Bioflow Box

Bioflow Box Bioflow Box offers physiotherapy on musculoskeletal injuries, training program design and private & semi-private coaching.

View my personal blog (www.andreasprezas.com) for more information regarding my biography and philosophy

💪⚡ Power Training vs Strength Training in Older AdultsWhat’s better for improving function as we age?Let’s break it down...
30/03/2026

💪⚡ Power Training vs Strength Training in Older Adults

What’s better for improving function as we age?

Let’s break it down 👇

🧠 The Study

A systematic review & meta-analysis comparing:

🔹 Traditional Strength Training (slow, controlled)

🔹 Power Training (fast, explosive movements)

👵👴 Key Findings

⚡ Power training wins for function.

➡️ Greater improvements in walking speed, sit-to-stand, and overall physical performance
🏋️ Strength training still helps.

➡️ Improves muscle strength significantly.

➡️ But doesn’t transfer to daily function as effectively.

🚶 Why power matters

As we age, we lose power faster than strength
👉 Power = Strength × Speed

👉 It’s crucial for preventing falls & staying independent

🔥 Takeaway

If your goal is better real-life movement:

➡️ Train fast AND controlled

➡️ Don’t just lift heavy — move with intent

🎯 Practical tip

Try:

✔️ Fast sit-to-stands
✔️ Explosive step-ups
✔️ Controlled but quick resistance exercises

Reference:

Comparison of Power Training vs Traditional Strength Trainingon Physical Function in Older Adults. A Systematic Review and Meta-analysis.
Balachandran et al., 2022.

21/03/2026

Topographic Anatomy is where safety begins 🧠✨.

In the DGSA courses, it’s not just theory — it’s the foundation of every safe and effective dry needling technique 💉.

Before needling, our participants dive deep into detailed anatomical landmarks, learning to see, feel, and understand what lies beneath the skin 🔍.

Because precision isn’t optional — it’s essential.

And safety isn’t a step — it’s the starting point 🛡️.

Master the map.

Move with confidence.

Treat with purpose.

16/03/2026

Another successful DGSA Advanced Lower Dry Needling Course completed! 🎯

As always, safety comes first. Our key focus points were topographic anatomy, precise palpation, and safe dry needling application.

My priority as an instructor is not only to teach the technique, but to help clinicians transfer this knowledge into clinical practice, aiming for better outcome measures and real results for patients.

Thank you to all the participants for the great energy, professionalism, and commitment to improving patient care! 👏

06/03/2026

⚠️ Πονοκέφαλος που ξεκινά από τον αυχένα; Μπορεί να φταίνε αυτοί οι μικροί μύες…

📍 Οι υπινιακοί μύες βρίσκονται στη βάση του κρανίου και παίζουν σημαντικό ρόλο στον έλεγχο της θέσης της κεφαλής.

Όταν υπερφορτώνονται μπορεί να προκαλέσουν:
🤕 πονοκέφαλο
👁 πόνο που πηγαίνει προς τα μάτια
📉 δυσκαμψία στον αυχένα
🧠 αίσθημα πίεσης στο κεφάλι

🎯 Η θεραπεία μπορεί να περιλαμβάνει:
✔️ manual therapy
✔️ dry needling
✔️ ειδικές ασκήσεις αυχένα
✔️ βελτίωση κινητικού ελέγχου

💡 Μερικές φορές, οι μικρότεροι μύες δημιουργούν τα μεγαλύτερα συμπτώματα.

🚨 Not every headache belongs in a physio clinic.Before we think muscles, posture or stress…we think safety.Headache asse...
19/02/2026

🚨 Not every headache belongs in a physio clinic.

Before we think muscles, posture or stress…
we think safety.

Headache assessment is not just about treatment - it’s about identifying when something is potentially serious and needs medical referral 🏥.

As clinicians, our first responsibility is screening.

Missing a red flag is far more serious than missing a trigger point.

✔️ Assess thoroughly

✔️ Ask the right questions

✔️ Respect sudden changes

✔️ When in doubt → refer

Clinical reasoning protects patients. Always!

Save this as a reminder 📌

Share it with a colleague who treats headaches.

📚 Reference:
Dodick DW. Clinical clues and clinical rules: Primary vs secondary headache. Adv Stud Med. 2003.
American Headache Society – SNOOP criteria for secondary headaches.

🧠💪 Resistance Training & DepressionWhat does the science say?📚 A systematic review & meta-analysis of RCTs shows that:• ...
04/02/2026

🧠💪 Resistance Training & Depression

What does the science say?

📚 A systematic review & meta-analysis of RCTs shows that:

• Strength training significantly reduces depressive symptoms.

• Benefits appear across ages and fitness levels.

