Editor’s Be aware: This text is a reprint. It was initially printed March 19, 2023.
Blood circulation restriction (BFR) coaching, which I understand to be the best innovation in train coaching within the final century, was developed in Japan by Dr. Yoshiaki Sato in 1966. There, it is generally known as KAATSU, which implies “further strain.” KAATSU was dropped at the U.S. simply over a decade in the past by Steven Munatones, after he accomplished a 13-year mentorship by Sato.
In abstract, BFR includes partially obstructing blood circulation to your extremities whereas exercising. This intermittent hypoxia generates a rise in anti-inflammatory myokines, the muscle model of cytokines, which in flip gives an entire host of useful hormonal responses.
Other than dramatically bettering muscle tone and stopping sarcopenia (age-related muscle loss), KAATSU can also be a beautiful instrument for post-surgical rehabilitation, permitting you to regain bodily operate in a fraction of the time that you’d usually anticipate.
Importantly, it can additionally enhance your metabolic flexibility, so to seamlessly transition between burning fats and glucose as your main gas. It does this by growing the variety of glucose transporters, which soak up and decrease your blood sugar in your cell membranes. In consequence, your insulin degree will not go up and you will not develop insulin resistance.
KAATSU is mostly a particular kind of BFR remedy, because it makes use of a tool that routinely inflates and deflates the cuffs you place round your extremities. “Standard” BFR makes use of static strain from elastic or inflatable bands, and whereas that may present advantages when used appropriately, KAATSU is way superior for a number of causes, which we’ll evaluate right here.
How KAATSU Builds Muscle
One of many causes I am so enthusiastic about KAATSU is its capability to assist construct muscle mass and stop sarcopenia. Sarcopenia is a progressive decline in muscle mass as you age, primarily as a result of lower in blood circulation provide to muscle stem cells that are known as satellite tv for pc cells.
When your satellite tv for pc cells do not get the nourishment they require, it turns into very troublesome to construct muscle. As soon as you might be over 50, that is all the time working towards you, even in the event you’re doing hardcore resistance coaching. KAATSU solves this downside. It will increase the blood provide to your satellite tv for pc stem cells, which gives the mandatory metabolic assist wanted to extend muscle protein synthesis and develop your muscle tissues.
KAATSU has the additional advantage of permitting older folks, like me, to have interaction in comparatively aggressive train with nearly no threat of harm since you’re utilizing very mild weights, or in the event you’re frail and/or aged, none in any respect. As defined by Munatones:
“KAATSU cycle is mainly a really intelligent biohack that can permit the muscle tissues to work and permit the vascular tissue to grow to be extra elastic. You do not understand the ache of heavy lifting, however your vascular tissue and muscle fibers are being labored out simply as successfully, and you are able to do it for an extended time period.
Placing the KAATSU bands in your legs and strolling right down to the seashore, strolling your canine or simply strolling across the neighborhood, standing, cleansing your home windows of your home, folding your garments, banging out emails, all of this stuff may be carried out with the KAATSU bands in your arms or legs. You are getting the good thing about train.
Beta endorphins are being produced; hormones and metabolites are being produced as you are doing easy issues — and that’s the solution to get the older inhabitants in Japan, in the USA, all over the world, to know that you may cease sarcopenia, however you need to train. You do not have to run a 10K, you do not have to go right down to Gold’s Gymnasium. Simply placed on the KAATSU bands and reside your life.”
What Makes KAATSU so Totally different from Normal BFR
As defined by Munatones, the KAATSU system inflates and deflates in keeping with preset algorithms, creating strain and releasing strain at set intervals. In the usual KAATSU system, it is 30 seconds of compression adopted by 5 seconds of launch, and every subsequent compression gives barely extra strain.
This incremental enhance in strain is admittedly the place the magic lies, and it is taken Sato greater than 30 years of experimentation to seek out simply the suitable “candy spots” to set off the best enhancements.
“The second distinction between normal BFR, as we all know it within the bodily remedy world, and KAATSU is the form of the air bladder contained in the band,” Munatones says. “With KAATSU, there’s a slim air bladder, and when it inflates, it inflates in an oval form.
