Editorial

Applied Biomechanics in Sports Performance, Injury Prevention,

and Rehabilitation
Alfonso Penichet-Tomas

Research Group in Health, Physical Activity, and Sports Technology (Health-Tech), Faculty of Education,
University of Alicante, 03690 San Vicente del Raspeig, Spain; [email protected]

1. Introduction
Biomechanics has become an integral discipline in the sports field, enabling the op-
timization of performance, injury prevention, and athlete rehabilitation. Thanks to the
development of new technologies and analytical methods, advances in biomechanics have
enhanced the understanding of human movements and their implications for health [1].
This discipline combines the principles of mechanics with anatomy and physiology to
examine how external and internal forces affect the body during exercise and sports [2].
Through its application, sports professionals not only improve the effectiveness and safety
of training but also develop more effective injury prevention strategies and rehabilitation
programs [3]. The study of the kinematics and dynamics of sports movements provides
crucial information on how athletes generate and control forces [4]. The use of motion cap-
ture systems, accelerometers, pressure platforms, and force sensors has allowed for more
precise quantification of athletes’ performance, optimizing their techniques and reducing
unnecessary effort [5]. In high-performance sports, biomechanical advances allow for the
analysis of how small variations in movement, such as takeoff angles during jumping or the
trajectory of a kick, influence performance [6]. Research has shown that biomechanically
efficient techniques not only enhance the athlete’s capability but also reduce the negative
impact of external forces [7].
Biomechanics plays a key role in injury prevention, identifying and correcting move-
ment patterns that increase the risk of harm [8]. Common injuries, such as sprains, muscle
tears, tendinitis, or knee injuries, are often the result of inefficient or incorrect movements [9].
Research has shown that poor alignment during high-impact activities, such as running
or jumping, can generate excessive stress on joints and soft tissues, predisposing athletes
Citation: Penichet-Tomas, A. Applied
to chronic injuries [10]. In this regard, the integration of real-time monitoring devices
Biomechanics in Sports Performance,
Injury Prevention, and Rehabilitation.
has improved the ability to detect changes in movement mechanics that may precede an
Appl. Sci. 2024, 14, 11623. https://
injury [11]. Advances in imaging technology and motion analysis have allowed physical
doi.org/10.3390/app142411623 therapists and doctors to closely monitor the recovery process of athletes, adjusting rehabil-
itation protocols according to the specific biomechanical needs of the patient. In several
Received: 8 December 2024
sports disciplines where knee injuries are common, biomechanical studies have enabled
Accepted: 11 December 2024
the design of more personalized protocols that accelerate recovery without increasing the
Published: 12 December 2024
risk of re-injury [12].
This Special Issue presents the recent advancements relating to the role of biome-
chanics in sports performance, injury prevention, and rehabilitation. Compiling results
Copyright: © 2024 by the author. from various investigations, the findings underscore the importance of biomechanics in
Licensee MDPI, Basel, Switzerland. designing adaptive training programs that meet the specific demands of each sport, thereby
This article is an open access article optimizing athletic performance and reducing injury risks. This comprehensive approach
distributed under the terms and not only improves performance but also contributes to effective injury prevention and
conditions of the Creative Commons rehabilitation strategies, making biomechanics an essential field in sports science.
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).

Appl. Sci. 2024, 14, 11623. https://doi.org/10.3390/app142411623 https://www.mdpi.com/journal/applsci

