New Cutting Edge Physical Therapy Treatment Raleigh-Durham, Fayetteville & Surrounding North Carolina Cities

Blood Flow Restriction Training (BRFT)

BFRT is utilized by sports medicine experts, top athletes, and the U.S. military as an effective tool in the rehabilitation and strengthening of patients, producing dramatically positive outcomes.

What Is BFRT?

BFRT is an exercise modality that restricts venous outflow (never arterial occlusion) in combination with light weight or bodyweight training to achieve similar training results to high intensity training.

How Does BFRT Work?

To enhance both muscle mass and strength, high-intensity resistance exercises with loads approximately 70-85 % of 1-Repetition Maximum (1-RM) are recommended. However, heavy-load-resistance exercise may not be possible with injuries that do not allow heavy strength training. BFRT safely utilizes a tourniquet style pressure that safely restricts venous blood flow. Restricted blood flow combined with light resistance exercise facilitates muscle protein synthesis and metabolic accumulation, resulting in similar gains as heavy strength training.

Which Patients Are Indicated For BFRT?

Athletes and non-athletes alike. Whether the patient is recovering from a sports injury or suffering from arthritic pain, BFRT can help build strength and get back to the activities they love. BFRT has also been shown to be safe and effective in elderly populations in reducing sarcopenia and enhancing cardiovascular health.

  • What Does BFRT Accomplish? Increase muscle size, strength,
    and activation
  • Increase VO2 max
  • Decrease scar tissue and pain
  • Increase collagen synthesis for tendons, cartilage, and bone
  • Reduce post-surgical atrophy
  • Increase anti-clotting factors


BreakThrough Physios are now LSVT BIG® certified clinicians. LSVT BIG® trains people with Parkinson’s disease to use their body more normally. LSVT BIG® is an intensive, amplitude-focused treatment that effectively trains your neuromuscular system.

Who Benefits from LSVT Treatment?

The exercises can be modified depending on the patient’s functional ability. Developed and scientifically researched over the past 25 years with funding from the National Institutes of Health, LSVT BIG® has demonstrated improvements in motor function in people with Parkinson’s disease including, but not limited to:

  • Faster walking with bigger steps
  • Improved balance
  • Increased trunk rotation
  • Improvements in daily living activities such as bed mobility and dressing
  • Improved fine motor control

LSVT BIG Program Features

The LSVT treatment protocol consists of:

  • 16 occupational or physical therapy sessions:
  • 4 consecutive days per week for 4 weeks
  • Individual one-hour sessions
  • Daily homework practice/carryover exercises
  • Program available as an outpatient or via home health (physician order required)

Free Screen on Us

We offer complimentary screens at all BreakThrough PT locations. If you’ve been dealing with a nagging injury or persistent pain, don’t wait any longer.

Ready to reclaim your life? BreakThrough is here to help.


Here’s what some of our patients had to say

Working with Pierce and the team at Breakthrough Sports Performance has been a major help to our at Athletes at Liberty Soccer Academy. Their knowledge and professionalism is top class.

five stars Andrew Bradham

BreakThrough Sports Performance has been a tremendous help in the development of the ACS U13 Girls Volleyball team. Just a few short weeks of training you can clearly see the positive impact it has had on their bodies and their approach to the importance of training!

five stars Scott Shepard

Coach Pierce has been a great asset to our program. His understanding of building the athlete from a fundamental level is of huge benefit to our athletes. Every athlete feels like they are getting the most out of each training session to improve their individual events.

five stars Lorin Collins

My experience at BreakThrough Sports Performance has been amazing. I’ve been seeing the guys at BreakThrough for 3 years now and feel so much stronger and more mobile swinging the golf club. BreakThrough Sports Performance is different. The trainers will educate you with things you wouldn’t hear anywhere else, like… the importance of your airway…

five stars Jackson Bode

Training at BreakThrough Sports Performance helps me feel my best. Before I started with BreakThrough there were days where I physically felt that I couldn’t perform the way I needed to. Since training at BreakThrough I feel more prepared to tolerate a high volume of tournaments that I couldn’t do before. I injured my back…

five stars Jackson Von Paris

I started working with Breakthrough Sports Performance to help with my back. I was unable to play two rounds in a row but after participating in the golf fitness class I can now play as often as I can without pain. The simple process of a physical assessment, swing assessment and KVest evaluation narrowed down…

five stars Brian

I discovered Breakthrough Sports Performance due to an ankle injury. They were able to see within the first 24 hours which greatly improved my recovery time. They provided me with the right physical therapy and treatment needed to get me back on the court faster. Because of the knowledgeable coaches/trainers, and the excellent facilities, I…

five stars Karsen Corbett

Thank you so much! I love you guys and the care I received!

five stars Zoe BreakThrough PT Patient

We rate BreakThrough Physical Therapy a 10; we are extremely happy! After having received excellent PT in the past, we had no doubt this was the only place we would trust with our son’s recovery. The warm, welcoming environment makes it a comfortable place to receive therapy. This puts him at ease allowing for the…

five stars Mary Y. BreakThrough PT Patient

After just 4 visits…I feel like a brand new person. Before, I could barely walk for 15 minutes without my back screaming in pain. Now I’m zooming through therapy and going on walks at home.

five stars Christy F. BreakThrough PT Patient