Evidence map›Paper›PMID 42643759›Full record

ReviewBiology of sport2026

Digital twins in sports science: applications for performance enhancement, injury prevention, and rehabilitation through advanced big data analytics and deep learning methodologies - a comprehensive narrative review.

Afef Sédiri, Sabri Barbaria, Halil Ibrahim Ceylan, Andrea de Giorgio, Luca Puce, Valentina Stefanica, Nicola Luigi Bragazzi, Ismail Dergaa, Hanene Boussi Rahmouni

Abstract readReview
In one paragraph

Review in Biology of sport, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Afef SédiriLaboratory of Biophysics and Medical Technologies, LR13ES07 (BTM), University of Tunis Elmanar, Higher Institute of Medical Technologies of Tunis (ISTMT), Tunis, Tunisia.
Sabri BarbariaLaboratory of Biophysics and Medical Technologies, LR13ES07 (BTM), University of Tunis Elmanar, Higher Institute of Medical Technologies of Tunis (ISTMT), Tunis, Tunisia.
Halil Ibrahim CeylanPhysical Education and Sports Teaching Department, Faculty of Sports Sciences, Atatürk University, Erzurum 25240, Turkey.
Andrea de GiorgioArtificial Engineering, Naples 80121, Italy.
Luca PuceDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, 16132 Genoa, Italy.
Valentina StefanicaFaculty of Sciences, Physical Education and Informatics, National University of Science and Technology Politehnica Bucharest, Pitesti University Center, Pitesti, Romania.
Nicola Luigi Bragazzi *Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, Toronto, ON M3J 1P3, Canada.
Ismail Dergaa *High Institute of Sport and Physical Education of Ksar Said, University of Manouba, Mannouba 2010, Tunisia.
Hanene Boussi Rahmouni *Laboratory of Biophysics and Medical Technologies, LR13ES07 (BTM), University of Tunis Elmanar, Higher Institute of Medical Technologies of Tunis (ISTMT), Tunis, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Digital twin (DT) technology, combined with advanced computational methodologies, represents a paradigm shift in sports science. DTs generate virtual athlete replicas through real-time data integration and predictive analytics. While computational capabilities and data acquisition have advanced rapidly, DT applications in sports remain fragmented, warranting systematic synthesis. This narrative review examines the applications of DT in sports, with a focus on big data analytics and deep learning for performance enhancement, injury prevention, and rehabilitation. A narrative review was conducted using publications from 2018 to 2025 across multiple databases. Eligible studies applied DT frameworks, Artificial Intelligence (AI), including machine learning algorithms and deep neural networks, or big data analytics in elite and amateur sport contexts, with a focus on football as a case study. Extracted data focused on technological approaches, clinical outcomes, and practical applications. DT applications cluster into three domains: (1) performance enhancement via biomechanical modelling (convolutional or recurrent neural networks); (2) injury prevention using ensemble learning and predictive risk models; and (3) rehabilitation optimization through multimodal sensors and virtual reality. Key examples include cycling telemetry, computer vision for technique correction, and real-time musculoskeletal monitoring. The integration of generative AI and the Internet of Things further enhances predictive accuracy and decision-making. DTs offer significant potential for proactive athlete management. Widespread adoption requires standardized protocols, clinical validation, and robust ethical frameworks for data privacy. Successful integration supports data-driven training, individualized recovery, and enhanced athlete welfare.

Indexed as

Artificial intelligenceBig data analyticsBiomechanicsConvolutional neural networksDeep learningDigital technologyInjury preventionMachine learningRehabilitationSports medicineVirtual reality

Identifiers

PMID42643759
PMCPMC13504960

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.