Appl. Sci. 2024, 14, 11623 2 of 5

2. An Overview of the Published Articles

Biomechanical analysis plays a crucial role in understanding and optimizing sports
performance. This Special Issue compiles research addressing various aspects of the
application of biomechanics to sports, covering topics ranging from movement variability
in skiers to the integration of concurrent training into the development of swimmers
and young soccer players. In the study on slalom skiing, Pérez-Chirinos Buxadé et al.
(contribution 6) assessed how slope steepness and gate configurations influence movement
variability (MV) and performance in elite skiers. By measuring MV through entropy and
by analyzing total race time, the researchers found that steeper slopes and curved courses
significantly increased MV, while better race times were correlated with lower MV. These
findings underscore the role of motor control in technical skiing performance. On the
other hand, Arsoniadis et al. (contribution 8) explored the effects of a concurrent training
program combining maximum strength or muscular endurance with sprint interval training
(SIT) in swimming. After six weeks, improvements in stroke rate (SR) were observed in
groups incorporating dryland training, while no significant changes were noted in stroke
length or stroke index. These findings suggest that concurrent training can enhance
specific biomechanical components, particularly stroke rate, improving efficiency in front
crawl swimming. In their study on the interaction between strength training and running
performance, Pérez-Castilla et al. (contribution 9) compared velocity-based training (VBT)
squat protocols to evaluate their acute effect on the maximal aerobic speed (MAS). All
protocols reduced MAS compared to the control condition, with the greatest decrease
observed with higher velocity loss during sets. These results indicate that the immediate
application of VBT before endurance tests can negatively affect aerobic performance due
to the induction of fatigue. Ioannou et al. (contribution 12) examined the impact of a
combined balance and multidirectional plyometric training program in U-13 soccer players.
Although no significant changes in postural stability were recorded after six weeks, a trend
towards improvement was identified with regard to lower-limb explosive performance.
However, visual restrictions impaired postural control, highlighting the importance of
evaluating challenging conditions during training.
Two recent studies addressing biomechanical aspects related to muscle activation and
isometric strength assessment offer new insights with utility in rehabilitation and training.
In the first study, Pinho et al. (contribution 2) investigated antagonist muscle coactiva-
tion in thighs and ankles during the sit-to-stand task in post-stroke and healthy subjects.
Dysfunctional coactivation was more pronounced in ankle muscles than in thigh muscles,
suggesting that the distal segment may better reflect central nervous system dysfunction in
post-stroke patients. These findings highlight the importance of conducting further studies
to clarify the spatiotemporal variability in coactivation levels in this population. In the
second study, Mellemkjar et al. (contribution 5) assessed the between-session reliability
and concurrent validity of using the FysioMeter H-station to measure isometric quadriceps,
hamstring strength, and the hamstring-to-quadriceps (H/Q) ratio compared to the values
obtained with an isokinetic dynamometer (ID). The H-station demonstrated excellent rela-
tive reliability and moderate to strong concurrent validity for hamstring and quadriceps
strength compared to the ID. These results indicate that the H-station is a reliable tool for
tracking relative changes in isometric strength, providing a practical alternative to the ID
for clinical and sports environments.
Biomechanics is also a crucial discipline in terms of understanding how athletes
perform and how they can reduce the risk of injuries. Recent studies have highlighted the
importance of biomechanical analysis in various sports and contexts, shedding light on
the impact of training loads, injuries, and postural strategies on performance and health.
The first study by Lehnert et al. (contribution 3) explored the impact of competitive match
play and subsequent training on landing biomechanics. The results indicated that the
competitive load, including matches and training, did not negatively affect the landing
mechanics of the players or increase the risk of ACL injuries. This suggests that, within the
context of the competitive microcycle, there may not be a significant biomechanical impact
Appl. Sci. 2024, 14, 11623 3 of 5

on lower limb movements during landing, thus alleviating concerns about the risk of injury
during regular training and competition cycles in young female athletes. In a different
context, Gräf et al. (contribution 7) examined the upper-body postures of nurses during
manual patient handling, a physically demanding task that places significant strain on
the body. The findings revealed considerable differences in posture angles and movement
accelerations across nurses and between different repositioning sequences. These results
highlight the importance of ergonomic training in healthcare settings, emphasizing that
nurses who engage in manual handling may benefit from targeted interventions aimed
at reducing physical strain. A study by Kirkham et al. (contribution 10) further expands
the scope of biomechanics by investigating the effects of concussions on static postural
stability. The results demonstrated that individuals with a history of concussions exhibited
greater postural sway compared to those without such a history. Furthermore, individuals
with multiple or recent concussions showed more pronounced postural instability. These
findings underline the long-term effects of concussions on balance and stability, which
can have serious implications for athletes’ performance and increase the risk of further
injuries. Lastly, León-Guereño et al. (contribution 11) examined the injury incidence in
“Traineras” rowing, a traditional competitive rowing modality in northern Spain. The study
found significant differences in injury patterns between male and female rowers, with men
reporting a higher injury incidence. This research is vital for developing sport-specific
injury prevention programs that can help rowers to maintain performance levels while
reducing injury risks in traditional rowing disciplines.
Biomechanics plays a key role in rehabilitation, particularly in improving movement
quality and restoring function. Two recent studies explored the integration of biomechanics
into rehabilitation practices, focusing on smartphone-based video analysis for shoulder
exercises and robotic-assisted rehabilitation for lower-limb osteoarthritis patients. Lopes
et al. (contribution 1) evaluated the use of smartphone-based 2D video analysis to assess
movement quality during shoulder exercises, comparing it with the gold-standard 3D opto-
electronic system. The results showed that while the smartphone application was generally
in agreement with the 3D optoelectronic system, it demonstrated lower sensitivity in terms
of detecting poor-quality movements. This suggests that smartphones can be a useful tool
for home-based rehabilitation, enhancing patient engagement and autonomy, although
they may be less effective in assessing low-quality exercises. In a different rehabilitation
context, Castelli et al. (contribution 4) investigated robotic-assisted rehabilitation for elderly
patients’ post-hip or knee replacement surgery. The study compared robotic therapy with
conventional treatment in 24 patients, assessing balance, walking, fatigue, and quality
of life. The robotic-assisted group showed significant improvements in dynamic balance
and walking, as well as reductions in motor and cognitive fatigue. These findings sug-
gest that robotic systems provide more targeted interventions than conventional methods,
improving balance and mobility in elderly patients, thereby reducing the risk of falls.

