26 Sep The Best Blood Flow Restriction Bands and Devices
I am frequently asked what the best blood flow restriction bands are. As with any trend in the fitness world, many manufacturers have designed blood flow restriction products recently. Like most fitness tools, the best device is highly related to your goals. Unfortunately, some devices on the market have the potential to cause more harm than good. This makes choosing the appropriate device important for both your health and for consistency of performance.
This article will focus on helping you choose the best device for BFR. Choosing the right device based on your goals and safety needs is the first and most important step in implementing BFR into your training or rehab program. My other articles cover the science behind BFR and how to apply it to your performance goals.
Disclosure: some of the below links are affiliate links. No product inclusion decisions were made based on affiliation.
What Qualities Affect BFR Bands Quality?
In determining the quality of a blood flow restriction device there are a four main considerations that determine if the device is good or not. Those categories are the cuff’s material, size, pressure application, and ability to accurately measure pressure.
Blood Flow Restriction Cuff Material
One of the biggest factors to consider when looking for BFR bands is the type of material your bands will be made out of. We’ll split these up into two categories: elastic bands and rigid bands.
Elastic bands tend to be significantly cheaper. Made from a variety of different materials, BFR devices that are elastic have a major drawback in that the pressure applied will not be consistent throughout your entire BFR workout. And as your muscles contract, the elasticity will allow the cuff to expand and the metabolites that we are trying to build up with BFR training to get released. This results in a far less productive BFR session.
Rigid cuffs are significantly superior to elastic.
BFR Cuff Size
The next factor to consider when purchasing a BFR device is the size of the cuff. The device needs to be long enough to fully wrap the limb(s) to be trained. This means that the better BFR devices come with upper and lower extremity bands.
The cuff width is also incredibly important. Wider BFR cuffs tend to do a better job of reducing blood flow without needing excessive pressures. There are a number of very cheap BFR cuff options available with narrow cuff widths and I never recommend these.
How the device produces pressure on the limb to restrict blood flow is the next consideration when looking for the best BFR devices. Some cuffs apply pressure by tightening the device manually (usually pulling the band tighter and closing with a clasp). Others work by inflating bladders of air within the cuff itself. The better devices are air inflated.
The final consideration is on how the device measures the amount of pressure applied to the limb. Cheap options have no way of doing this, making your workout to workout pressure levels vary greatly. Better options have the ability to easily calculate the appropriate amount of pressure to use for optimal training.
The Best Blood Flow Restriction Bands
Compression Bands for BFR
The most commonly used piece of equipment for BFR is compression bands. These bands have one great advantage in that they are very cheap and many athletes already have a set.
The athlete wraps his or her extremity with a compression band at 4-5/10 intensity for the upper arm, or 6-7/10 intensity for the legs is most commonly prescribed.
The major drawback of these compression bands is that they cannot be reliably performed in multiple workouts at the same level of occlusion. It makes standardizing the level of pressure very difficult.
So, one workout may be super intense at the prescribed weight and reps, while the next may be unbelievably easy. Because of these drawbacks, I do not typically recommend compression bands.
Blood Flow Restriction Bands
Up next, you’ll find various commercially sold blood flow restriction bands. Similar to the compression bands, these are relatively inexpensive.
They do have major drawbacks. The level of occlusion with these cannot be reliably reproduced making session to session intensity vary wildly. More importantly, many of these bands are very thin. Thus, the pressure of the band is put through a much smaller area, risking injury to the underlying nerves. In fact, on several occasions, these bands have created nerve paralysis. So, if you are buying one of these bands, please choose one that is thick, preferably covering about ¼ to 1/3 of the extremity.
The biggest drawback to these is that I’ve never found a band that provides enough occlusion to trap the metabolic build-up in the muscle during exercise. These styles of BFR bands simply don’t get the job done.
The Occlusion Cuff
The Occlusion Cuff is one of the more popular BFR devices on the market. At ~$114 USD they are a reasonable price tag with some solid features. First, the band width and quality allow us to do a good job of restricting blood flow and trapping metabolite build-up. Second, the pressure gauge allows for accurate pressure management to keep the training stimulus similar between workouts.
But with the occlusion cuff, you have two options for identifying the pressure you workout at. First, we can load to a pressure rating based on your own subjective comfort levels. Usually, 5/10 feeling of pressure is recommended for the upper body and 7-8/10 for the lower body. That is not the most accurate way of measuring so it is preferred to combine the Occlusion Cuffs with a doppler ultrasound for a much more objective measurement of how much pressure you should use.
SAGA Wireless BFR Cuffs
SAGA recently came out with a BFR device for personal use that connects with your smartphone to wirelessly control the pressure of the cuffs. Their technology accurately measures the correct amount of pressure to use to occlude blood flow without the need for using handheld doppler ultrasound machines. This means workouts will be more standardized to the individual, and the same amount of pressure can be applied at different workouts, an important consideration with BFR devices.
The SAGA BFR comes in between $259-289 depending on the size of the cuffs you are purchasing. While the price is more, the features of this cuff make it my preferred device for athlete use.
My affiliate code “thebarbellphysio” will also save you 5% off the purchase price of this fantastic product.
Smart Cuffs BFR Bands
In my opinion, Smart Cuffs has developed the best BFR device for personal use. They are easy to set up and provide an accurate measurement of pressure. The cuff does the best job of trapping the metabolite build-up that happens during BFR training of all of the above personal-use devices. While it costs more than some of the cheaper options, if you are going to perform BFR, then you need a good device to get the benefits of it.
Use discount code “TheBarbellPhysio” for 10% off on the Smart Cuff website.
Delphi Personal Tourniquet System
The gold standard blood flow restriction training device is the Delphi Personal Tourniquet System from OwensRecoveryScience.com. This device contains a Doppler ultrasound within the blood flow restriction cuff. This means we have the most accurate way possible to measure blood flow in the extremity and can precisely occlude the appropriate amount of flow. Safety features within the device include rapid shut-offs, automatic times, and the Doppler are amazing features.
Most importantly, for those in the medical community, the Delphi Blood Flow Restriction device is and FDA-listed device for BFR. The FDA defines full or partial vascular occlusion under “tourniquets” and is regulated that way. Thus, if a patient were to have a negative side effect during BFR training while using a Delphi unit, you can feel legally safe. Using other devices opens you up to litigation because a non-FDA approved device is being used to restrict blood flow.
So, What’s The Best?
There are two winners:
First, Smart Cuffs is the best for athletes. Its ability to measure pressure to accurately reproduce pressure between workouts is great. And, its’ price tag also meets most people’s budgets as well (again, save 10% with code “TheBarbellPhysio”).
For the rehab professional, the Delphi unit wins. This machine is fantastic, with doppler ultrasound and safety features built-in. Plus, the FDA approval also makes it the best option from a legal standpoint.