Intervenções fisioterapêuticas e sua influência na performance de corredores de rua: uma revisão sistemática

Street running requires technical support that transcends rehabilitation, positioning the physical therapist as a strategic pillar in performance optimization through biomechanical efficiency and neuromuscular control. The objective of this study was to analyze physical therapy interventions as a foundation for improving athletic performance and running economy (RE). A systematic review (PRISMA) was conducted with a protocol registered in the OSF (Open Science Framework, ID: 10.17605/OSF.IO/VM7PC). The search was performed in PubMed, SciELO, PEDro, and Cochrane databases (2014-2026). Clinical trials and reviews (PEDro score ≥ 6) focused on plyometrics, biofeedback, and mobility were included. From 1,789 studies evaluated, 12 were selected (mean PEDro score: 7.2). Reactive strength training and plyometrics showed the greatest efficacy (4% to 6.5% improvement in RE) by optimizing the stretch-shortening cycle and muscle stiffness, increasing running speed in long-distance events by approximately 3.8%. Cadence adjustment of 2,5% to 4,0% via kinematic biofeedback reduced peak vertical pressure by up to 12%, while mobility and core stability acted as permissive variables to sustain training volumes without compensations. Improved ankle dorsiflexion and lumbopelvic stability contributed approximately 1.5% to 3% gain in RE, preventing energy dissipation in accessory movements. It is concluded that physical therapy acts as an indirect ergogenic agent, essential for biomechanical fine-tuning and sports longevity. Result gains are achieved when the professional integrates these variables progressively and individually, maximizing energy efficiency safely and consistently.