This week we have the honor to interview a group of rehab and performance experts across the NFL and F1. We discussed neck training, their approach to neck training, the various modalities, best practices and trends that they are seeing in the market.
Pieter Bulsink, the CEO of Maverick Training, a sports performance company focused on elite athletes in F1 and other sports. Pieter has worked with F1 drivers such as Max Verstappen at Red bull (F1).
Kim Brouzes, an experienced Canadian sports therapist and CEO of Kinmetrix which built an advanced neck strengthening device collecting data.
Ryan Juarez, the director of rehabilitation at the Commanders, an NFL team.
đShow Notes: Through this interview, we touched on neck training related topics especially:
Why neck training has become a priority in your sport, and how their approach evolved over the past 5â10 years.
How they assess neck strength and function in their athletes and if there are specific tools or protocols they rely on.
What a typical neck training program looks like during the offseason vs. in-season for your athletes.
If they have seen correlations between neck strength and reduced concussion or whiplash incidents.
What innovative technologies or techniques are making an impact in neck training right now.
What advice they would give to programs with limited resources who still want to prioritize neck health and performance.
You can read the full transcript of the podcast interview located at the top of this blog post.
Here are some of the best quotes of our conversation with Pieter, Kim and Ryan:
1. Why has neck training become a priority in your sport, and how has your approach evolved over the past 5â10 years?
Pieter Bulsink (F1):
âIn motorsports, especially Formula One, everything starts at 300 kilometers an hour, and the G-forces on the neck are brutal. But what's often overlooked is the cognitive load that comes with it. When the neck fatigues, the entire sensory feedback loopâvision, vestibular input, motor coordinationâbegins to break down. Thatâs why our approach has evolved from just building neck strength to building strategic overcapacity. We donât just want a strong neckâwe want an unbreakable foundation for visual processing and cognitive function, especially under fatigue.â
Ryan Juarez (NFL):
âIn American football, concussions have always been a concern, but about 10 to 15 years ago, awareness really exploded. Since then, everything has changedâfrom prevention to rehab, to return-to-play protocols. The evolution has been dramatic. Neck training used to be kind of genericâjust another part of the strength program. But now itâs much more personalized and targeted. When I was in college football, we had a season with over 20 concussions. It became a crisis. Strength coaches were asking, âWhat more can I do?â Thatâs when we really started to focus on neck training as a key piece of the puzzle.â
Kim Brouzes (Kinmetrix):
âTo this day, we still donât have a normative data pool for neck strength in athletes. People ask me all the time, âWhatâs a strong neck?â And I have to say, âI honestly donât know.â We used to assume the big football guys with massive necks were the strongest, but thatâs not always true. You canât just look at size and assume strength. As we collect more data on the rest of the body, itâs becoming more clear that we need to apply the same data-driven approach to the neck.â
2. How do you assess neck strength and function in your athletes? Are there specific tools or protocols you rely on?
Pieter Bulsink:
âWe have a testing protocol for our F1 drivers where strength is just the starting pointâbut function is king. We measure isometric holds in all planes, assess rotational control, and evaluate fatigue resilience through stress testing. One of our key differentiators is what we call âcognitive coupling.â We put athletes through visual cognitive drills while theyâre under neck fatigue to see how mental performance holds up. Thatâs where we find the real difference in high-level performance.â
Ryan Juarez:
âIn football, neck strength assessments are usually tied to our concussion baseline and orthopedic physical exams. But Iâll be honestâitâs mostly subjective. We use simple isometric strength tests, goniometers for range of motion, or a 0 to 5 scale for manual resistance. Itâs not very precise, which is why weâre always on the lookout for more objective tools that can help us be proactive, not just reactive.â
Kim Brouzes:
âFor years, neck assessments were completely subjectiveâjust a practitioner using their hands and saying, âYeah, that feels like a 4 out of 5.â Now with technologies like the Kinmetrix Arc device, we can finally collect objective data. We can assess strength isometrically and isokinetically through the full range of motion, and that opens the door for tracking progress, comparing athletes, and tailoring rehab or performance plans in a much more meaningful way.â
