Exercise Physiology
Exercise
Physiology
Allied health professionals specialising in evidence-based exercise intervention — for rehabilitation, chronic disease management, performance, and everything in between.
What is Exercise
Physiology?
Exercise physiologists are allied health professionals who work in tandem with other disciplines to assist in the long-term management of chronic health conditions and musculoskeletal disorders — providing evidence-based exercise interventions tailored to the individual.
Through program development and lifestyle change support, our Accredited Exercise Physiologists design interventions around your specific needs, goals, and clinical picture — whether you're recovering from surgery, managing a chronic condition, or preparing for elite competition.
Clinical
areas.
Exercise physiology at 4D spans seven distinct clinical areas — from post-surgical rehab and neurological conditions through to chronic disease management, mental health, and elite performance training.
Injuries occur when the body does not have a robust enough response to the desired movement pattern. After identifying key areas requiring rehabilitation, our team design an injury management and prevention program suited to your unique lifestyle and goals — built around current best practice evidence.
We use VALD Force Plate technology to assess your current force production capacity, identify limb asymmetries, and detect potential strength discrepancies — providing objective data that directly guides individualised program design.
For those serious about their athletic pursuit, our High Performance Program builds on this foundation with structured periodisation, sport-specific S&C, and multi-disciplinary support.
- Reduce injury risk through targeted strength and movement work
- Identify and correct limb asymmetries via VALD force plate testing
- Restore full movement capacity and load tolerance
- Prevent recurrence through progressive loading and education
- Return to sport or activity at full capacity
Our exercise physiologists regularly manage post-operative patients recovering from orthopaedic procedures — designing structured programs that optimise surgical outcomes and restore full function safely and progressively.
Each program is designed around the specific procedure, stage of recovery, and individual capacity — with objective reassessment at key milestones to guide progression.
- Hip, knee and shoulder replacement
- ACL reconstruction
- Cervical, thoracic or lumbar spinal surgery
- Heart surgery and cardiac rehabilitation
- Fractures and stress fractures
- Reduce atrophy and muscle loss post-operatively
- Restore joint range of motion and neuromuscular control
- Address limb asymmetries and compensatory movement patterns
- Rebuild functional strength and capacity for daily life and sport
Our exercise physiologists provide individualised assessment, exercise prescription, behavioural change counselling, and ongoing support for people living with chronic and complex conditions. We believe people of any age can improve their exercise habits and receive meaningful clinical benefit.
Metabolic diseases — including obesity, hyperlipidaemia, metabolic syndrome, PCOS, type 1 and type 2 diabetes — disrupt critical metabolic functions. Customised evidence-based exercise programs address risk factors and manage existing conditions individually and in combination.
- Cardiovascular disease — hypertension, coronary heart disease, heart failure
- Type 1 & 2 Diabetes and metabolic syndrome
- Obesity and weight management
- Pulmonary diseases — COPD, asthma, cystic fibrosis
- Osteoarthritis, osteoporosis and rheumatoid arthritis
- Cancer — management of side effects during and after treatment
- Improved cholesterol, diabetes and cardiovascular markers
- Improved cardiorespiratory fitness and bone health
- Boosted energy, mood and endurance
- Weight management and reduced persistent pain
Pain has been proven to be reduced through exercise treatment. Our exercise physiologists identify and differentiate between subcategories of pain — neurological, musculoskeletal, acute, chronic, and DOMS — providing targeted education and graduated exercise programs that address the underlying drivers.
We aim to increase your confidence and ability to participate in regular physical activity, whilst improving sleep, mental health, and your overall understanding of pain — empowering you to independently manage flare-ups and prevent further tissue damage.
- Typically involving the body's response to tissue damage
- Shoulder, hip, knee and ankle impingement or bursitis
- Tendinopathy and inflammation
- Torn or sprained ankle, calf, hamstring, groin, rotator cuff
- Disc pathologies and low back pain
- Fibromyalgia
- Radiculopathy and sciatica
- Osteoarthritis
Physical activity and structured movement are highly recommended for managing neurological health conditions — preventing further loss of function and capacity, and improving quality of life across the full spectrum of neurological presentations.
Neurological conditions present differently in everyone and may affect multiple physical and physiological functions. Our exercise physiologists provide individualised programs aimed at recovering muscle strength, coordination, and fitness — enabling clients to get back to doing what they want and need to do.
