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In the past it was often suggested that training loads of at least 70% of 1RM must be lifted in order to achieve increases in skeletal muscle size and strength. 1 However, the high mechanical stress of these prescribed loads may be too demanding for some individuals (ie, injured, elderly). Blood flow restriction training (BFR) has been demonstrated to provide a low intensity lifting alternative effective for stimulating muscular strength and hypertrophic gains. 2-4 BFR typically involves the application of a pressurized cuff, which is applied to the proximal portion of either the arms or legs with the intention of decreasing arterial blood flow to a working muscle, while largely restricting venous return. 5 Although blood flow restriction has been studied extensively, less is known regarding practical blood flow restriction (PBFR). PBFR involves, amongst others, the use of elastic bands as a wrapping device which applies pressure to the limb, resulting in a similar stimulus as more sophisticated pneumatic devices. 6