Blood Flow Restriction for Rehabilitation

Dr. Vint Schoenfeldt PT, DPT, OCS, MTC, CSCS

Blood Flow Restriction for Rehabilitation

CE Information


Course Brochure

Contains CE information for additional professionals

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Course Highlights

  • Physiological principles and benefits of Blood Flow Restriction (BFR)
  • Practical assessment and application of BFR to a wide range of patients
  • Effective, evidence-based application guidelines to see muscle strength and girth changes in as quickly as 3 weeks
  • Best practices to improve post-surgical recovery time and pain conditions and improve ADL function
  • Indications and contraindications ofBFR in a patient population
  • Various uses of BFR to accomplish PT and OT goals along the rehab spectrum
  • Hands-on lab to learn the safe application of BFR

Additional Info

Blood Flow Restriction (BFR) is an effective, safe, evidence-based treatment to use in the rehabilitation setting. It involves the brief occlusion or restriction of arterial blood flow in, and venous blood flow out of the limb during rest or exercise. It is highly evidence-based and has shown to result in rapid improvements in muscle strength and functional aerobic capacity in shorter amounts of time than traditionaltraining. Blood flow restriction is achieved by applying a tourniquet or cuff to the patient's upper or lower extremities tocreate an environment where the brain and body think it is performing high intensity exercise when very low resistance is used.

In this workshop you will learn how to determine which use of BFR is appropriate for your patient, determine the proper percentages of limb occlusion and resistance to use during exercise, and learn the repetition/duration protocol and best practice guidelines. Hands-on labs will allow participants to properly apply the BFR cuff to patients and experience BFR for themselves. The lab sessions will also include low resistance exercises with BFR, aerobic activities with BFR, and other applications appropriate to the rehab setting. The tools learned during this course will enable the clinician to immediately apply BFR to their current patient population.

  1. Examine the physiological changes that occur with the use of blood flow restriction (BFR).
  2. Assess the patient limb occlusion pressure to set proper percentage of occlusion for effective treatment.
  3. Analyze the contraindications involved in the application of BFR.
  4. Apply the BFR cuff and administer the appropriateprotocol and resistance for the patient.
  5. Compare and contrast the various uses of BFR from bedridden patients, to ADL deficient patients, to high levelathletes.
  6. Develop a rehab program progression for multiple types of patients based on the treatment goals.
  1. Introduction to Blood Flow Restriction
    • What is Blood Flow Restriction (BFR)?
    • How is it performed?
    • Applications of BFR in the rehab setting
    • Benefits of BFR
  2. Best Practices for Selecting Tourniquets and Cuffs
    • Types of tourniquets or cuffs
    • Considerations in choice of tourniquet or cuff
    • Tourniquet application
    • Determining limb occlusion pressure
    • Setting cuff pressure for treatment
    • Hands-On Lab
  3. Mechanisms of Blood Flow Restriction
    • Physiological adaptations
    • Muscle strength and hypertrophy
    • Bone strengthening
    • Cardiovascular effects
    • Recovery/healing
  4. Safety Considerations for Blood Flow Restriction in Therapy
    • Common safety concerns with BFR
    • Contraindications
    • Best practices during implementation (concurrent with functional tasks)
  5. Effective Patient Application
    • Application protocol and algorithm
    • Proper occlusion pressures
    • Ischemic pre-conditioning
    • Ischemic post-conditioning
    • Application with aerobic exercise
    • Determining heart rate reserve
    • Determining training heart rate
    • Application with resistance exercise
    • Determining the patient's occlusion pressure
    • Adding NMES to isometric exercise application
    • Frequency of treatment
    • Treatment progression
    • Clinical examples for PT and OT
    • Hands-On Lab
  6. Presenting BFR Concepts to Referral Sources
    • How to present BFR to physicians - Emphasize safety
    • Billing for BFR
    • BFR consent and release form

