiac, Anesthesia and Surgical Outcomes
article

Trends and Practices on Blood Flow Restriction Training Are Not Largely Aligned With the Contemporary Evidence

Stefanos Karanasios, Vasileios Korakakis, Alexandra Korakaki, Roula Kotsifaki, Themida Korakaki
article en

Abstract

Most respondents reported having much confidence (n=47, 44.6%) in using BFRT, and they used it for a mean of 2.6±1.7 years. Significant variability among respondents was found in devices used, limb occlusion pressure calculation methods, the reperfusion scheme, the number of exercises implemented, and the percentage of complete occlusion pressure used for exercising. Most used BFRT in musculoskeletal conditions of the upper and lower limb (n=88, 86.3%), aiming improvements in strength and muscle volume (n=93, 90.3%), by using external load (n=82, 79.6%). The majority of the respondents (n=69, 67.0% attended a short course for BFRT, of which 55.1% (n=56) believed it was not evidence-based. No significant associations were found between the years of experience or attendance in a BFRT course with practices and perceptions of the surveyed physiotherapists (all p>0.05). Conclusion: Current BFRT practices are largely not aligned with contemporary scientific evidence and recommendations.

CureusVol. 17(4)
University of Thessaly (GR), University of Nicosia (CY), University of West Attica (GR), Qatar Orthopaedic and Sports Medicine Hospital (QA), Hellenic Oncology Research Group (GR), Amsterdam University of Applied Sciences (NL), Vrije Universiteit Amsterdam (NL)
Openalex Percentile: Top 88%
Cardiac, Anesthesia and Surgical Outcomes
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Trends and Practices on Blood Flow Restriction Training Are Not Largely Aligned With the Contemporary Evidence — Stefanos Karanasios, Vasileios Korakakis, et al. · Cureus (2025) | TGRS Research Map | TGRS