• Works even without weight loss.

• Comparable to other non-pharmacological treatments.

✨ Lifting isn’t just for muscles - it’s for mental health too.

🏋️‍♀️ Start light. Be consistent. Feel stronger - inside & out.

Reference:
Resistance training for depression: a systematic review and meta-analysis of randomized controlled trials. Chang et al. 2023.




19/01/2026

Unlock stronger, healthier shoulders with KINSTRETCH®-based mobility 💪🟢

This isn’t just stretching. It builds strength at your end ranges, improve joint awareness, and protect your shoulders from pain and injury.
Train your shoulders to own every angle, move with confidence, and support long-term performance 🧠➡️🏋️‍♂️

Consistency in joint health = longevity in training.

01/01/2026
🧠 Do I Need an Imaging?👉 Why people with non‑specific chronic low back pain (cLBP) ask for scans even when not clinicall...
15/12/2025

🧠 Do I Need an Imaging?

👉 Why people with non‑specific chronic low back pain (cLBP) ask for scans even when not clinically needed 💭📸 �

Researchers interviewed 11 patients with chronic low back pain to understand their beliefs about diagnostic imaging like MRI and X‑rays. 🗣️💬 �

💡 Key insights:

🔹 Need to “know the cause” – Many feel imaging will explain their pain and guide treatment, even if they also recognise pain has many causes beyond what a scan shows. 🧩💥 �

🔹 Imaging after treatment fails – Lots of patients see scans as useful only after conservative care hasn’t helped. 🩹➡️📸 �

🔹 Mixed emotional impact – For some, imaging brings reassurance 👍; for others, it increases anxiety and may even mislead them. 😟🤯 �

📣 Takeaway:
Better patient education and communication are essential- helping people understand the limits of imaging in chronic non‑specific low back pain could reduce unnecessary tests and anxiety. 📘🤝

Source:
“Do I need an imaging?” exploring why patients with non-specific chronic low back pain request diagnostic instrumental evaluation: a phenomenological qualitative study.
Lullo et al. 2025.

✨ 22-23/11/25 Advanced Upper Dry Needling Course - Completed! ✨What a fantastic weekend! 🚀A group of eager, passionate p...
26/11/2025

✨ 22-23/11/25 Advanced Upper Dry Needling Course - Completed! ✨

What a fantastic weekend! 🚀

A group of eager, passionate participants came ready to learn, grow, and refine their skills - and they delivered.

🙌 Passing on dry needling knowledge to new clinicians is always an honour. 🔍💉

Dry needling continues to stand as one of the most powerful prognostic and diagnostic tools for musculoskeletal disorders. 💪🧠

Keep Learning. Keep Progressing.
Keep on Needling!💥💥💥

17/11/2025

Unlock your HIP’s hidden potential 🔓🦵.

INTERNAL ROTATION- the most overlooked movement, yet the key that unlocks all other ranges of motion in the hip 🔑.

When you restore it, your hips move better, your back feels freer, and performance improves 💪✨.

Sometimes, it’s not about stretching more - it’s about unlocking what’s been restricted inside 🔥.

🧠✨ Migraines – More Than Just a HeadacheDid you know...✅ Migraines are the leading cause of disability in people under 5...
10/11/2025

🧠✨ Migraines – More Than Just a Headache

Did you know...

✅ Migraines are the leading cause of disability in people under 50 worldwide.

✅ Hormonal changes (especially in women) play a major role — many experience relief after menopause.

✅ Stress, poor sleep, diet, and posture can all act as triggers.

✅ While medication can help manage acute attacks, addressing neck dysfunction and lifestyle factors offers long-term benefits.

💥💥💥 Research shows the majority of people notice a reduction in migraines after age 55–60.

👉 If you or someone you know struggles with migraines, remember: there is hope, and an evidence-informed approach can make a difference.

Address

4 Kilkis Street
Nicosia
1086

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Qualifications

ANDREAS PREZAS, BA, BSC

Has earned a Bachelor of Science Degree in Physiotherapy from the University of Hertfordshire and a Bachelor of Arts in Physical Education from California State University Dominguez Hills. He has been certified as Certified Strength Conditioning Specialist (CSCS) from NSCA, Sports Nutritionist (CISSN) from ISSN, and Youth Fitness Specialist (YF1) from IYCA. His physiotherapy expertise focuses on diagnosis and treatment of musculoskeletal disorders. Furthermore, he completed the DGSA Dry Needling curriculum (DGSA Dry Needling Therapist) in 2016. At the moment, Andreas is a DGSA Instructor for Dry Needling and certified as a Kinstretch Instructor from Functional Anatomy Seminars.

He is a brazilian jiu - jitsu athlete, competing in Cyprus and internationally.