Skip to Main Content




The pearl of long-term rehabilitation is to build a small team of core people who collaborate with other professions. Never walk alone!

Kjetil Jansrud, alpine skiing gold medallist at the 2014 Sochi Winter Olympic Games, 13 months after rupturing his anterior cruciate ligament


Sports injury rehabilitation is a dynamic, structured process that aims to:


  • restore the injured athlete’s function and performance level

  • return the athlete to sports participation in a safe and timely manner

  • minimise the risk of re-injury.


As previous injury is a prominent risk factor for future injury,1, 2, 3 rehabilitation is a critical aspect of our professions. In most cases, the goal should be to improve the athlete’s physical function to above their pre-injury level.


The foundation of sports injury rehabilitation is a targeted exercise program that is progressed gradually. As outlined in previous chapters (including 6 and 17), exercise therapy acts at the local tissue level and in the central nervous system. It may be used as a direct injury treatment (mechanotherapy)4 or to unload injured tissue via altered movement and muscle activation patterns. It is also important to maintain the athlete’s condition as much as possible throughout the rehabilitation process. A model of the parallel priorities of exercise prescription during the rehabilitation process is shown in Figure 18.1.

Figure 18.1

A model of the parallel priorities of exercise prescription during sports injury rehabilitation. The responsibility for implementation of the program should be gradually transferred from the medical team to the coach throughout the later phases of rehabilitation

Graphic Jump Location

Exercise prescription, progress and supervision is often performed by a physiotherapist (or similar health professional, for example sports rehabilitator, trainer, therapist). However, where possible, a broader multidisciplinary team including the sport and exercise medicine physician, orthopaedic surgeon and other sport scientists (such as strength and conditioning specialists) should collaborate in rehabilitation planning. It is also critical to engage coaches in all phases of rehabilitation. In the early phases, coaches need to understand the plan and appreciate the functional milestones. In the later phases they should take an increasingly active role in implementing the program (Fig. 18.1).


Active rehabilitation is often supplemented with medical and manual therapies that may enhance the effects of exercise through pain management and improved tissue adaptations (Chapter 17). The success of rehabilitation depends on introducing the most effective intervention at the right time in an adequate dosage.5


Modern sports injury rehabilitation is progressed through phases based on sound clinical reasoning, sequenced functional achievements and the completion of functional milestones. At the same time, knowledge of tissue-specific biological healing processes should be respected and will guide the rehabilitation timeline. Exercise prescription, communication and clinical reasoning are core skills for ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.


About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

Clinical Sports Medicine Collection Full Site: One-Year Subscription

Connect to one of the most renowned references in sports medicine and explore all aspects of diagnosis and management of sports-related injuries and physical activity. Subscription includes access to a library of sports medicine videos.

$65 USD
Buy Now

Pay Per View: Timed Access to all of Clinical Sports Medicine Collection

48 Hour Subscription $34.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.