That oval form means the strain on the arterial circulation is minimal, however the strain on the Venus circulation, out of your limbs again to your torso, is way better. That’s the secret that Dr. Sato discovered. He needed to engorge the vascular tissue of your limbs in blood. That is the catalyst for all of those biochemical adjustments.”
Because of this I now not suggest utilizing cheap BFR bands as a result of standard BFR won’t produce advantages anyplace practically nearly as good. There’s threat of harm there, and you’ll’t get the identical advantages. Sadly, many bodily therapists nonetheless don’t perceive that BFR and KAATSU are actually two various things. Munatones feedback:
“The present state of the bodily remedy market is extra [focused on] muscle development. Muscle hypertrophy is the objective of BFR. Sato and his workforce of cardiologists in Tokyo have been additionally targeted on muscle, however they have been particularly targeted on the vascular tissue. The important thing patent of Dr. Sato is the strengthening of the vascular tissue.
They knew that in the event that they made our vascular tissue extra elastic, mainly antiaging, enabling our vascular tissue to be as elastic because it was once we have been in our teenagers and our 20s, that might be a catalyst for hormonal manufacturing — every thing from nitric oxide, vascular endothelial development issue (VEGF), mind derived neurotropic issue (BDNF), and lots of of different useful myokines.
So, their focus was engorging the limb in blood to the purpose the place your fingers or toes get pink, rosy, and in some instances, in the event you’ve been doing it lengthy sufficient, a darkish crimson. We wish the vascular tissue of our legs and arms to be very, very a lot engorged in blood …
Engorged in blood, you’re feeling that lactate, you’re feeling that metabolic waste construct up very effectively. That is the true focus. We deal with the vascular tissue and the resultant hormonal response versus muscular energy.”
Utilizing KAATSU Throughout Every day Actions Pays Dividends
I used to be stunned to seek out that most individuals do not use KAATSU with any weight. They’re simply sporting the bands whereas doing chores or actions of every day dwelling, and that is sufficient to see enchancment.
“The non-athletes who begin KAATSU doing common on a regular basis issues, as soon as they see their elevated energy, as soon as they begin wanting within the mirror and seeing some definition of their arms, their core, their legs, they get motivationally excited to do extra,” Munatones says.
“It is actually nice to see this migration from a non-athlete, sedentary way of life, to a way more lively one, and that drive is coming from inside themselves.
On the opposite aspect of the spectrum, you may have the athletic inhabitants, that former school athlete, that former highschool quarterback, or she is perhaps a runner, a rower, a basketball participant. Now they’re older and so they know find out how to push themselves.
They sometimes are the precise reverse. They begin lifting with heavy weights and say, ‘God, I am unable to do far more than 10 minutes.’ I am going, ‘Wait, wait, cease. Do not be so aggressive. Be mild, decelerate. I might somewhat you utilize the KAATSU cycle for 45 minutes than 10 minutes.’
And so they go, ‘Oh, you imply I might nonetheless get the advantages of train, muscle constructing, stamina enhance, if I decelerate? If I do not use heavy weights? If I am not as intense?’ And I am going, ‘Sure.’
So these former athletes begin coming down the depth scale. So it’s extremely fascinating seeing the non-athletes form of go up the depth scale, and the previous athletes or athletes come down the depth scale. All of them form of meet on this joyful median within the center.”
KAATSU Eliminates Want for Restoration Days
An added boon is that you do not want restoration days. You should use KAATSU day by day in order for you. I used to do standard energy coaching twice every week and KAATSU 5 days every week. Now, I now not do standard energy coaching in any respect and I’m able to practice day by day with KAATSU with out the necessity for restoration days. At most, I exploit 30% of my one rep max, with KAATSU, which permits me to work out longer and extra often.
“We name it ‘time below rigidity,'” Munatones says. “How a lot whole time, as an example, in a one-week interval do you may have the bands inflated in your arms? To do long-term sustained time below rigidity, you completely have to make use of the KAATSU cycle and also you completely should do it with non-intense, non-all-out vigorous motion.
