Patterns of muscle changes following injury were found by a Neuro-biologist named Vladimir Janda. He demonstrated a recognisable trend after injury. In this trend some muscles consistently become tighter, and others weaker. Examples of common problems due to the resultant muscle imbalance are: pain behind the knee cap due to its mal-tracking; and pain in the shoulder due to tendon impingement.

Andrew uses Janda principles of assessment and treatment of muscle imbalance when designing individualised exercise programs. These programs usually include posture exercises emphasising core stability, and stretches. Janda principles are relevant for new problems as they are for old problems, from acute ankle strain, to ongoing back pain.

All injuries including sports and occupational injuries usually require a combination of different treatments. Return to full sport/occupational fitness, is enhanced by activity specific exercises. Occasionally on field or workplace assessment is necessary.

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