Comprehensive Online Course

Blood Flow Restriction

Why Should You Take This Course?

This evidence-based, equipment agnostic online course taught by Trent Nessler, DPT discusses the origins of blood flow restriction and identifies the metabolic mechanisms activated through the use of more than thirty case studies. The presentation combines lecture with presentation, audio, images and videos.

Participants will learn not only the science behind BFRT, but also understand proper application for rehabilitation, performance enhancement, development of hypertrophy, and use in at-risk populations through demonstrations of actual BFRT protocols.

Drawn from research that includes more than 600 case studies and articles, the presentation discusses the contraindications, side effects, and instructs participants in how to screen potential patients and develop an Informed Consent document that focuses on the safe application of BFRT allowing participants to make informed decisions when choosing BFRT equipment and protocols.

FDA regulations and guidelines are addressed focusing on actual requirements and debunking false requirements that have been spread by vendors of BFRT equipment. APTA, BOC and ACA definitions, requirements, and guidance are discussed. Participants will also receive instruction in identifying the quality of research in case studies using Sacketts Hierarchy as a guide.


You will gain a comprehensive understanding BFR and design a BFRT-supplemented program into your current practice by understanding the variables for safe use, effective implementation, differences in equipment, optimized training routines, and focused outcomes for rehabilitation, performance, and hypertrophy.

Why Learn from Northeast Seminars?

  • Evidence-based Learning NOT Equipment-driven Opinions
  • Leading Experts NOT Enthusiastic Practitioners
  • Proven Clinical Protocols NOT Suggested Implementation Ideas
  • Learn Now NOT Learn When the Course Comes to Town
  • Mobile App with Real-time Content Library NOT One & Done Lecture with Handouts
  • Interactive Forum NOT Individual Texts and Emails
  • Earn 2 Hours of ProCert CC for just approximately 3.5 hours Online
  • Save Time and Money
  • Reference Hundreds of Case Studies, Videos and other Supplementary Materials
  • Updates in Real Time
  • Access to Expert Developed Protocols (for an additional fee) for rehabilitation, performance, and hypertrophy

Who Should Take This Course?

  • Physical Therapists and Physical Therapist Assistants
  • Athletic Trainers
  • Strength and Conditioning Trainers and Coaches
  • Trainers
  • Medical Doctors
  • Chiropractors
  • Students

Course Objectives

Upon completion of the course, the participant will be able to:​

  • Compare the benefits of BFRT to the use of High Intensity Interval Training for a patient with limited mobility following ACL surgery.
  • Propose an integrated return-to-play protocol with at least 4 BFRT exercises for a post-surgical patient following ACL surgery using BFR.
  • Theorize the expected outcomes when using BFR protocols for elderly patients with muscle disuse.
  • Design a strength and conditioning protocol using 4 BFRT exercises for female volleyball players using BFRT.
  • Propose 3 changes using BFRT to an existing non-BFRT rehabilitation protocol for a patient with shoulder pain by supplementing with BFRT.
  • Using case study evidence, evaluate measured CSA and strength gains for a patient in their early 20’s based on chemical mechanisms produced by BFRT.
  • Design a comprehensive patient/athlete intake questionnaire as part of an Informed Consent form based on evidence and local board requirements.

BFR and BFRT Background

Believe it or not, the reality is that the majority of Blood Flow Restriction Courses are created by or taught by instructors with a built-in bias. They choose information that reinforces the product choices they made when manufacturing their own equipment.​

Our approach is to take a cautious, intellectual overview of the variety of research available, then distill it into easy-to-learn modules where you can formulate your own opinion based on actual evidence. Some of the case studies we reference will score high on Sacketts Hierarchy of Evidence while others may adhere to a lower standard. We will teach you how to distinguish the difference and assist you in understanding the issues, asking questions, and making your own judgments.​

While studies provide a tremendous evidence-based foundation, clinical experience is even better. Our experts are active clinicians and researchers, in addition to being in-demand lecturers. The vast majority of their time is spent working with patients/clients, so their opinions come from actual experience, not just “book learning.”​

What Will You Learn?

  • Mechanism – Physiological manipulation of your body’s circulatory system
  • Contraindications – Conditions that disqualify, restrict its use, or require a medical opinion
  • Accelerated Healing – Return to Play
  • Improved Athletic Performance
  • Increased
    • Production of HSP72, NOS-1, S6K1, MyHC2A, Muscle Protein Synthesis, mTOR, Syndecan4
    • Muscle CSA (Cross Section Area) in just 2 weeks
    • Recruitment of Fast Twitch Type II Fibers
  • Decreased
    • Time for Return to Play
    • Myostatin Gene Expression
    • Risk of Overuse Injuries​
    • Risk of Injury from Heavy Weights
    • Time necessary to maintain physical health
    • Severity of atrophy in non-involved limbs after injury
    • MyHC2X
  • A safe alternative – Compared to High-Intensity Training (HIT) while delivering similar Results
  • Benefits – Proximal and Distal Muscle Engagement
  • Effects
    • Age​, Gender, Race
    • Sport Specific
    • Injury Specific
    • Medical Condition
    • Equipment Specific
    • Geriatric Uses
    • Performance Enhancement
    • Maintenance
  • Outcome Driven Protocols and Routines
  • Potential Secondary Benefits of BFRT

Please join us and learn at your own pace while saving both time and money. Compared to taking a full day away from work (average cost to employer $1,300) and paying to fly to a remote city, the online course can fit into your schedule. Plus, you won’t have to wait months for a class to come to a town near you putting you behind your colleagues.