- Parkinson's Disease
- Multiple Sclerosis (MS)
- Cerebral Palsy
- Stroke and acquired brain injury
- Spinal cord injury
- Peripheral neuropathy
- Recover muscle strength, coordination and fitness
- Improve gait function and walking capacity
- Prevent further loss of function and independence
- Improve quality of life through structured, supported movement
Exercise physiologists play an important role in supporting people with mental health conditions including depression, anxiety, and stress — both as a primary intervention and alongside medical management of chronic disease.
Exercise has a well-established evidence base for improving mood, reducing fatigue, and counteracting the negative metabolic side effects of psychiatric medications. Our team integrates mental health goals into the broader exercise program, working collaboratively with GPs and mental health practitioners.
- Improves mood in people with diagnosed depression or depressive episodes
- Manages fatigue and loss of fitness from inactivity
- Counteracts weight gain — a key side effect of psychiatric medication
- Improves sleep quality and energy levels
- Builds self-efficacy and functional independence
- Reduces anxiety through structured physical engagement
Our team designs individualised aerobic and strength-based programs for athletes who aspire to raise their performance. Our exercise physiologists are highly trained in enhancing performance through a thorough understanding of muscle, joint, neurological, and psychological function.
Alongside sport-specific injury rehabilitation, we prepare athletes for the physical demands of their chosen pursuit — reducing future injury risk through targeted prehabilitation of the joints, muscles, and tendons typically vulnerable in specific sports.
We use VALD Force Plate testing to identify biomechanical insufficiencies and highlight limb asymmetries in sport-specific movements — those 1% improvements that can make the difference at competition level.
- VALD ForceDecks bilateral force plate assessment
- Extensive private gym with high-performance aerobic and strength equipment
- Field-based sessions
- Multi-disciplinary support from EPs, Physiotherapists and Chiropractors
- Ongoing access to professional performance and injury advice
- Thorough assessment and performance analysis
- Individualised aerobic and strength-based programming
- Functional Movement Assessment with objective data
- Supervised delivery under multi-disciplinary team
Objective assessment technology
VALD Force Decks and Dynamo
Testing.
4D Health and Performance uses VALD ForceDecks, the world-leading bilateral force plate system trusted by elite sporting organisations and research institutions across the globe, including the NRL, AFL, NBA, and leading university biomechanics labs.
Where a visual assessment tells you something is off, the VALD system tells you exactly what, by how much, and which side. This is the difference between clinical instinct and objective data — and it changes the precision of everything that follows.
Our exercise physiologists use VALD force plate testing to objectively quantify your force production, identify bilateral asymmetries, measure rate of force development, and track progress over time — removing the guesswork from program design and rehabilitation milestones.
VALD force plate testing photo
Funding &
rebates.
Exercise physiology at 4D is accessible through a broad range of funding pathways. No referral is required for private health — Medicare CDM, DVA, and NDIS each require a relevant referral or plan.
Medicare Chronic Disease Management
You may be eligible for up to five (5) appointments per calendar year with an Accredited Exercise Physiologist under a Medicare Chronic Disease Management plan. There is no fixed list of eligible conditions.
Speak with your GP about a CDM referral. Bring your referral to your initial consultation. Our team will liaise with your GP throughout your care to keep them informed of your progress.
Department of Veterans' Affairs
Exercise Physiology services are funded by the DVA for both Gold and White card holders. To get started, speak with your GP about eligibility and organise a D904 referral.
Our exercise physiologists will assess your current physical and social health, help establish goals, and develop an exercise management plan — providing timely updates to your GP throughout.
National Disability Insurance Scheme
4D Health and Performance is a registered NDIS provider. We work collaboratively with participants to construct a plan aimed at reducing the impact of disability, improving quality of life, and increasing the ability to perform daily activities.
We accept self-managed, plan-managed, and NDIS-managed treatment plans. Following your initial consultation, we liaise directly with you or your support coordinator and plan manager on the recommended treatment plan.
Appointment
types.
Choose the session that best fits your situation. Call us on (02) 8041 0762 if you're unsure.
Initial Consultation
Our initial consultation is structured around an in-depth medical history and physical examination — including VALD force plate assessment where indicated — to establish your current capacity, set goals, and build your initial management plan.
