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The Rehab Professionals, Auckland (2026)

13/01/2026

➡️Cervical flexion posture during smartphone use was not a risk factor for NP or frequency of NP, but low sleep quality and insufficient levels of physical activity were.

This 12-month longitudinal study followed 457 pain-free adults aged 18 to 65, with 396 participants completing follow-up. Cervical flexion during smartphone use was objectively measured at baseline using a CROM device in both sitting and standing positions while texting. Neck pain prevalence and frequency were reassessed one year later.

The findings showed that cervical flexion posture during smartphone use, often referred to as text neck, did not increase the risk of developing neck pain, nor did it influence how frequently neck pain occurred. This was consistent across both sitting and standing postures.

In contrast, lifestyle factors played a meaningful role. Participants with low sleep quality had a significantly higher risk of developing neck pain, as did those with insufficient levels of physical activity.

Overall, the study suggests that neck pain risk is more closely linked to sleep and activity behaviours than to cervical posture during smartphone use.

Author:
Correia, I.M.T. et al.

PMID:
40845624

10/01/2026

⚠️📉Strength Training Cuts Running Injuries in Half 📊

A 9-month randomized trial of 264 recreational runners found that an online programme of 11 exercises targeting core strength, flexibility, and neuromuscular control, performed 2 to 4 times per week for 15 to 30 minutes, reduced overall running-related injuries by 47% and overuse injuries by 54%, reinforcing the value of targeted exercise-based injury prevention.

Aynollah Naderi et al. Res Sports Med. 2025.
📖 PMID: 40937763

More info below:

⬇️⬇️

Abstract:
Exercise-based injury prevention programmes for runners often show inconsistent results, potentially due to inadequate targeting of modifiable intrinsic risk factors. This randomized controlled trial assessed the effectiveness of an online, multi-component exercise programme in reducing running-related injuries (RRIs) among recreational runners over nine months. A total of 264 runners (mean age 35.9 ± 13.1 years) were randomly assigned to an intervention (n = 135) or control group (n = 129). The intervention included 11 exercises focusing on core strength, flexibility, and neuromuscular control, performed 2-4 times weekly for 15-30 minutes. The control group maintained their usual running routine. Injuries were self-reported every two weeks. During the study, 30.3% of participants reported at least one new injury, with an overall incidence rate of 6.52 injuries per 1000 running hours. The intervention group had significantly lower rates of overall RRIs (4.62 vs. 8.71 per 1000 hours; IRR = 0.53, 95% CI: 0.37-0.77, p = 0.004) and overuse injuries (4.04 vs. 7.61; p = 0.001), representing 47% and 54% risk reductions, respectively. No significant difference was observed for acute injuries. These findings indicate that a structured, online, multi-component programme targeting key intrinsic risk factors can significantly reduce the incidence of running-related and overuse injuries. This scalable approach supports safer and more sustainable running practices among recreational athletes

05/01/2026

Happy 2026.
Start your year right… don’t major in the minors.

Focus on:
Load and fatigue management
Sleep
Proper fuel
Hydration

That’s the way forward.

19/12/2025

🏃‍♂️ How Much Running Is Too Much in One Session? 🚨
 New 2025 research from 5,200 runners shows exactly when injury risk spikes.

📊 Study Snapshot (Frandsen et al., 2025): Over 18 months, 5,205 adult runners tracked 588,071 runs.
🔹 35% ended up with an overuse injury 🔹 The biggest risk? Sudden distance spikes in a single run

📈 Risk of Injury Based on Distance Spikes (compared to your longest run in the past 30 days):
* ✅ Up to 10% increase – Low risk
* ⚠️ 10–30% increase – 64% more likely to get injured
* ⚠️ 30–100% increase – 52% more likely
* ❗ Over 100% increase – More than twice as likely to get injured

🧠 What This Means: ➡️Even a small jump in distance can raise your risk ➡️The bigger the spike, the greater the danger
 ✅ Build gradually. Play the long game.

