You can’t always get what you want, you get what you need.

Our latest education snippet highlight looked at the use of Needs Analysis in the development of understanding musculoskeletal injuries or performance problems. Typically  Needs Analysis frameworks are used in business, design and technology settings. The primary aim of this technique is to develop an understanding of the unique requirements of the individual and implement changes based on this analysis. 

Now this type of description may appear self evident. Of course in performance settings we always aim to address the individual needs of the patient or athlete we are working with.But is that what really happens?

We have spoken previously about models such as Evidence Based Practice and how the evolution of this concept has led to the adoption of clinical guidelines, literature supported approaches. And for the most part this is what we should look to adopt as practitioners, however the growing trend in research particularly in the area of sports injury and performance appears to be intersecting at a junction of individual profiling.  It is clear that even the literature base is suggesting that there is a requirement to move towards the granular level of the individual. 

Two such examples that have caught our eye are from the performance and injury spheres. The first is the work that has grown enormously out of the lab of JB Morin and Pierre Samorzino in France. They have worked closely with a number of well renowned researchers and collaborators across the world to expand out the concept of force velocity profiling for acceleration and sprint performance. The premise of their approach is to develop an individual signature for the athlete that they are assessing to determine where they are placed in regards to how they create acceleration running performance and how the gaps can be filled and the strengths can be enhanced. This type of individualisation opens the door to creating unique interventions. 

The second example of using this concept of profiling and thus identifying the needs of the individual was highlighted in a recent publication looking at hamstring injury risk and the muscle typology. The University of Ghent Belgium study by Lievens et al 2021, looked at the Soleus muscle fibre type (Fast vs Intermediate vs Slow twitch) of Belgian and Premier League Soccer players. The study demonstrated that the fast twitch profiles who participated in soccer were 5.3 times more likely to sustain a hamstring strain injury compared with the slow twitch profiles. Now we will not look to analyses or interpret exactly what this means for professional practice here, but what it does highlight clearly is that identify the characteristics of the individual through a framework of analysis is likely to establish a much more specific approach to the intervention compared with using a standardized approach derived from an average of the participants in other research studies. 

In our next discussion we will look to explore how you can employ a Needs Analysis for your professional setting, however we hope that this brief discussion has made you start to think about whether you are using the best approach based on the average person, or the best approach based on the individual needs of the person you are working with. 

References

B., S. M. (2023). A review of the epidemiology of CrossFit-related injuries. American Journal of Health, Medicine and Nursing Practice. https://doi.org/10.47672/ajhmn.1469

Bernstorff, M., Schumann, N., Maai, N., Schildhauer, T., & Königshausen, M. (2021). An analysis of sport-specific pain symptoms through inter-individual training differences in CrossFit. Sports, 9. https://doi.org/10.3390/sports9050068

Elmahgoub, S., Debes, W. A., Mabrouk, M. I., Melczer, C., Bekheet, A. B., Affan, I., & Ács, P. (2026). Patterns, predictors, and mechanisms of injury in Libyan CrossFit athletes: a cross-sectional analysis. International Journal of Environmental Research and Public Health, 23. https://doi.org/10.3390/ijerph23030286

Feito, Y., Burrows, E. K., Tabb, L., & Ciesielka, K.-A. (2020). Breaking the myths of competition: a cross-sectional analysis of injuries among CrossFit trained participants. BMJ Open Sport & Exercise Medicine, 6. https://doi.org/10.1136/bmjsem-2020-000750

Felippe Martinez, P. (2024). Sports injury prevalence and associated factors in functional fitness: a cross-sectional study. Human Movement. https://doi.org/10.5114/hm/190500

Fernandes, J. (2021). Incidence of CrossFit related injuries: a meta-analysis. https://doi.org/10.53902/sojor.2021.01.000503

Lenz, J., Szymski, D., Krueckel, J., Weber, J., Krieger, F., Karius, T., Meffert, R., Alt, V., & Fehske, K. (2024). From sweat to strain: an epidemiological analysis of training-related injuries in CrossFit. Open Access Journal of Sports Medicine, 15, 91–100. https://doi.org/10.2147/oajsm.s469411

Mehrab, M., Wagner, R. K., Vuurberg, G., Gouttebarge, V., De Vos, R., & Mathijssen, N. (2022). Risk factors for musculoskeletal injury in CrossFit: a systematic review. International Journal of Sports Medicine, 44, 247–257. https://doi.org/10.1055/a-1953-6317

Naderi, A., Shokri, M., Mokaberian, M., & Tranaeus, U. (2025). Understanding sports injury risks in CrossFit: a prospective cohort study on athletic demographics, training profiles, injury history, and psychological factors. Scandinavian Journal of Medicine & Science in Sports, 35. https://doi.org/10.1111/sms.70100

Rodríguez, M. A., García-Calleja, P., Terrados, N., Crespo, I., Del Valle, M., & Olmedillas, H. (2020). Injury in CrossFit: a systematic review of epidemiology and risk factors. The Physician and Sportsmedicine, 50, 3–10. https://doi.org/10.1080/00913847.2020.1864675

Simmons, N. (2024). An injury profile of musculoskeletal injuries in CrossFit athletes in KwaZulu-Natal. https://doi.org/10.51415/10321/5943

Our Physios

Mia Bailey

MPhysio, BExSpSc

Australian Rules

FIELD SPORTS

Running

Mia is a physiotherapist with a particular interest in team sport injuries, having worked in local AFL and regularly managing soft tissue conditions such as hamstring, calf and Achilles complaints.

Key Areas:

Achilles

Hamstring

Calf

Soft tissue

ACL

Knee

Running Assessments

James Elwin

Physiotherapist (B.Physiotherapy)

Olympic Lifting

Crossfit/Functional Fitness

Football/Cricket

James is a keen footballer in winter and cricket physio in Summer and is also a competitive Olympic lifter and Crossfit gym owner.

Key Areas:

Hamstring injuries

Calf injuries

Quad strains

Shoulder injuries

Back pain/injuries

achilles

Side strains

Lydia McCloskey

Physiotherapist (B.Sci, D.Physiotherapy)

MMA / Jiu Jitsu

Weightlifting

Crossfit/Functional Fitness

Lydia is a national level weightlifting athlete & University of Melbourne graduate who has been with the clinic for 4 years.

Key Areas:

Back pain/injuries

Shoulder injuries

Hamstring injuries

Neck pain

Post surgery rehab

LOWER LIMB INJURIES

KNEE INJURIES