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Exercise Therapy for Sport-Related Injury Rehabilitation: New Trends

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A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Sports Medicine and Sports Traumatology".

Deadline for manuscript submissions: closed (1 May 2023) | Viewed by 7795

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Special Issue Editor

Prof. Dr. Marko D.M. Stojanović

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Guest Editor

Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
Interests: strength and conditioning; injury prevention and rehabilitation

Special Issue Information

Dear Colleagues,

Given the high prevalence of sport-related injuries in both athletes and the general population, novel evidance-based rehabilitation protocols for treating these conditions are more then needed. Although rehabilitation covers a range of interventions, exercise has been extensively proved to be the single-best rehab modality, with strong positive effects in reducing inflammation, promoting the repair and regeneration of tissues, restoring range of motion, increasing joint stability, muscle strength and endurance and improving other fitness attributes. In the last decade or two, movement-oriented science disciplines (sport science, Physiotherapy, sports medicine, etc.) introduced a myriad of training modalities with proposed effects on different population groups. It is necessary to continue improving and developing our knowledge of these interventions in order to improve both science and clinical practice in the rehabilitation of sport-related injuries. This Special Issue welcomes papers dealing with the effects of different therapeutic exercise modalities (novel ones are particularly welcome) on various fitness or health outcomes in sport-related injured subjects. In adittion, we welcome randomized controlled trials (RCTs), cohort studies and practice-based/real-world evidence studies, along with various types of systematic reviews. All manuscripts will be peer reviewed by experts in the field.

Prof. Dr. Marko D.M. Stojanović
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

movement therapy
exercise
sport-related injury
rehabilitation
athletes

Published Papers (3 papers)

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Research

12 pages, 558 KiB

Open AccessArticle

Effects of Eccentric-Oriented Strength Training on Return to Sport Criteria in Late-Stage Anterior Cruciate Ligament (ACL)-Reconstructed Professional Team Sport Players

by Marko D. M. Stojanović, Nikola Andrić, Mladen Mikić, Nikola Vukosav, Borko Vukosav, Dan-Nicolae Zolog-Șchiopea, Mircea Tăbăcar and Răzvan Marian Melinte

Medicina 2023, 59(6), 1111; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina59061111 - 8 Jun 2023

Cited by 2 | Viewed by 3745

Abstract

Background and Objectives: An effective post-injury training program is essential to regain performance and fulfill criteria for return to sport for team sport athletes following anterior cruciate ligament (ACL) reconstruction. The aim of this study was to compare the effects of 6 weeks of eccentric-oriented strength training vs. traditional strength training during the late-stage ACL-rehab phase on leg strength and vertical and horizontal jumping performance in professional team sport athletes. Materials and Methods: Twenty-two subjects (14 males, 8 females, age 19.9 ± 4.4 years, mass 77.4 ± 15.6 kg, height 182.4 ± 11.7 cm) (mean ± SD) with a unilateral reconstructed ACL (BTB graft) were included in the study. All participants enrolled in the same rehabilitation protocol prior to the training study. Players were randomly assigned to an experimental (ECC: n = 11, age 21.8 ± 4.6 years, mass 82.7 ± 16.6 kg, height 185.4 ± 12.2 cm), and a control group (CON: n = 11, age 19.1 ± 2.1 years, mass 76.6 ± 16.5 kg, height 182.5 ± 10.2 cm). Both groups underwent an equivolumed rehabilitation program, with the only difference being in strength training, which consisted of flywheel training vs. traditional strength training for the experimental and control groups, respectively. Testing was organized before and after the 6-week training programs and included isometric semi-squat tests (ISOSI-injured and ISOSU-uninjured legs), vertical jump tests (CMJ), single-leg vertical jump tests (SLJI-injured and SLJU-uninjured legs), single-leg hop tests (SLHI-injured and SLHU-uninjured legs), and triple hop tests (TLHI-injured and TLHU-uninjured legs). In addition, limb symmetry indexes were calculated for the isometric semi-squat (ISOSLSI) test, the single-leg vertical jump (SLJLSI), and the hop (SLHLSI) tests, as well as the triple-leg hop (THLLSI) test. Results: Main effects of time across training were observed for all dependent variables (posttest > pretest, p < 0.05). Significant group-by-time interactions were found for ISOSU (p < 0.05, ES = 2.51, very large), ISOSI (p < 0.05, ES = 1.78, large), CMJ (p < 0.05, ES = 2.23, very large), SLJI (p < 0.05, ES = 1.48, large), SLHI (p < 0.05, ES = 1.83, large), and TLHI (p < 0.05, ES = 1.83, large). Conclusions: This study suggests that eccentric-oriented strength training in late-stage ACL recovery, undertaken twice or three times weekly for 6 weeks, results in better outcomes than traditional strength training in leg strength, vertical jump ability, and single and triple hop tests with injured legs in professional team sport athletes. It seems that flywheel strength training can be recommended in late-stage ACL recovery for professional team sport athletes in order to regain recommended performance outcome levels faster. Full article