3. What does a typical neck training program look like during the offseason vs. in-season for your athletes?
Ryan Juarez:
âRight now weâre in our offseason, and our players lift four times a weekâtwo upper body, two lower body. Neck training is built into the upper body sessions. Once weâre in-season, the load drops. Players are required to lift at least once a week, sometimes twice depending on the individual. We use four-way neck machines, manual resistance, bands, and sometimes med balls with rotational patterns. At one college I was at, we went from 21 concussions in one season down significantly after adding manual resistance neck work. The guys bought into it.â
Pieter Bulsink:
âOur F1 drivers travel constantly, so in the offseason we focus on building capacity through max strength, isometrics, resistance training, and fatigue protocolsâespecially emphasizing rotation, which is key for performance. We train 2â3 times a week using progressive overload. In-season, itâs all about maintenance and neuromuscular readiness. We microdoseâshort bursts, high intent, low volumeâto keep them sharp without overloading them.â
Kim Brouzes:
âIn-season training is all about maintenance. You donât want to create tissue damage or inflammation that could compromise performance. The real adaptationsâstrength, resilience, tissue changesâhappen in the offseason. Thatâs when you load and build.â
4. Have you seen any correlations between neck strength and reduced concussion or whiplash incidents?
Pieter Bulsink:
âWe had one driver who crashed hardâinto the tire wall, then spun into a concrete wall. Even with safety gear like the HANS device, it was a brutal hit. But he recovered incredibly fast, and I believe that was because of his neck strength. It's anecdotal, but it was very clear that his neck helped reduce the long-term effects.â
Ryan Juarez:
âIn college football, Iâve seen seasons with 20 concussions drop dramatically the next year when we added more targeted neck training. Itâs hard to say definitively that neck strength alone was responsible, but I believe it played a huge role. The guys who lift consistently and take their training seriously seem to recover faster from concussions, too.â
Kim Brouzes:
âSome studies suggest every pound of neck strength reduces concussion risk by about 5%, and increased extension strength can reduce concussion severity by 13%. But the quality of the research varies because the tools used were inconsistentâdevices made in garages, tubing, etc. We need more standardized, accurate testing to really validate those findings. That said, the logic holds: a stronger neck means more control and less violent movement of the head during impact.â
5. What innovative technologies or techniques are making an impact in neck training right now?
Pieter Bulsink:
âFor us, the game-changer has been integrating cognitive fatigue into our neck training. Our drivers donât need balanceâtheyâre strapped into a seatâbut they do need razor-sharp focus under pressure. When cognitive fatigue sets in, motor control slows down. If your neck canât stabilize that properly, everything else falls apart. Thatâs why weâre starting to explore connections between cognitive fatigue and concussion riskâitâs going to be a huge area of development.â
Kim Brouzes:
âAt Kinmetrix, weâve developed a device called the ARC that allows us to test neck strength isometrically and isokinetically through a full 72-degree range. Early in-house testing is showing improvements in spatial awareness, cervicogenic headaches, and reduced neck pain. But weâre not here to replace existing tools like Iron Neck or TopSpin 360âweâre here to complement them and provide the data to validate whatâs working.â
6. What advice would you give to programs with limited resources who still want to prioritize neck health and performance?
Pieter Bulsink:
âStart simple, but donât wing it. Use isometric holds in every directionâpartner drills, resistance bands, towels, even neck harnesses if you have them. Most importantly, be consistent. Focus on endurance and movement control, not just brute strength. You donât need fancy tools to build a smart, strategic neck training program.â
Ryan Juarez:
âThe most important thing is just to start. Thereâs a lot of gear out thereâfrom high-end devices to simple bands. You donât need all of it. Focus on workflow. Athletes are busyâso find something that fits into their routine without adding friction. Efficiency is everything.â
Kim Brouzes:
âUnderstand the difference between harm and hurt. A lot of people donât train their necks, so when they do, the soreness can scare them off. But thatâs normalâjust like training legs or shoulders. Be consistent, educate your athletes, and use simple tools like bands, towels, and manual resistance. Thatâs how we did it for decades, and it still works.â
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