📌 Coach & Runner Tip: 👉 Know your longest run in the past month 👉 Don’t go more than 10% beyond that in a single session

📚 Study link: pubmed.ncbi.nlm.nih.gov/40623829

08/12/2025

“Managing load is injury prevention.”

Simple on paper — but still badly misunderstood in practice.

Load, which can be used as a proxy for intensity across different sports, is often one of the primary drivers of fatigue and stress. When managed well, it promotes adaptation and enables real-world skill development. However, if poorly controlled, it can exceed tissue capacity and increase the risk of injury.

Load management is not about arbitrary deloads, backing off as soon as an athlete feels sore, or worshipping acute-to-chronic training ratios like a religion.

It is about intelligently dosing stress based on the individual in front of you — their history, tissue tolerance, recovery capacity and the demands of the task.

The rehab professional who can actually manage load, wins.

04/12/2025

Let’s TALK TENDONS 🎙️

02/12/2025

☕️ Caffeine and Performance: New Research ☕️

📖 A new November 2025 systematic review and meta analysis looked at how caffeine affects repeated sprint ability.

💡This is one of the strongest and most current reviews on performance.

The key findings:
1️⃣ Higher caffeine doses had a clear advantage.
2️⃣ Doses at or above 6 mg per kg produced meaningful improvements in peak power across repeated sprints.
3️⃣ Results showed improved output, better repeatability, and stronger performance during short intense efforts.
4️⃣ This is potentially relevant for athletes who rely on repeated bursts of power such as BJJ, boxing, rugby, football or conditioning sessions that use high intensity intervals.

The takeaway? 🤔🤔

☕️ When dosed correctly and timed well, caffeine remains one of the most reliable and well supported performance aids in sport science.

📖 PMID: 41228548

🚨 Disclaimer:
Caffeine affects people differently. Use responsibly and consult a healthcare professional if unsure.

27/11/2025

What is the OPTIMAL KNEE POSITION in the squat?

🧐🧐🧐🧐

and myself put our brains together to provide you with some useful information and key insights, not only on the research & data, but our experience. 🧠 💡

Enjoy 👊🏻

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25/11/2025

🎯 PAIN vs FUNCTION 💪⁣

When pain is all we focus on, it becomes our whole world.⁣

But when we trust the process, commit to rehab, and shift our focus to function—walking, running, lifting, training, playing with our kids, doing what we love—⁣pain doesn’t always disappear… but it takes up less space.⁣

Rehab isn’t just about relief.
It’s about capacity. It’s about progress.
It’s about reclaiming life.⁣

Pain might still be there…
But now, so is your power.⁣ 👊🏻

PainScience ReturnToSport ExerciseIsMedicine TrueStrength

14/11/2025

🔍 AC Joint Reconstruction - personalised rehab > rigid protocols

➡️No two shoulders heal the same, so no two rehab plans should look the same.

A review of 21 publicly available AC joint reconstruction protocols showed big differences in how key milestones were handled, including:
• ROM progression
• Sling time
• When strengthening begins
• When athletes are cleared to return

Every protocol included strengthening which shows how essential it is for restoring shoulder control, load tolerance, and long term function.

What stood out was not the shared stages, but how far apart the timelines were. Strength work was introduced anywhere from week 4 to week 14, and return to sport ranged from 12 to 48 weeks.

💡 This is the real lesson
Recovery from AC joint reconstruction is not about following a rigid script. The spread in timelines reflects how varied healing rates, surgical methods, tissue quality, pain levels, and functional goals can be. Protocols offer a rough map, but they cannot predict how an individual will respond to load or how quickly they will adapt.

This is why personalised, reactive rehab is the key driver of good outcomes. You match the plan to the person, adjust based on how they present, progress only when capacity is earned, and pull back when tissue irritability spikes.

Every patient deserves assessment driven decision making, not a calendar driven program.

⏭️ The next slide breaks down the findings in detail.
📖 PMID: 34027451

10/11/2025

❌ Traction: All Hype, No Long-Term Hold

⚠️10 reasons why spinal traction doesn’t “remodel” your spine—or solve your pain long term.

