Sol Physical Therapy




Blood Flow Restriction Therapy

Blood Flow Restriction (BFR) training is used in order to help develop muscle strength and function, and involves the use of a continuously monitored tourniquet cuff in order to partially restrict the flow of blood in and out of the limb while performing resistance training activities in order to improve muscle strength and function. BFR is an FDA-approved treatment function, and research highly supports its ability to help in pre- and post-operative rehabilitation, sports rehabilitation, and generally improving the strength of specific muscle groups.

Patient using BFR therapy
BFR therapy with hand weight

FAQs

Personalized Blood Flow Restriction (BFR) Rehabilitation is a game changer in the sports science and rehabilitation world and is being used to help optimize strength and endurance in a way that minimizes stress or injury to your joints. It involves the use of a pneumatic tourniquet system that constantly monitors the pressure applied on your limb (much like a blood pressure cuff). This cuff maintains a specified pressure while a person performs a set strength training program. This stimulates changes in the body that result in increased strength gains, muscle hypertrophy (increased muscle size), and improved muscle endurance, all while protecting vulnerable joints, surgical sites or soft tissue structures.

BFR first started being used with soldiers who sustained traumatic injuries in the wars in the Middle East. Its application has expanded greatly, as the research has grown to overwhelmingly support the benefit of using BFR for a variety of other uses. Great results have been shown using BFR on patients with shoulder tendinitis, runners experiencing knee pain, patients recovering from ACL reconstruction, meniscus repairs or other lower limb surgeries. There is also a notable benefit for those who have weight bearing restrictions or are in a walking boot to help maintain strength and function, so that once they are cleared, people can return to their normal activities with less difficulty or delay. BFR is also a great option for the aging population who need to gain strength in the muscles of their legs to help with daily activities but have difficulty performing resistance training because of pain related to arthritic joints.

BFR using the Delfi Medical Innovations unit is a safe, FDA-approved, automated tourniquet system. Its operation is administered and monitored by a certified medical professional, such as a physical therapist, with a BFR certification. The safety for clinical use has been researched extensively, and the results are overwhelmingly positive. With a continuously monitored pneumatic unit that adjusts as you move and your muscles contract, risks of use are comparable to that of regular exercise.

Providers

Joe Maciulla, PTA
Clinic Director

Joe is a Physical Therapist Assistant, native to Tucson, with nine years of experience in treating patients in an orthopedic setting. He graduated with honors from Pima Medical Institute, where he earned his occupational associate degree. Joe enjoys working closely with his patients and guiding them back to enjoying their favorite activities. He specializes in sports rehab and general orthopedics, is certified in Blood Flow Restriction Training (BFR), and utilizes Instrument Assisted Manual Therapy (IASTM) including Gua Sha and cupping techniques. Joe also takes pride in “giving back” to his professional community and is a certified Clinical Instructor (CI).

Joe enjoys living an active lifestyle with his wife and two children. His passions include golfing with friends, working out, bowhunting, and spending time outdoors at the beach, off-roading, hiking, and camping.

To learn about our other practitioners, go to Our Team page.

Jacob Vogel, PT, DPT, ATC
Physical Therapist

Jacob Vogel is a physical therapist and certified athletic trainer who has a special interest in treating orthopedic conditions, sports injuries, vestibular disorders, concussions and headaches. He is certified in dry needling and the Graston Technique, and is passionate about providing a therapy experience that uses specific treatments to meet specific goals.

Understanding one’s condition, movement impairment or functional limitation is key during the rehabilitation journey. Jacob is intent on ensuring each patient feels educated and empowered through the recovery process allowing confident return to the activities he or she loves.

Outside of work, Jacob spends time with his wife hiking, biking, camping and fishing. He enjoys cheering on his favorite Indiana sports teams and playing basketball, golf and soccer.

To learn about our other practitioners, go to Our Team page.