Return-to-sport
and functional rehabilitation.
We rebuild your movement, your strength and your confidence after an injury. We use advanced training systems so that you can get back to what you enjoy, moving better than you did before you were injured.
Beyond recovery: coming back stronger
Rehabilitation does not end when the pain goes. It ends when you have regained 100% of your functional capacity, your confidence in movement and the ability to keep the problem from coming back. That is what we work towards.
We work with an integrated approach that combines neuromuscular control, progressive strengthening, movement re-education and the current training systems available to us. Every programme is designed from scratch around you, your injury, your activity level and your goals.
The Olympic experience Liliana Fernández brings to running the centre shapes the way we work: excellence, discipline and continuous improvement are not just words at Avanza Salud.
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Personalised programmes
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Years of clinical experience
The phases of your rehabilitation
Every injury moves at its own pace. We respect biological healing times and combine them with progressive training to get the most out of each phase.
Acute phase: pain control and protection
Reducing pain and swelling. Keeping movement going within a tolerable range. Starting gentle neuromuscular stimulation to limit muscle wasting.
Subacute phase: restoring movement
Regaining full range of motion, flexibility work and re-education of the basic movement patterns. Motor control and proprioception work begins here.
Functional phase: rebuilding strength
Progressive strength training, eccentric and concentric work on flywheel resistance systems, multiplanar functional exercise and core stability. The body regains its capacity to take load.
Return phase: back to activity
Gradual reintroduction of the specific sporting or work movements you need. High-intensity functional testing to confirm you are ready. Strategies to reduce the risk of re-injury.
Optimisation phase: better than before
Performance work and long-term prevention. Identifying and correcting the factors behind the injury so that it does not happen again. The aim is not to get back to your previous level, but to go past it.
Advanced training systems
We bring together advanced functional training tools so that your recovery moves forward as quickly as it safely can.
Flywheel resistance training
Flywheel systems with a conical pulley are one of the significant advances in return-to-sport rehabilitation and strength training. Unlike work with free weights, they produce resistance in the concentric phase and in the eccentric phase, and it is the eccentric phase that matters most for tendon remodelling and for reducing muscle injuries.
The load adapts to you: the harder you push, the greater the resistance. That removes the limit set by gravity and lets us work in any plane and at any angle of movement, with actions that closely match your sport.
Motor control and proprioception
After an injury, the nervous system loses proprioceptive information from the affected area. Without specific motor control and proprioception work, the risk of re-injury rises sharply even once the tissue itself has recovered. We train joint stability and neuromuscular control, from simple planes of movement up to complex tasks that reproduce everyday and sporting actions.
We use unstable surfaces, balance platforms, oculomotor work and cognitive dual-task exercises to retrain the sensorimotor system as a whole.
Therapeutic strength training
Muscle strength is the best protection a joint has. A well designed strength programme reduces the risk of injury, improves joint function and supports tissue recovery. We work with progressive loading, multi-joint exercises and phased planning to build muscular adaptations that are real and that last.
We base the programme on current scientific evidence, so that it is safe and effective whatever your starting level.
Clinical Pilates
Clinical Pilates adapted to rehabilitation is a valuable tool for working on core stability, body alignment, coordination and body awareness. We build its principles (control, centring, breathing, concentration, precision and flow) into the rehabilitation programme, progressively and around each person's goals.
Particularly useful in low back and neck problems, pelvic floor conditions and post-surgical rehabilitation.
Hypopressive exercises
Hypopressive exercises activate the deep core muscles (pelvic floor, transversus abdominis, diaphragm) without raising intra-abdominal pressure. That makes them a safe option in the early stages of post-surgical or postnatal rehabilitation, in preventing and managing pelvic floor dysfunction, and in improving overall posture.
We include them in the rehabilitation programme alongside the wider core work.
Advanced functional training
Functional training brings together multi-joint movements in different planes that reproduce the patterns of everyday life and sport. We work with TRX, resistance bands, kettlebells, sleds and other modern equipment to develop strength, power, endurance and agility in a way that is specific to you. The aim: that you move better, and more safely, than before the injury.
Who is return-to-sport rehabilitation for?
This kind of rehabilitation is not only for elite athletes. Anyone who wants to regain their mobility, their quality of life and their capacity to move can benefit from it.
Active adults
People who want to improve their quality of life, correct muscular imbalances or reduce the risk of future injury with a personalised movement programme.
Recreational athletes
Runners, cyclists, swimmers and anyone taking part in sport who has been injured and wants to get back to their activity safely.
Elite athletes
High-level competitors who need rigorous, sport-specific rehabilitation on the tightest workable timeline for their return to competition.
After surgery
Patients who have had knee, shoulder, hip, ankle or other joint surgery and need a full functional recovery.
A genuinely integrated approach
At Avanza Salud, rehabilitation does not sit on its own. It runs alongside physiotherapy and podiatry as one continuous course of treatment. The same team that assesses and treats you also takes you through the rehabilitation. That whole-picture view is what makes the difference.
Do you have a biomechanical foot problem that keeps causing the same injuries? We work on the podiatric correction and the rehabilitation at the same time. Have you had a muscle tear? Your physiotherapist and your return-to-sport specialist coordinate the treatment so that there are no jumps or gaps in your recovery.