This article aims to explain the role of the physiotherapist in sport in the care of acute sports injuries and optimization of movement stereotypes. These two roles are completely different and have their own characteristics. The health aspect is one that is neglected in professional sports. Physiotherapist´s role in the preparation of athletes this may change. However, it is necessary to make a compromise and besides quality also to ensure freedom of movement. To understand the importance of kinesiotherapy in sports training is required to inform the periodization of the annual training cycle in the sector of sports. This training cycle is divided into four parts. There are preparatory, pre-competitive, competitive and transitional period. The most important part of the annual training cycle is a preparatory period. Within it athlete undergoes greatest training block. The aim is to gradually develop all fitness, technical and psychological requirements. The role of physiotherapist in acute injury is to accelerate healing processes in the body of an athlete. In this situation conflict can occur as a sportsman and his coach due to different perceptions of health and competitive relations. Due to excessive motivation and desire to compete may athlete and his trainer want to rush rehabilitation. There is a place for the education of the current status and ongoing healing processes in order to avoid impairment, or more serious consequences. Physiotherapist should work in order to support self healing process. If the physiotherapist wants to change movement patterns is needed to know the periodization of training cycle. A good time for inclusion of kinesiotherapy is in the transitional period.