Speaker 2: Hey everybody, what's going on? Welcome to BFR Tuesday. My name is Ed Le Cara. I am your host. I'm here to answer any questions, BFR related. I'm going to warn you this week is crazy with Thanksgiving. So this is going to be very short. I have a patient walking in anytime now. I had to squeeze them in before I leave tomorrow for my Thanksgiving. So if there's any questions, please don't hesitate. Throw those questions up and I'll stay on until she arrives should be any minute now. So there's throw your questions up into the type, your message. Alright, through that hello from Dallas, Texas. Any questions for me?

Speaker 2: Michael, do push-ups with the BFR bands on affect my muscles proximal to the bands halos. so yeah, so, three different effects that we get. If I have the cuff on the upper extremity, I get, I get distal to the cuff benefits. I get proximal to the cuff benefits, and then I get, crossover effect, some would say systemic effect, from hormone changes like growth hormone stimulation. Not as much as we once thought you do get some effect, but not a ton amount. So this built to the cuff proximal to the cuff, really in all application, approximately to the capital of the shoulder and also glute, for your lower extremity, because just proximal. So if you really want to, maximize, like shoulder, what I would do is do a, your first exercise as a bicep to your second exercise as a tricep, and then make your third exercise, the shoulder. So pre fatigue, the distal muscles, and then, it'll put more emphasis on the proximal muscle here, and you'll also get benefit at the PAC as well. some cool studies looking at, increases in, pack size, shoulder size, tricep size bicep size by doing exercises for the upper extremity. So yes, the answer Michael is yes you get proximal and distal effects primarily with a tertiary effect of crossover or opposite side, but pre fatiguing, the distal tissue will maximize your effects to the proximal tissue. 

Speaker 2: Louis ax asks always pre fatigued distal muscles to better focus. I mean, if you really want to maximize your shoulder size and strength yes. Or your glute size and strength, then yes, I would pre fatigue the distal muscles first. You don't always have to do it, but I mean, I don't know if there's an always with any training. I think you, you know, you modify and then you go on, but, but if you really want to maximize your effect yeah. You can pre fatigue it with one exercise, each, push a poll and then go, more proximal. 

Speaker 2: Yeah. Louis. So for fatigue. Yeah. If you want to do a full set of BFR, 30, 30, 15, 15, 15. Yeah. No, I would do that. That will, that should fatigue it. when you're talking about fatiguing out the distal, so you do 30, 15, 15 bicep curl, 30, 15, 15, 15 tricep extension. And then, do some sort of lateral raise or a leaning leaning lateral raise. and if you really want to get fancy, what we talked about a couple of weeks ago is when you're focusing on strength, increase the resistance, decrease the pressures. You could flip that if you wanted to just gain size of the shoulder or glute, then, you know, you could pre fatigue, for strength, distally, and then go for hypertrophy more proximal by using lighter loads, but higher pressures if you wanted to get fancy, but you don't have to, if just getting in there and fatigue the tissue, you're going to see a benefit. What else, what else do you guys got for me today? This fine pre -Thanksgiving Tuesday. All right. 10 seconds. 9, 8, 7, 6, 5, 4, 3, 2. All right. Thank you so much. I'm sorry. I have to jump off so quickly. Just, have a great Thanksgiving. I appreciate all your support. I will be back next week and, just have a great week and thankful for everything that we got. Bye for now!