Strategic - of, relating to, or characterised by the identification of long-term or overall aims and interests and the means of achieving them; designed, planned, or conceived to serve a particular purpose or achieve a particular objective.

Strategic Health and Performance is an expert consultancy service specialising in identifying and eliminating physiological and physical limitations to health, function or performance.

I work with medical and health professionals, technical and performance coaches, as well as individuals to improve health, function, and performance in all populations from those with medical conditions (e.g., metabolic syndrome, diabetes, obesity, or respiratory conditions) to the elite and professional athlete. Let me help you achieve better health, function and performance effectively and efficiently.

Daniel Crumback

is Strategic Health and Performance

I am an internationally respected leader and expert in physiological testing, data analysis and exercise and nutrition programming with over 30 years of experience working with medical, general, and athletic populations. I am a registered Clinical Exercise Physiologist, High Performance Specialist, Strength and Conditioning Specialist, Chartered Activity and Exercise Practictioner, Physiotherapist, Sport Physiotherapist and Associate Fellow in Higher Education. My extensive and diverse background provides me with a unique perspective on testing and training.

After a highly successful 29-year career in the Canadian Armed Forces, I completed two years as the Director of Rehabilitation and Performance for Beijing Yanding where I taught exercise physiology, physiotherapy and performance coaching throughout China as well as working with Provincial, National, and Olympic athletes in a variety of sports. I was the Chief Technical Officer for China's External Clinic at the 2018 Winter Olympics in South Korea.

Upon my return from China, I was the Head of Science and Education for PNOĒ - a metabolic analysis company located in Athens, Greece - responsible for developing educational programming as well as working with clients to improve their testing, analysis and program design based upon metabolic testing results. I helped develop algorithms to analyse metabolic data, exercise programming for cardiovascular, respiratory, and metabolic limitations and created the Metabolic Analysis Certificate Program to educate medical, healthcare and trainers on metabolic testing and program design.

I then moved to England and completed two years at the University of Chichester as the Sport and Wellbeing Coordinator and lecturing in Physiotherapy and Clinical Exercise Physiology.

In August 2023, I moved to Cumbria and now provide physiotherapy and physiology services in the Penrith area in concert with Absolute Physiotherapy. I continue to provide internationally consultancy services to many physiology companies around the world. To book an appointment, email or call Absolute Physiotherapy at 07764 758965 or book a complimentary online session with me using the link provided.

Daniel Crumback

Daniel Crumback


Expert International Consultant and Lecturer

I am a recognised leader in physiological testing and training program design consulting with multiple leading edge technology companies including KORR, Moxy, NNOXX, Isocapnic and TymeWear. I work with many international clients providing analysis and programming as well as educational programming.

I help my clients, whether an individual, coach or fellow professional, to identify and eliminate cardioivascular, respiratory and metabolic limitations. By integrating my knowledge in metabolic analysis, near infrared spectroscopy, spirometry and movement, I identify physiological limitations by system. I then apply the latest technology and training theory to minimise any identified limitations through the use accurate zoning and limitation specific exercise and nutrition programming.

I also am a respected expert in respiratory training using devices such as the BreathWayBetter respiratory training device to minimize or eliminate respiratory limitations to function and performance. I provide the most comprehensive analysis of your health, function and performance and then help you minimise or eliminate these limitations to achieve your goals.

Creator of the Physiological Testing, Analysis and Training Certification Program.

The Physiological Testing, Analysis and Training Certification Program is a detailed program covering exercise physiology, physiological testing including the use of spirometry, metabolic testing (RMR and VO2max) and Near Infrared Spirometry (NIRS) on multiple modalities (e.g., running, cycling and rowing), data analysis, limitation identification, zoning, and exercise and nutrition prescription as well as advanced concepts in testing and training (e.g., respiratory training). You are taught how to apply these concepts to medical, general and athletic populations. It provides medical, allied health and fitness professionals with the concise and leading-edge knowledge needed to maximise their use of physiological testing to identify physiological limitations and prescribe the best programming for their customers allowing them to achieve their goals effectively and efficiently. It is recognised by NASM, AFAA and ACSM for continuing education credits. I have taught over 1,000 professionals from basic fitness trainers to MSc. in Exercise Physiology.

The program is both theoretical and practical. You will start with an indepth online theory program which can be completed at your own speed. Upon completion, you can sign up for an onsite practical course where you can apply the online theory preparing you for working effectively with clients. This program will reopen for registration in May 2024.




Musculoskeletal Injury and Re-Injury Risk and How to Mitigate Risk

My journey into non-contact musculoskeletal injury risk analysis and mitigation was a two part process. Step one - determine if I could decrease risk of re-injury through the use of a region specific graduated and phasic exercise programming. Step two - determine if I could establish risk of injury by region in a currently uninjured population.

While a Physiotherapy Office in the Canadian Armed Forces, we identified that many of our soldiers returned multiple times for physiotherapy care for the same area. As a physiologist and strength and conditioning expert, I realised that we were not preparing our soldiers with the capacity to withstand return to full duties. I therefore created a joint program with physiotherapy and military training staff - the Rehab for Performance (R4P) program - while employed as the Physiotherapy Regional Practice Leader for Western Canada. R4P is phasic, graduated, region specific exercise programming designed to decrease recidivism rates for musculoskeletal injuries. It allows for early referral to a safe and effective exercise program while still under the care of a physiotherapist. Each program is region specific and divided into four phases of graduated programming with baseline and discharge testing to ensure safe return to duty. It was such a success that it is currently being rolled out at every base in the Canadian Armed Forces.

I completed my Masters in Rehabilitation Science at University of Alberta. My thesis was The Use of Movement-Based Tests for the Prediction of Non-Contact Low Back Injuries in Military Personnel.

The objective of my study was to determine if personal characteristics, medical history, and movement-based test variables could predict non-contact musculolskeletal injury in military personnel without injury at baseline BY REGION.

Based upon my data collection, we divided my research into spinal, lower quadrant and upper quadrant prediction. I co-authored a published and cited paper on predicting upper quadrant musculoskeletal non-contact injuries in uninjured military population. A third research paper on predicting lower quadrant injury is awaiting review for publication. We were able to conclude that we could reliably determine soldiers who were at higher risk of injury in the next year by region.

I believe that by being able to identify risk of future injury by region - upper (neck, upper thoracic spine, shoulder and arm), spinal (thoracolumbar, pelvis, hip and knee) or lower (knee, ankle and foot), we can prescribe focused preventative exercise programming (R4P) that may be able to decrease future non-contact musculoskeletal injuries in currently uninjured populations and also decrease risk of re-injury in injured populations.


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