Strolling is nice. Some folks do Pilates, some folks do yoga, some folks really simply sit and watch Netflix. We now have lots of people who’re older, they’re in retail, or they’re in legislation enforcement. For instance they’re on their toes all day lengthy and so they come again house and so they simply wish to be off their toes. They sit again on the sofa, put the KAATSU bands on their legs and have an ideal restoration session.”
KAATSU Throughout All Phases of Train
Anybody who’s aware of train is aware of you begin with a warmup, then you definately do the train itself, adopted by a cool-down session. KAATSU may be useful throughout all of those phases. It’s limb-specific, although. You probably have the bands in your arms, it is not going to heat up or assist restoration in your legs. So place the bands on the limbs you are working that day.
By no means use arm bands and leg bands concurrently. It is both one or the opposite. Utilizing it on legs and arms on the identical time might trigger a harmful drop in blood strain.
“Very often, our elite athletes, our aggressive athletes … use it earlier than they get to the gymnasium, earlier than they get to the observe, earlier than they get to the pool, so after they begin their conventional warmup, their vascular tissue is already able to go.
And so, if we speak to our observe athlete, they will say ‘I really feel mild on my toes.’ If we’re speaking to a basketball participant, volleyball participant, they will say ‘I am already leaping close to my vertical leap max.’
So that they’re utilizing it earlier than, they’re utilizing it throughout, and really importantly, afterwards — after they’ve taken a bathe, they may very well be hydrating, they may very well be speaking with their pals. No matter physique half they targeted on in that exercise, they’re throwing the bands on, 30 seconds strain on, 5 seconds strain off.
Throughout that 5 seconds, metabolic waste is being whooshed out and, subsequently, they’re prepared for the following exercise the following day. And that is why, in the event you’re utilizing KAATSU seven days every week, there actually is not any want for a relaxation day.”
On a aspect word, in the event you do not wish to use weights or a cable resistance machine, each of which may get dear, loop resistance bands are a reasonable different that work nice. It is like a large rubber band and it is available in quite a lot of resistances, from 5 kilos of resistance all the way in which as much as 300 kilos.
With KAATSU, all you want are two or three of the smallest bands, and you are able to do nearly each kind of train with these bands that you are able to do on a cable resistance machine, which, for my part, is without doubt one of the greatest items of energy coaching tools on the market.
The Thoughts-Muscle Connection
KAATSU additionally helps with the mind-muscle connection. Most bodybuilders will let you know that you need to deal with the muscle you are working. Simply mindlessly transferring by way of a spread of movement with weight won’t suffice. Sato was effectively conscious of this as effectively. While you decelerate the motion and deal with contracting the muscle, you will really feel the lactate construct up.
The identical precept applies when rehabilitating from a stroke or an harm that is affecting one aspect of your physique. On this case, place the KAATSU band on the injured aspect, say the suitable arm, after which carry out a motion with that arm. For instance, you might maintain a toothbrush or hairbrush, after which undergo the motion of brushing your enamel or hair whereas specializing in the muscle concerned within the motion.
“Boy, once I noticed the impact of that mind-muscle deal with able-bodied folks after which individuals who have been injured or disabled, it actually opened my eyes to what KAATSU can do for folks,” Munatones says.
I am actually enthusiastic about KAATSU as a result of, to me, it is the best type of train for the aged and those that have been sedentary for a very long time and can die prematurely if they do not get some kind of train intervention. And once more, whereas constant-pressure BFR bands can provide you some advantages, it is the common and constant releasing of strain that prompts the anti-inflammatory myokines, which I exponentially decrease when sporting static bands.
When sporting the KAATSU bands for 45 minutes, you are biking the strain on and off twice per minute, so that you’re getting plenty of activations. With that, you are additionally getting plenty of hormonal cascades. With constant-pressure BFR, your muscle tissues will develop, however over time they will get spastic. I skilled this first-hand. So now, I by no means use fixed rigidity. I all the time use cycle mode. As famous by Munatones:
“You employ much less weight, much less resistance for extra muscle, you do much less depth for higher outcomes. On the face of it, on the macro degree, it would not make sense. However in the event you take a look at it at a micro degree, what is definitely occurring throughout the physique as you engorge limb in blood, KAATSU makes an entire lot of sense.”
