Spinal and peripheral joint manipulation
Cupping is performed by applying cups to selected points or areas and creating a suction pressure with a pump. Cupping therapy is part of numerous ancient healing systems, such as Chinese, Unani, traditional Korean, Tibetan, and Oriental medicine. It is very gentle and can be used in isolation or in combination with soft tissue manipulation.
The main proposed mechanism of action is the effect of subatmospheric pressure suction that promotes peripheral blood circulation. Reported effects of cupping therapy include promotion of the skin’s blood flow, changing of the skin’s biomechanical properties, increasing pain thresholds, reducing inflammation, and modulation of the cellular immune system.
Blood Flow Restriction Training
Blood Flow Restriction (BFR) training utilizes a strap or pneumatic cuff to partially restrict arterial blood inflow, while occluding venous outflow until the cuff pressure is released. Training loads are lower (20-30% 1 RM; 15-30 repetitions per set) which offers us the ability to mitigate weakness and atrophy after musculoskeletal injury or surgery without overloading healing tissues.
A variety of physiological mechanisms are thought to cause the increased muscular size and strength seen with BFR training, although the exact mechanisms remain unknown. The general consensus suggests muscular changes occur through the indirect effect of metabolite accumulation and the hypoxic environment which causes greater muscle activation, fatigue, and anabolic signaling when compared to the same intensity of exercise done without BFR.