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Advances in Sports Medicine and Rehabilitation
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Advances in Sports Medicine and Rehabilitation

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Biosciences and Bioengineering".

Deadline for manuscript submissions: 20 November 2026 | Viewed by 1658

Special Issue Editors

Dr. Armin Huso Paravlić

E-Mail Website
Guest Editor
1. Faculty of Sport, Institute of Kinesiology, University of Ljubljana, 1000 Ljubljana, Slovenia
2. Science and Research Centre Koper, Institute for Kinesiology Research, 6000 Koper, Slovenia
3. Faculty of Sports Studies, Masaryk University, 625 00 Brno, Czech Republic
Interests: exercise science; sport performance; health promotion; training adaptation; rehabilitation; sports medicine; precision exercise prescription; kinesiology
Prof. Dr. Dražen Čular

E-Mail Website
Guest Editor
1. Faculty of Kinesiology, University of Split, 21000 Split, Croatia
2. Einstein, Startup for Research, Development, Education, Trade and Services, 21000 Split, Croatia
3. European Institute for Talents, Education, Research & Development, 21000 Split, Croatia
Interests: sport science; sports medicine; physiotherapy and rehabilitation medicine

Special Issue Information

Dear Colleagues,

Sport participation and exercise play a pivotal role in promoting physical health in both athletes and the general population, including symptomatic and asymptomatic individuals. However, variability in training responsiveness poses challenges for optimizing health outcomes. This Special Issue welcomes original research and reviews on experimental, cross-sectional, and prospective cohort studies that investigate responders and non-responders to different exercise modalities and the effects of different exercise interventions for understanding its effects on health-related outcomes. Contributions focusing on novel exercise prescription strategies and their role in precision medicine are especially encouraged, with the aim of enhancing the effectiveness of tailored interventions for performance, rehabilitation, and long-term health.

Dr. Armin Huso Paravlić
Prof. Dr. Dražen Čular
Guest Editors

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 250 words) can be sent to the Editorial Office for assessment.

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. Applied Sciences is an international peer-reviewed open access semimonthly 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 2400 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

  • exercise prescription
  • responders and non-responders
  • physical health
  • sport performance
  • training adaptations
  • injury
  • illness, precision medicine
  • rehabilitation
  • athletes
  • general population

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Published Papers (3 papers)