Dr. Vint Schoenfeldt PT, DPT, OCS, MTC, CSCS is a licensed Physical Therapist, Board Certified Orthopaedic Clinical Specialist, Certified Manual Therapist, Certified Strength & Conditioning Specialist, and is Certified in Blood Flow Restriction Training, Dry Needling, IASTM, and Diagnostic Musculoskeletal Ultrasound. Dr. Schoenfeldt is the Founder and Co-owner of Rocky Mountain Spine & Sport Physical Therapy that has multiple outpatient orthopaedic clinics in the greater Denver, Colorado area. He has performed extensive research on blood flow restriction (BFR) and has authored a literature review on the evidence-based approach to treatment of patellofemoral pain patients with BFR. Dr. Schoenfeldt uses BFR daily in his clinical practice in the rehabilitation of both conservative and postoperative patients and teaches nationally on this incredible treatment approach. He feels that BFR is the most exciting treatment approach that he has ever encountered in his 24+ years of clinical practice. Dr. Schoenfeldt served as Team Physical Therapist for USA Cycling at the Mountain Bike World Championships from 2001-2003 and has authored the Bicycle Fitting System Manual. He also serves as Instructor for the Summit Professional Education course "Effective Manual Therapy and Self-Care Strategies." Dr. Schoenfeldt has received the "Best of the Best" Physical Therapist Award multiple times by the Colorado Community Newspaper Association. Additionally, he is a member of the APTA, the APTA Orthopaedic Section, the National Strength & Conditioning Association, and the AAOMPT.


FINANCIAL: Vint Schoenfeldt is compensated as co-owner of Rocky Mountain Spine and Sport Physical Therapy and by Summit as an instructor. He receives a small percentage from AirBands for the sale of Blood Flow Restriction (BFR) cuffs.

NONFINANCIAL: Vint Schoenfeldt has no non-financial relationships to disclose.

IN-KIND SUPPORT: Blood Flow Restriction (BFR) cuffs for use during the lab component of this course were provided by AirBands - Vald Performance. AirBands - Vald Performance did not contribute to the content development of this course.

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Content Level: Intermediate

ASHA CE Information

ASHA Continuing Education

Summit Professional Education

Intermediate Level

ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products or clinical procedures.

SATISFACTORY COMPLETION: Participants must register, pay tuition fee, sign in with a mobile device via scanning electronic QR code at workshop location, attend the entire workshop, complete an electronic evaluation, as well as any other required state-specific supplements (if applicable) and sign out with a mobile device via scanning electronic QR code in order to receive a certificate of completion. Participants not fulfilling these requirements will not receive a certificate. Failure to sign in or out and complete a course evaluation will result in forfeiture of credit for the entire workshop. No exceptions will be made. Partial credit is not available.

Scope of Practice: Workshop content is not intended for use by participants outside of the regulatory scope of practice of their license(s). You are responsible for knowing what lies within and without your professional scope of practice.

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With that as our foundation, we are proud to now offer Online Continuing Education courses that we believe set a new standard of high quality. Leveraging our exceptional teaching faculty that delivers thousands of live workshops each year (with an average customer satisfaction rating of 4.7 out of 5.0), we have now invested in creating the same exceptional Online course experience.

We deliver Online courses that are both high quality and easy to use:

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On-Demand: What to Expect

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Here's what you can expect from our media player:

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Continuing Education Credit FAQs

How do I know if the workshop is approved or registered for CE credit for my profession and state?

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Yes. Once you complete your online course, post-course requirements, and the printing of your certificate, please follow the below steps.

For ASHA reporting an online course: Once you have met satisfactory completion requirements of the course, you will have access to a participant form via a "Report to ASHA" button in your account (next to the "Certificate Download" button). Simply select the "Report to ASHA" button, provide your ASHA member ID, and select "Submit". Please note, the "Report to ASHA" button will only be available in your account to submit your request for 10 days from the date you completed the online course after which Summit will be unable to report your completion to ASHA.