3. Conclusions
By incorporating biomechanical principles into training, rehabilitation, and injury
prevention strategies, athletes and professionals in various fields can improve performance
and reduce the likelihood of injuries. Collectively, these studies highlight the relevance of
biomechanics in designing adaptive training strategies that address the specific demands
of each sport and competitive level. This multidimensional approach contributes to the
development of effective programs to optimize athletic performance and prevent injuries.
Future research should continue to explore the dynamic relationship between biomechanics,
performance, and injury risk, offering practical recommendations for optimizing training
regimens and enhancing safety across a range of athletic contexts.

Funding: This research received no external funding.

Conflicts of Interest: The author declares no conflicts of interest.
Appl. Sci. 2024, 14, 11623 4 of 5

List of Contributions
1. Lopes, M.; Melo, A.; Cunha, B.; Sousa, A. Smartphone-Based Video Analysis for
Guiding Shoulder Therapeutic Exercises: Concurrent Validity for Movement Quality
Control. Appl. Sci. 2023, 13, 12282. https://doi.org/10.3390/app132212282.
2. Pinho, L.; Sousa, A.; Silva, C.; Cunha, C.; Santos, R.; Tavares, J.; Pereira, S.; Pinheiro,
A.; Félix, J.; Pinho, F.; Sousa, F.; Silva, A. Antagonist Coactivation of Muscles of Ankle
and Thigh in Post-Stroke vs. Healthy Subjects during Sit-to-Stand Task. Appl. Sci. 2023,
13, 12565. https://doi.org/10.3390/app132312565.
3. Lehnert, M.; Bělka, J.; Hůlka, K.; Sikora, O.; Svoboda, Z. The Landing Biomechanics
in Youth Female Handball Players Does Not Change When Applying a Specific
Model of Game and Weekly Training Workload. Appl. Sci. 2023, 13, 12847. https:
//doi.org/10.3390/app132312847.
4. Castelli, L.; Iacovelli, C.; Ciccone, S.; Geracitano, V.; Loreti, C.; Fusco, A.; Biscotti,
L.; Padua, L.; Giovannini, S. RObotic-Assisted Rehabilitation of Lower Limbs for
Orthopedic Patients (ROAR-O): A Randomized Controlled Trial. Appl. Sci. 2023, 13,
13208. https://doi.org/10.3390/app132413208.
5. Mellemkjær, F.; Madeleine, P.; Nørgaard, J.; Jørgensen, M.; Kristiansen, M. Assessing
Isometric Quadriceps and Hamstring Strength in Young Men and Women: Between-
Session Reliability and Concurrent Validity. Appl. Sci. 2024, 14, 958. https://doi.org/
10.3390/app14030958.
6. Pérez-Chirinos Buxadé, C.; Moras Feliu, G.; Tuyà Viñas, S.; Trabucchi, M.; Gavaldà
Castet, D.; Padullés Riu, J.; Fernández-Valdés Villa, B. Influence of the Slope and Gate
Offset on Movement Variability and Performance in Slalom Skiing. Appl. Sci. 2024, 14,
1427. https://doi.org/10.3390/app14041427.
7. Gräf, J.; Argubi-Wollesen, A.; Otto, A.; Steinemann, N.; Mattes, K.; Wollesen, B. Dif-
ferences in Nurses’ Upper-Body Posture in Manual Patient Handling—A Qualitative
Case Study. Appl. Sci. 2024, 14, 2295. https://doi.org/10.3390/app14062295.
8. Arsoniadis, G.; Chalkiadakis, I.; Toubekis, A. Concurrent Sprint Swimming Interval
and Dryland Training: Performance and Biomechanical Variable Changes within a
Mesocycle. Appl. Sci. 2024, 14, 2403. https://doi.org/10.3390/app14062403.
9. Pérez-Castilla, A.; Ruiz-Alias, S.; Ramirez-Campillo, R.; Miras-Moreno, S.; García-
Pinillos, F.; Marcos-Blanco, A. Acute Effect of Velocity-Based Resistance Training on
Subsequent Endurance Running Performance: Volume and Intensity Relevance. Appl.
Sci. 2024, 14, 2736. https://doi.org/10.3390/app14072736.
10. Kirkham, M.; Kodithuwakku Arachchige, S.; Driscoll, L.; Smith, B.; Brewer, P.; Hanaki,
S. The Effects of Concussions on Static Postural Stability. Appl. Sci. 2024, 14, 2885.
https://doi.org/10.3390/app14072885.
11. León-Guereño, P.; Penichet-Tomas, A.; Castañeda-Babarro, A.; Jimenez-Olmedo, J.
Injury Incidence in Traineras: Analysis of Traditional Rowing by Competitive Level
and Gender. Appl. Sci. 2024, 14, 3805. https://doi.org/10.3390/app14093805.
12. Ioannou, G.; Kanioris, E.; Nikolaidou, M. Effect of a Short-Term Combined Balance and
Multidirectional Plyometric Training on Postural Balance and Explosive Performance
in U-13 Male and Female Soccer Athletes. Appl. Sci. 2024, 14, 4141. https://doi.org/
10.3390/app14104141.

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