1️⃣ Systematic Reviews Don’t Support It
📚 Cochrane reviews + RCTs consistently show traction has no meaningful benefit for pain, function, or return to work.
⚠️ In some cases? It actually made things worse.
📖PMID: 23959683

2️⃣ Pain Isn’t Just a Spine Problem
🧠 Pain is influenced by stress, sleep, movement history, & more.
Traction assumes it’s purely mechanical—and is reductionistic.
📖PMID: 39246735

3️⃣ Structural Variations Are Normal
❌Reversed curves, hypo or hyper-lordosis & scoliosis don’t predict pain.
🚫 Treating a shape instead of a person leads to over-treatment & poor outcomes.
📖PMID: 39246735

4️⃣ X-rays Don’t Diagnose Pain
🔍 Disc bulges & disc degeneration are common in pain-free people.
📸 Imaging without context creates fear, not clarity.
📖PMID: 39246735

5️⃣ Traction Relies on Flawed Imaging Logic
📉 Before/after X-rays are unreliable.
Spinal alignment changes with hydration, stress, time of day, and more—so it’s not a valid outcome measure.
📖PMID: 39246735

6️⃣ There’s No Gold Standard “Normal” Spine
📐 Terms like “hyperlordosis” or “reversed curve” imply a perfect spine exists.
But spine shapes vary greatly—even among healthy, pain-free people.
📖PMID: 39246735

7️⃣ Major Guidelines Say No to Traction
📕 The NICE (UK) guidelines clearly state: “Do not offer traction.”
Other global guidelines (e.g. ACP, European Spine Journal) also don’t recommend it.
✅ They favor education, exercise, and movement-based care.

8️⃣ Traction Doesn’t Translate to Real-World Gains
📐 Even if spinal angles change, that doesn’t improve strength, function, or movement quality.

9️⃣ Passive Care Creates Dependency
⚠️Traction relies on repeated visits. That’s not empowerment. True rehab equips people to self-manage & adapt.

🔟 Adaptation Beats Alignment
🦴 Your spine isn’t fragile—it’s adaptable.
What helps it thrive?
✅ Progressive loading
✅ Movement
✅ Strength
✅ Education
✅ Confidence

📍Stop chasing symmetry. Start building capacity.

06/11/2025

If you haven’t yet, worth a read ⬆️⬆️

📢 Does Icing Help or Hinder Injury Recovery? ❄️🚫

For decades, RICE (Rest, Ice, Compression, Elevation) has been the standard injury management strategy. But emerging evidence suggests that icing may actually delay healing rather than accelerate it.

In our latest clinical commentary, published in the Journal of Contemporary Chiropractic, we critically examine the role of ice in injury recovery and challenge outdated protocols.

🔎 Key Findings:
❌ Icing may suppress the natural inflammatory response, which is essential for tissue repair.
❌ Temporary pain relief does not equate to faster recovery—ice numbs the area but does not promote healing.
❌ Prolonged use of ice may impair muscle and tendon regeneration, delaying long-term adaptation.

Interestingly, Dr. Gabe Mirkin—the creator of the RICE protocol—has publicly recanted his stance, stating that ice may actually delay healing rather than aid it.

✅ Instead, modern rehabilitation principles emphasize optimal loading, progressive movement, and active recovery to enhance tissue repair and long-term function.

🔎 Devil’s Advocate:
Some argue that ice still has a place in acute injury management—particularly for short-term pain relief and swelling control. Additionally, ice is widely used in professional sports settings to allow athletes to compete through minor injuries by temporarily reducing pain perception.

👀Bottom Line?
Ice isn’t inherently bad—it’s just not a magic solution for injury recovery. It’s useful in specific cases, especially in short-term pain management, but shouldn’t replace movement, loading, and active recovery in long-term rehab.

So while “ice for healing” is outdated, “ice for performance and pain control” still has its place.

💡 📖 Read the full article to learn more! 📈

The Rehab Professionals

13/01/2026

10/01/2026

05/01/2026

19/12/2025

08/12/2025

04/12/2025

02/12/2025

27/11/2025

25/11/2025

14/11/2025

10/11/2025

06/11/2025

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