Online course completions are reported to ASHA following the below schedule:

  • Completions dated 1/1 - 3/31 will be reported to ASHA no later than 5/15
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Summit offers CE Broker reporting on behalf of FL PTs, OTs, SLPs and ATCs as well as for AL OTs, OH SLPs, SC PTs, OTs and SLPs. Licensees in states/professions outside of these listed should self-report at using the information provided on the certificate of completion. More information can be found here.

Online Course Content FAQs

Is an outline of the course content available before or during viewing?

You can see a course outline on the Product page under the Course Outline tab. After purchase, the course outline is also provided on the media player for watching the course.

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Once you have purchased the course, there is a tab at the bottom of the media player where you can download the manual to save or print for your personal use.

Manual is located in the "Resources" tab

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Most of our courses have hands-on lab content, varying from minimal to significant. By looking at the Course Outline tab on the Product page, you can see how intensive the labs are for each course. During the lab section, we have invested heavily in providing very strong video content (i.e. very tight camera angles) so you can learn along with the live attendees. Depending on the course, you may want to simulate the activities that are presented in the course (which will be noted in the "Before You Start" section of the media player).

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Online Video Experience

How long is the course?

Courses range in length from 1-6 hours. You can see the exact length of the course by visiting the course Product page.

Will I need any special materials to take the course?

After purchasing, the any special materials or specific advice is listed at the bottom of the "Course Info" tab.

Can I fast-forward or rewind through the online course?

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Are there breaks? Can I press pause while watching the course?

There are no formal breaks in the video content. However, there is a pause feature to allow taking breaks at your own convenience.

Can I complete the course over several days? How much time do I have to finish the course?

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Is the online course interactive? Will I be able to ask questions during the course?

The video that you will be watching is a recorded version of a live workshop. The video captures Instructor answers to participant questions, but there is no opportunity for you to ask questions with the instructor, real time. If you do have questions for the instructor, most instructors have their email address at the end of their presentations.

Am I able to re-watch the online courses even after I have completed the post course test and received my certificate?

Once you purchase the online workshop, you have 30 days to view the workshop as many times as you want as well as to review the manual (if you choose not to download while taking the course). For subscribers, your access is unlimited while your subscription is active.

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Test & Certificate

Will I need to take a post course test? Why?

Yes, you are required to successfully pass the post course test to obtain CE credits and certification. This is required by our licensing boards for online courses.

What is the post course test like, what is a passing score, and how many times can I take it?

Post course tests consist of True/False and/or multiple choice questions. You will be able to retake the post course test as many time as necessary to receive a passing grade. A passing "grade" is 75% or higher for general content, 80% or higher for certain state specific workshops, like ethics, jurisprudence, and laws and rules courses. You will be able to retake the post course test as many times as necessary to receive a passing grade.

When will I receive my credits and certificate?

Once you complete your course evaluation and online test, you will be able to immediately download your certificate and request CE Broker or ASHA Reporting (if applicable).

Technical FAQs

What browsers and Operating system do I need to run for this to work properly?

The following are the supported browsers and Operating Systems for the media player to work properly:

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Will the media player work on both a Mac and PC?

Yes, the online courses will play on both a Mac and PC. The following are the supported browsers and Operating Systems for the media player to work properly:

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  • Google Chrome 75.0+ for Windows, Mac OSX, or Linux
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  • Safari 12.0+ for Mac OSX 10.13 and above

Can the workshops be played on my phone?

Yes! You are able to watch the workshops on your phone. Here are the technical requirements to ensure it works properly:

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  • Safari on iPadOS 13+
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All of the videos stream from the media player.

How does the streaming video work?

Live streaming video is content sent in compressed form over the Internet and displayed by the viewer in real time. With streaming video or streaming media, a Web user does not have to wait to download a file to play it. Instead, the media is sent in a continuous stream of data and is played as it arrives.

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Because of our streaming video approach, this rarely happens. If it does, it's typically because of customer internet access quality issues and we will provide troubleshooting tips as well as telephone support from our help desk.

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Our help desk is available to assist you by phone Monday through Friday, 6AM to 6PM at (800) 433-9570.

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