{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T13:06:42Z","timestamp":1789391202512,"version":"build-2803163510"},"reference-count":121,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background\/Objectives: Elastic resistance bands are widely used in rehabilitation, injury prevention, and athletic conditioning because they are portable, inexpensive, and adaptable to multiple movement planes. However, their mechanical behavior and training dose are often insufficiently characterized. This structured narrative review aimed to synthesize current evidence on the neuromuscular mechanisms, prescription principles, and functional applications of elastic resistance bands in sports medicine and rehabilitation. Methods: PubMed, Scopus, Web of Science, and ScienceDirect were searched from inception to 31 May 2026. Peer-reviewed human studies and reviews were included when they addressed mechanical, neuromuscular, biomechanical, prescriptive, rehabilitative, injury-prevention, or performance-related aspects of elastic resistance exercise. Evidence was synthesized narratively to link mechanical configuration, neuromuscular responses, exercise prescription, and functional outcomes. Results: Elastic bands provide an ascending, position- and configuration-dependent resistance profile determined by band properties and exercise configuration. When effort and exercise configuration are controlled, elastic resistance can elicit muscle activation and strength adaptations comparable to conventional resistance, while supporting improvements in balance, functional capacity, power, sprint performance, change-of-direction ability, and selected sport-specific outcomes. Its directional versatility and capacity for gradual load adjustment support applications from early rehabilitation to return-to-sport and performance training. Nevertheless, prescription based on band color alone is inadequate, and inconsistent reporting limits reproducibility and study comparisons. Conclusions: Elastic resistance is a scalable and clinically relevant loading modality rather than an inherently low-load alternative. Evidence is more established for improvements in muscular strength and functional performance than for direct reductions in injury incidence or successful return-to-sport outcomes. Its effectiveness depends on explicit load quantification, individualized progression, appropriate exercise configuration, and transparent reporting of intervention parameters.<\/jats:p>","DOI":"10.3390\/jcm15187086","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T12:09:51Z","timestamp":1789387791000},"page":"7086","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Elastic Resistance Bands in Sports Medicine and Rehabilitation: A Narrative Review of Neuromuscular Mechanisms, Prescription, and Functional Applications"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7001-9004","authenticated-orcid":false,"given":"Eduardo","family":"Guzm\u00e1n-Mu\u00f1oz","sequence":"first","affiliation":[{"name":"School of Kinesiology, Faculty of Health, Universidad Santo Tom\u00e1s, Talca 3460000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6190-938X","authenticated-orcid":false,"given":"Exal","family":"Garcia-Carrillo","sequence":"additional","affiliation":[{"name":"Department of Physical Activity Sciences, Faculty of Education Sciences, Universidad Cat\u00f3lica del Maule, Talca 3480112, Chile"},{"name":"Department of Physical Activity Sciences, Universidad de Los Lagos, Osorno 5290000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7239-960X","authenticated-orcid":false,"given":"Antonio","family":"Castillo-Paredes","sequence":"additional","affiliation":[{"name":"Grupo AFySE, Investigaci\u00f3n en Actividad F\u00edsica y Salud Escolar, Escuela de Pedagog\u00eda en Educaci\u00f3n F\u00edsica, Facultad de Educaci\u00f3n, Universidad de Las Am\u00e9ricas, Santiago 8370040, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0004-3089","authenticated-orcid":false,"given":"Felipe","family":"Montalva-Valenzuela","sequence":"additional","affiliation":[{"name":"Escuela de Entrenador en Actividad F\u00edsica y Deporte, Facultad de Ciencias Humanas, Universidad Bernardo O\u2019Higgins, Santiago 8370993, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6003-5107","authenticated-orcid":false,"given":"Iv\u00e1n","family":"Molina-M\u00e1rquez","sequence":"additional","affiliation":[{"name":"Pedagogy in Physical Education, Faculty of Education, Universidad Adventista de Chile, Chill\u00e1n 3780000, Chile"},{"name":"Doctoral Programme in Physical Activity Sciences, Universidad Cat\u00f3lica del Maule, Talca 3460000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0774-606X","authenticated-orcid":false,"given":"Jose Jairo","family":"Narrea Vargas","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n en Nutrici\u00f3n, Metabolismo y Ejercicio, Facultad de Ciencias de la Salud, Carrera de Nutrici\u00f3n y Diet\u00e9tica, Universidad Cient\u00edfica del Sur, Lima 15067, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2924-6931","authenticated-orcid":false,"given":"Rodrigo","family":"Villaseca-Vicu\u00f1a","sequence":"additional","affiliation":[{"name":"School of Educational Sciences and Technology, Physical Education Pedagogy, Faculty of Education, Universidad Cat\u00f3lica Silva Henr\u00edquez, Santiago 8280354, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilio","family":"Jofr\u00e9-Sald\u00eda","sequence":"additional","affiliation":[{"name":"Escuela de Ciencias de la Actividad F\u00edsica, Facultad de Ciencias de la Rehabilitaci\u00f3n y Calidad de Vida, Universidad San Sebasti\u00e1n, Santiago 8370040, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9311-6576","authenticated-orcid":false,"given":"Rodrigo","family":"Y\u00e1\u00f1ez-Sep\u00falveda","sequence":"additional","affiliation":[{"name":"Faculty of Education and Humanities, School of Sports Sciences, Universidad Andres Bello, Vi\u00f1a del Mar 2200055, Chile"},{"name":"School of Medicine, Universidad Esp\u00edritu Santo, Samborond\u00f3n 092301, 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