Your exercise physiologist will determine the most appropriate program pathway and identify any need for referral within the 4D team or to external allied health practitioners.
- In-depth medical history and physical examination
- Capacity and fitness assessment
- VALD force plate testing where indicated
- Individualised goal setting — short and long-term
- Initial exercise program prescription
- Referral to internal team or imaging if needed
Standard Follow Up
A standard follow-up for existing 4D clients — involving re-assessment of your progress, continued hands-on or supervised exercise treatment, and an update to your rehabilitation plan.
All of our Exercise Physiologists are ESSA Accredited and registered for on-the-spot HICAPS private health fund rebates.
- Progress review and outcome re-assessment
- Continued supervised exercise treatment
- Program update and progression
- Internal referral to physio or chiro where beneficial
- Ongoing support and monitoring
Short Consult
Select this 30-minute booking if you are an existing patient who has attended within the last 12 months, presenting for a known injury, and require a shorter rehabilitation session only.
A focused session to progress your program and keep your recovery on track without the extended assessment time of a full follow-up.
- Progressive exercise prescription aligned with recovery goals
- Review of management plan and recovery timelines
- Objective assessment where applicable
- Internal referral where relevant
- Ongoing post-session support
Long Consultation
For complex cases requiring extra time — multiple areas of concern, comprehensive VALD force plate assessment and programming, or presentations needing a more detailed clinical review and goal-setting session.
Gives your exercise physiologist the full picture: history, objective testing, goal setting, program design, and coordination with the rest of your care team.
- In-depth medical history review — medications, injuries, surgeries
- Thorough objective assessment — resting measures, body composition, functional movement screening
- VALD force plate analysis — bilateral force production and asymmetry
- Individualised goal setting with short and long-term pathways
- Tailored evidence-based exercise prescription
- Internal referral to physio or chiro as needed
- Ongoing post-consultation support
Individualised
programming.
4-Week Program
Structured Take-Home Program
Following your assessment, you will receive an individualised 4-week program designed around your goals and current capacity. Your program allows you to monitor and track progress independently between sessions — with clear progression benchmarks built in.
Each program is reviewed and updated at key milestones to ensure it continues to challenge and advance your capacity as you improve.
Online Programming
TeamBuildr Online Platform
Ongoing weekly programming is delivered through the TeamBuildr application, giving you direct contact with our Strength & Conditioning department and allowing our team to make real-time adjustments as your program evolves.
Teambuildr keeps your program accessible on your phone, tracks your performance data session by session, and lets you log feedback directly to your EP, bridging the gap between clinic visits and keeping your programming on track.
Fees &
pricing.
Transparent pricing across all consultation types. Visit packs available for Standard sessions, the most cost-effective way to commit to a structured program.
| Appointment Type | Standard | Senior Practitioner | Principal Practitioner |
|---|---|---|---|
| Initial Consultation60 minutes | $150 | $160 | $170 |
| Standard Follow Up45 minutes | $130 | $135 | $140 |
| Short Consult30 minutes | $110 | $120 | $130 |
| Long Consultation60 minutes | $200 | $210 | $220 |
| 5 Visit EP PackStandard sessions | $625 | $650 | $675 |
| 10 Visit EP PackStandard sessions | $1,150 | $1,200 | $1,250 |
All Exercise Physiologists are ESSA Accredited and registered for on-the-spot HICAPS private health fund rebates. No referral required for private health. Medicare CDM, DVA, and NDIS require relevant referrals or plans. Rebate amounts depend on your fund and level of cover.
Meet the team
Our exercise
physiologists.
Domenic, Navneet, Luke, and Maddie — covering chronic disease, women's health, WorkCover, NDIS, sports injury, and high performance.
Photo of Domenic
Principal Exercise Physiologist
Photo of Navneet
Exercise Physiologist
Photo of Luke
Exercise Physiologist
Exercise Physiologist
Hours & Access
6 days a week
Monday – Friday: 8am – 7pm
Saturday: 7am – 1pm
No referral required for private health. Medicare CDM, DVA and NDIS require relevant referral or plan documentation.
Sydney CBD
Level 2, 160 King St
Near Town Hall & QVB
Sydney NSW 2000
(02) 8041 0762 Get directions →Ready to get
started?
Book online or call the clinic. Our team will match you with the right practitioner and appointment type for your needs.