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hey youre back with nova care sports medicine my name is Terry McKee Im a physical therapist athletic trainer working with nova care sports medicine team in philadelphia today were here to continue our discussion of the early rehabilitation process following ACL reconstruction today with a concentration on the use of blood flow restriction training would be a far normally we need to be working at about 70% of a1 repetition maximum order to make strength gains however Aelita athletes this is too much load in order or early in the process in order to protect a graph I really used to be a far more able to work about 20 or 30 percent its similar physiological effects what we do is we use something similar to a blood pressure cuff in order to employ these leading the way while the cuff is pumped it creates an anaerobic environment similar to in lifting very heavy weights this is what allows us to make docHub strength gains while performing low load exercises and protecting the gra