Blood flow restriction (BFR) is a technique that uses a cuff to restrict blood flow while allowing arterial flow during exercise. This allows low-load exercises to build muscle similarly to high-load exercises. BFR can help athletes and injured or elderly patients maintain muscle strength without heavy lifting. A common BFR device is the PTS system by Delfi Medical Innovations, which uses adjustable cuffs and pressures to safely restrict blood flow during rehabilitation exercises.

1. Annual Homework
Blood Flow
Restriction (BFR)
Course: PTR 2013 Pathology
Lecturer: Prof. Dr. Ahmet MİDİ
Duru Çelenoğlu 1903614

2. INTRODUCTION
What is BFR?
 Blood Flow Restriction (BFR) is a technique that involves the use of a cuff-tourniquet system
placed around the part of the arm or leg away from the body to maintain arterial flow while
restricting venous return.
 Combining blood restriction and traditional resistance training with BFR can help athletes
maximize athletic performance.
 With BFR, you can get as much efficiency from low-load muscle-strength exercises as high-load
exercises. Thus, while the recovery rate increases, the duration of treatment can be reduced.

3. BLOOD FLOW RESTRICTION

4. INTRODUCTION
BFR for after surgery;
 Injured patients are often unable to do heavily loaded exercises, and the joint must create
strength and hypertrophy to accelerate recovery. BFR facilitates and accelerates hypertrophy of
the injured patient by triggering the secretion of growth hormone. In this way, it helps to treat
injuries such as lateral epicondylitis, patellar tendonitis and muscle strain.
 BFR minimizes the loss of strength and muscle mass, so patients who cannot carry heavy loads
after surgery can maintain their muscle strength without any exercise.
 As a result, the treatment process can be shortened while the treatment is effective in a short
time.

5. INTRODUCTION
BFR on an elderly patient;
 BFR is not only aimed at athletes, it can also be beneficial for elderly patients who need muscle
strength to continue their lives comfortably but cannot do heavy-loaded muscle exercises.

6. BLOOD FLOW RESTRICTION

7. APPLICATION
 During the application, the tourniquet is fixed above the joint with the help of Delphi patented
Easi-fit. The pressure that can be optimized by the patient is adjusted on the device and exercises
are performed to ensure that the muscle contracts while the tourniquet is on the targeted
muscle.

8. APPLICATION
SETS AND REPS
 The 30/15/15/15 protocol is what appears the most in the literature and from a clinical and practical
application.
 30 reps with a 2 second concentric and 2-second eccentric contraction
 30 seconds rest
 15 reps
 30 seconds rest
 15 reps
 30 seconds rest
 15 reps
 30 seconds rest

9. PROGRESSION OF BLOOD FLOW
RESTRICTION THERAPY IN REHABILITATION

10. DEVICE
 There are different BFR devices produced by different companies. One of the most common
devices is the PTS Personalized Tourniquet System for Blood Flow Restriction produced by Delfi
Medical Innovations Inc.
 This device provides safe and controlled regulation of tourniquet pressure. It is a device designed
for use in patients for whom a doctor or a health clinician has recommended blood-restricting
exercise.

11. DEVICE

12. DEVICE
 Easi-fit tourniquet cuffs for BFR, patented by Delfi Medical Innovations Inc., makes cuff
application safer and easier, as well as aids in occlusion pressure in the legs by numbing the cuff
along both the proximal and distal edges.
 Easy-fit tourniquet cuffs for BFR are available in 3 standard lengths to adapt to different limb
contours. (18”, 24” and 34”)
 In addition, matching limb protection covers are available to protect the skin under the cuff
during pressure.

13. DEVICE

14. OPERATING INSTRUCTIONS
 Tourniquet Cuff Selection Guide
http://www.delfimedical.com/wp-
content/uploads/2013/07/Delfi_Cuff_Selection_Guide_Front_Page.pdf

15. OPERATING INSTRUCTIONS
 Tourniquet Cuff Application Guide
http://www.delfimedical.com/wp-content/uploads/2014/05/Delfi-Spec_TourniquetCuffGuide.pdf

16. SPECIFICATIONS
 Height: 180 mm (7.0 inches)
 Width: 120 mm (4.7 inches)
 Depth: 110 mm (4.3 inches)
 Weight: 1.08 kg (38.0 oz)
 Cuff Pressure Range: 50 – 350 mmHg, adjustable in 1 mmHg increments, automatically regulated to
within +/- 10 mmHg of the selected pressure
 BFR Pressure Application Timer: 1-30 minutes, adjustable in 1 minute increments
 Reperfusion Timer for BFR: 1-10 minutes, adjustable in 1 minute increments
 Inflation Speed: inflates a typical thigh cuff within 5 seconds
 Integrated Tourniquet Cuff Testing: 30 seconds

17. SPECIFICATIONS
Catalog Number
9-2200-200BFR
PTS Personalized Tourniquet System for BFR
PTS for BFR Instrument with three compatible PTS Easi-Fit BFR Cuffs 18″,
24″, 34″, and Carrying Case
9-2200-001BFR PTS for BFR Instrument
9-7550-018 PTS Easi-Fit for BFR 18″ Cuff
9-7550-024 PTS Easi-Fit for BFR 24″ Cuff
9-7550-034 PTS Easi-Fit for BFR 34″ Cuff
9-7550-044 PTS Easi-Fit for BFR 44″ Cuff
9-7950-018 Matching Limb Protection Sleeves (for 18″ Easi-Fit BFR Cuff) 10/Box
9-7950-024 Matching Limb Protection Sleeves (for 24″ Easi-Fit BFR Cuff) 10/Box
9-7950-034 Matching Limb Protection Sleeves (for 34″ Easi-Fit BFR Cuff) 10/Box
9-7950-044 Matching Limb Protection Sleeves (for 44″ Easi-Fit BFR Cuff) 5/Box
9-2200-550 Roll Stand and Basket

18. PTS PERSONALIZED TOURNIQUET SYSTEM
FOR BLOOD FLOW RESTRICTION

19. CERTIFICATES
http://www.delfimedical.com/wp-content/uploads/2018/07/96837-2016-04-12.pdf
http://www.delfimedical.com/wp-content/uploads/2020/08/CU72201907.01-31690047.008.pdf
http://www.delfimedical.com/wp-content/uploads/2020/08/US-TUVR-12175-31690047.007.pdf

20. DELFI MEDICAL INNOVATIONS INC.
WEBSITE;
http://www.delfimedical.com/

21. REFERENCES
https://en.wikipedia.org/wiki/Blood_flow_restriction_training
https://www.t-nation.com/training/tip-try-blood-flow-restriction-training
https://tourniquets.org/
https://www.researchgate.net/publication/331135276_A_Comparison_of_Blood_Flow_Restriction_Devi
ces_1