How Skilled Athletes Use KAATSU
KAATSU can also be a superior selection for athletes. I’ve already talked about how they use it for warmups and funky downs. {Many professional} athletes additionally use KAATSU throughout apply, however with completely different protocols. Munatones explains:
“For instance, if we’re working with Olympic observe athletes, they may very well be utilizing their bands whereas engaged on their begins, or that first hurdle on the hurdles. They sometimes will do a KAATSU cycle to heat up. In the event that they’re doing a really particular movement within the beginning blocks, they will use it in fixed mode there, after which launch the bands.
This is essential for athletes. We discovered that the human development hormone, and a lot of the hormones which might be launched, are launched about 12 to fifteen minutes after you are taking off the bands. So the maximal manufacturing of hormones is not when you may have the bands on. There is a time delay. So what does that imply?
Now, once we share that data with knowledgeable athlete, as an example an NBA participant who’s within the NBA dunk contest. Effectively, they will KAATSU, ideally, quarter-hour earlier than they get on the courtroom to do their dunk. They wish to maximize their physicality when their hormones, their adrenaline, their beta endorphins, et cetera are flowing. You wish to carry out at that time limit.
So, we mainly backdate; we return and say, OK, as an example at 12 midday, you recognize that your race goes to begin, so let’s end the KAATSU session at 11:45. That provides you sufficient time to place in your jersey, prepare, et cetera. Similar factor in between durations, in between halves. We now have everyone from excessive schoolers, to school athletes, to professionals, which might be utilizing the bands.
This really got here from the Japanese pitchers who’re utilizing the bands in between innings. So it is a nine-inning recreation. For instance they pitched six innings, they have been recovering in between the primary and second and third and fourth inning.
We did a take a look at with the equal of the NCAA baseball gamers in Japan, and located, for many who use KAATSU completely, their pitch rely and their variety of innings that they pitched elevated over the entire season versus the management group that didn’t use KAATSU throughout that season …
On the Olympics, particularly for 100-, 200- and 400-meter runners, you’ve got received three races: the preliminary heats, the semi-final heats and the ultimate heats inside one 36-hour interval. They’re doing KAATSU in between the pre-lims and semi-finals, and between the semi-finals and finals, merely to get that physique again to 100% as shortly as attainable.
We even have professional-level arm wrestlers. In a event, you might need as many as 5, six or seven arm matches inside a really quick time period. As quickly as they’re completed, we would like that metabolic waste whooshed out. So that they throw on the KAATSU bands on each arms and do some KAATSU [in between matches.]”
KAATSU Is Excellent for Individuals in Sedentary Professions
KAATSU can also be being utilized by submariners, truck drivers, and other people in different sedentary professions.
“When you’re a submariner, you are fairly confined for months on finish. You are dwelling in a small house, clearly there’s some stress concerned, simply canine some easy bicep curls, hand clenches, tricep extensions, and squats by your bunk,” Munatones says.
“These are all modern methods we use KAATSU. For lengthy distance haulers, truck drivers, this is a perfect approach, in a confined house, that you may get a exercise if you do not have the posh of going to the gymnasium.
Or, you is perhaps on a enterprise journey. Perhaps you are at a conference and you’ve got been in your toes all day. By the point you get again to your resort room, you are simply exhausted. Throw it on there.
We’re in 49 nations all over the world. It is actually a heartfelt labor of affection that we’re doing. We hear so many tales which might be actually touching, and that drives us each single day. So if persons are , they’re very welcome to attend our Tuesday and Thursday one-hour classes.”
Whether or not you are aged, recovering from an harm, knowledgeable athlete or somebody in a sedentary occupation, BFR coaching/KAATSU is usually a actual recreation changer. To be taught extra, try my earlier article, “Methods to Keep Match for Life,” wherein I evaluate the science behind KAATSU and clarify in better element find out how to use it.
I like to recommend the C4 mannequin, as a result of the C-series doesn’t have Bluetooth (which emits dangerous electromagnetic fields). For a restricted time, you will get 10% off any KAATSU tools through the use of the promo code DRM.

