The invention relates to impulse therapy and particularly to a device for applying impulse pressure intermittently to a human foot to enhance blood circulation around the body. In the prior art impulse pressure is applied by means of an inflatable bladder applied to the foot. To be effective the bladder has to be filled rapidly and this produces unacceptable noise during operation. The bladder in accordance with invention is provided with internal means acting to dissipate fluid flow with accompanying reduction in fluid flow rates and consequent noise levels during the pressurization process.