(This article belongs to the Special Issue Exercise Therapy for Sport-Related Injury Rehabilitation: New Trends)

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13 pages, 984 KiB

Open AccessArticle

Injury Occurrence in Amateur Rugby: Prospective Analysis of Specific Predictors over One Half-Season

by Luka Bjelanovic, Dragan Mijatovic, Damir Sekulic, Toni Modric, Marijana Geets Kesic, Aleksandar Klasnja, Patrik Drid and Sime Versic

Medicina 2023, 59(3), 579; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina59030579 - 15 Mar 2023

Cited by 1 | Viewed by 1531

Abstract

Background and objectives: The incidence of injuries in rugby is extremely high, but studies have rarely examined the predictors of injury in amateur players. This study aimed to systematically analyse sports and injury factors as potential predictors of musculoskeletal injuries in senior-level amateur rugby players. Methods: The participants in this study were 101 senior-level rugby players from Croatia (average of 24.64 years old). At baseline, all participants were tested on sociodemographic and anthropometric parameters (age, body height and mass), consumption of dietary supplements, preseason injury status and training volume, and sport factors (position in game). Data on injury occurrence (dependent variable), prevalence of pain, training status, and characteristics of the played match were surveyed prospectively once a week during the three-month period (one half-season). Results: The logistic regression revealed a higher injury occurrence in forward players of the 1st row, 2nd row (OR = 5.07; 95% CI: 1.64–15.69), and center (OR = 4.72; 95% CI: 1.28–14.31), with reference to outside back players. When observed univariately, higher body mass, higher level of competition, more weekly training sessions, self-perceived pain, and playing with pain were significant injury risk factors. The multivariate logistic regression identified pre-season injury (OR = 1.30, 95% CI: 1.09–1.52), higher level of the game/match (OR = 1.44, 95% CI: 1.13–1.76), higher body mass (OR = 1.03, 95% CI: 1.01–1.05), and pain prevalence (OR = 5.71, 95% CI: 3.22-7.70) as multivariate predictors of injury occurrence over the season. Conclusion: The results of this study showed that among sport factors, the playing position, level of competition, and training exposure represent major injury risk factors. Therefore, in order to reduce the number of injuries, special emphasis should be placed on the specific tackling technique of forward players, which could both increase their situational efficiency and protect them from injuries. Additionally, perceived pain, injury history, and playing with injury were noted among injury factors as the ones that can be predictors of future injuries. In that manner, it is important that coaching and medical staff monitor players with previous injuries and with pain symptoms in order to act preventively against injury occurrence. Full article

(This article belongs to the Special Issue Exercise Therapy for Sport-Related Injury Rehabilitation: New Trends)

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10 pages, 600 KiB

Open AccessArticle

Musculoskeletal Injury Risk in a Military Cadet Population Participating in an Injury-Prevention Program

by Ivar Vähi, Leho Rips, Ahti Varblane and Mati Pääsuke

Medicina 2023, 59(2), 356; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina59020356 - 13 Feb 2023

Viewed by 1611

Abstract

Background and Objectives: Musculoskeletal injuries are a major health hazard among military personnel. Previous research has proposed several exercise-based strategies for prevention. The purpose of this study was to investigate the effect of an exercise-based injury-prevention program on the incidence of musculoskeletal injury, motor performance and psychosocial status. Materials and Methods: Thirty-six Estonian Military Academy cadets were randomly assigned into either an intervention or control group. The intervention group followed a neuromuscular exercise-based injury-prevention warm-up program, three times per week for 6 months. The control group continued with the usual warm-up. The main outcome measure was injury incidence during the study period. Additionally, evaluation of isokinetic lower-extremity strength, postural sway, physical fitness and psychosocial status was included pre- and post-intervention. Results: During the 6-month study period, the musculoskeletal injury incidence was 43% in the intervention group and 54% in the control group (RR = 0.8; 95% CI = 0.41 to 1.99). The noted 20% risk reduction was not statistically significant (p = 0.59). Furthermore, there were no statistically significant differences between the intervention and control group in motor performance or psychosocial status measures. Conclusions: In conclusion, no effect of the exercise-based injury-prevention program on injury risk, motor performance or psychosocial status could be detected. Full article

(This article belongs to the Special Issue Exercise Therapy for Sport-Related Injury Rehabilitation: New Trends)

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