HYROX Injury Risk & Performance Screening
HYROX has rapidly become one of the fastest-growing fitness competitions in the world, combining endurance running with high-intensity functional strength exercises.
With 8km of running and 8 demanding workout stations, HYROX athletes place significant stress on their muscles, joints and tendons.
At Projuvenate Physiotherapy & Health Optimisation we specialise in HYROX physiotherapy, performance testing and injury prevention.
We have developed a HYROX-specific strength, movement and injury risk screening assessment designed to help athletes.
What we do
Whether you are preparing for your first HYROX race or competing at an advanced level, our screening provides valuable insight into how your body handles the demands of the sport.
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Reduce injury risk during training
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Improve performance across HYROX stations
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Identify strength and movement deficits
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Optimise training and recovery

Why HYROX Athletes Are at Risk of Injury
HYROX training combines running volume, heavy strength work and high-repetition functional movements, often performed under fatigue.
Common injuries seen in HYROX athletes include:
- Achilles tendon pain
- Patellar tendon pain (jumper’s knee)
- Hamstring strains
- Hip and groin injuries
- Lower back pain
- Shoulder irritation from wall balls and carries
These injuries often occur when load is not distributed efficiently throughout the body.
If movement patterns are inefficient or certain muscles are weaker than others, some structures become overloaded. Over time this can lead to pain, reduced performance and forced breaks from training.
Our HYROX screening identifies these issues early so they can be addressed before they become limiting injuries.
HYROX Performance & Injury Risk Screening
Our screening combines clinical physiotherapy assessment with elite sports science technology to evaluate the key physical components required for HYROX.
The assessment includes:
- Physiotherapy movement assessment
- Range of movement testing
- Strength testing
- Plyometric performance testing
This allows us to build a complete picture of how your body manages the physical demands of HYROX training.


Bed-Based Physiotherapy Assessment
The screening begins with a detailed physiotherapy assessment.
This includes evaluation of:
- Previous injury history
- Joint mobility
- Muscle flexibility
- Movement control
- Pain provocation tests
This assessment helps identify underlying mechanical issues that may contribute to injury or performance limitations.
Range of Movement Testing
HYROX athletes require good mobility to perform movements such as:
- Wall balls
- Lunges
- Running under fatigue
- Overhead movements
- Sled pushes and pulls
We assess mobility through key areas including:
- Ankles
- Hips
- Thoracic spine
- Shoulders
Restrictions in these areas can reduce movement efficiency and increase excess load on muscles and tendons.

Strength Testing Using VALD Performance Technology
At Projuvenate we use sports science technology from VALD Performance to measure strength objectively.
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ForceFrame Strength Testing
The ForceFrame measures force output in key muscle groups including:
- Hip muscles
- Groin muscles
- Lower limb stabilisers
These muscle groups are critical for sled pushes, lunges and running efficiency during HYROX.
ForceFrame testing allows us to identify:
- Strength deficits
- Side-to-side imbalances
- Areas that may be overloaded during training
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NordBord Hamstring Testing
The NordBord measures eccentric hamstring strength, which is vital for:
- Sprinting between stations
- Decelerating during running
- Protecting against hamstring injury
Reduced hamstring strength can significantly increase injury risk during high-intensity running.
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Dynamo Shoulder & Rotational Strength Testing
The Dynamo allows us to measure:
- Shoulder strength
- Rotational trunk strength
- Upper body force production
These elements influence performance in exercises such as:
- Wall balls
- Farmers carries
- SkiErg and rowing stations
Plyometric Testing Using ForceDecks
ForceDecks measure how your body produces and absorbs force during explosive movements.
Testing may include:
- Countermovement jumps
- Single-leg jumps
- Landing control assessments
These tests reveal important performance metrics including:
- Explosive power
- Limb asymmetry
- Deceleration control
Understanding these factors helps identify how well your body handles high-force athletic movements under fatigue.


Your HYROX Performance Profile
Following your screening you will receive a detailed explanation of:
- Strength asymmetries
- Movement inefficiencies
- Mobility limitations
- Areas of increased injury risk
- Opportunities to improve performance
If you want more, we can then provide clear guidance on:
- Strength training priorities
- Mobility work
- Injury prevention strategies
- Recovery strategies
Why HYROX Athletes Choose Projuvenate
Athletes training for HYROX need more than standard physiotherapy.
At Projuvenate we combine:
- Clinical physiotherapy expertise
- Sports science testing technology
- Strength and conditioning principles
to provide a data-driven approach to injury prevention and performance improvement.
Our goal is to ensure your body is capable of handling the demands of HYROX training and competition so you can train consistently and perform at your best.


Book Your HYROX Screening in Manchester
If you are preparing for an upcoming HYROX race or training regularly for the sport, our screening provides valuable insight into how your body is coping with training demands.
Book your HYROX Performance & Injury Risk Screening and discover how improving your strength, movement and power can help you:
- Train harder
- Reduce injury risk
- Improve race performance