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Research

11 pages, 1230 KB  
Article
Comparison of the Biceps and Triceps to Determine Metabolic Thresholds Using Muscle Oxygen Saturation in the Spinal Cord Injury Population: An Exploratory Study
by Carlos Sendra-Pérez, Clara Carrión-González, Paula Wessling-Intriago, Joaquín Martín Marzano-Felisatti, Jose Ignacio Priego-Quesada and Inmaculada Aparicio-Aparicio
Appl. Sci. 2026, 16(10), 5009; https://doi.org/10.3390/app16105009 - 18 May 2026
Viewed by 344
Abstract
This exploratory study aimed to compare the determination of metabolic thresholds using muscle oxygen saturation (SmO2) and gas exchange data during graded exercise testing in individuals with spinal cord injury. Nine participants (six males, three females) performed a graded exercise test [...] Read more.
This exploratory study aimed to compare the determination of metabolic thresholds using muscle oxygen saturation (SmO2) and gas exchange data during graded exercise testing in individuals with spinal cord injury. Nine participants (six males, three females) performed a graded exercise test on an arm-crank ergometer, with continuous measurements of breath-by-breath pulmonary gas exchange and SmO2 from the biceps brachii and triceps brachii. Thresholds were identified as gas exchange threshold (GET) and respiratory compensation point (RCP), and their SmO2 counterparts as MOT1 and MOT2. The results showed no differences between GET and MOT1 in either muscle (biceps: p = 0.14; triceps: p = 1.00), and similar results were observed between RCP and MOT2 for triceps brachii (p = 0.39) and biceps brachii (p = 0.12). Reliability analysis revealed good but non-significant agreement for the triceps brachii (ICC = 0.44–0.60), while the biceps brachii demonstrated very good agreement at GET (ICC = 0.78, p < 0.01) and excellent agreement at RCP (ICC = 0.81, p < 0.01), and Bland–Altman analyses confirmed no systematic bias between muscle sites. In conclusion, SmO2 may be a valid and promising variable for detection in individuals with spinal cord injury during ramp exercise testing. Both muscles showed agreement with pulmonary gas exchange, but the biceps brachii provided more consistent and reliable estimates, particularly for the second threshold. These preliminary findings suggest the use of near-infrared spectroscopy as a non-invasive technology for metabolic threshold detection in spinal cord injury populations. Full article
(This article belongs to the Special Issue Advances in Sports Medicine and Rehabilitation)
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17 pages, 1514 KB  
Article
Precision Exercise Prescription for Lumbar Spinal Stenosis: A Randomized Feasibility and Implementation Study with a Replicable Multimodal Protocol
by Katja Plaskan, Miha Vodičar and Maja Pajek
Appl. Sci. 2026, 16(10), 4695; https://doi.org/10.3390/app16104695 - 9 May 2026
Viewed by 308
Abstract
Background: Lumbar spinal stenosis (LSS) with neurogenic claudication is associated with reduced walking tolerance, functional limitations, and impaired daily functioning. Although exercise-based rehabilitation is recommended as a first-line conservative treatment, many published interventions remain insufficiently described, limiting reproducibility and clinical application. Objective: To [...] Read more.
Background: Lumbar spinal stenosis (LSS) with neurogenic claudication is associated with reduced walking tolerance, functional limitations, and impaired daily functioning. Although exercise-based rehabilitation is recommended as a first-line conservative treatment, many published interventions remain insufficiently described, limiting reproducibility and clinical application. Objective: To provide a detailed and replicable description of an individualized multimodal exercise and walking-extension protocol for patients with LSS, and to report key implementation outcomes. Methods: This single-centre randomized controlled study included patients with LSS allocated to an experimental or usual-care control group. The intervention consisted of a 12-week supervised multimodal exercise program delivered twice weekly in small groups, combined with a home-based component and a walking extension plan. Outcomes focused on feasibility, adherence, fidelity, safety, and acceptability. The primary clinical outcome of the overarching trial was the Oswestry Disability Index (ODI). Results: A total of 60 participants completed the study. The intervention was feasible and generally well accepted. Attendance to supervised sessions was moderate, while compliance with walking diaries was limited. The protocol was delivered largely as planned, with individualized adaptations based on symptom response and movement quality. No serious adverse events were reported. Conclusions: This study provides a structured and clinically applicable framework for individualized exercise prescription in LSS. The protocol demonstrates good feasibility and acceptability, although interpretation of outcomes is limited by high attrition and variability in adherence. The findings should be interpreted with caution given the feasibility design, attrition, and variability in adherence. Full article
(This article belongs to the Special Issue Advances in Sports Medicine and Rehabilitation)
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14 pages, 284 KB  
Article
Influence of Follicular vs. Luteal Phases on Sweat Rate and Estimated Sodium Loss in University Female Football Players: A Field-Based Within-Subject Study
by Valentín Emilio Fernández-Elías, Natalia Flores-Bonilla, Olga López-Torres and Silvia Burgos-Postigo
Appl. Sci. 2026, 16(8), 3912; https://doi.org/10.3390/app16083912 - 17 Apr 2026
Viewed by 526
Abstract
This study examined the influence of the follicular (FP) and luteal phases (LP) of the menstrual cycle on sweat rate, estimated sweat sodium concentration, heart rate, hydration status, fluid intake, and perceived exertion in first-division university female football players. A small sample of [...] Read more.
This study examined the influence of the follicular (FP) and luteal phases (LP) of the menstrual cycle on sweat rate, estimated sweat sodium concentration, heart rate, hydration status, fluid intake, and perceived exertion in first-division university female football players. A small sample of eight athletes completed two monitored training sessions, one in each estimated-menstrual phase, following a repeated-measures field-based design under habitual training conditions. Sweat rate was determined using pre- to post-exercise body mass changes and microfluidic sweat patches, while estimated sweat sodium concentration was obtained via wearable colorimetric sensors. Heart rate was continuously monitored, hydration status was assessed using urine specific gravity, fluid intake was recorded, and perceived exertion was evaluated using the Borg CR-10 scale. Sweat rate was significantly higher during LP compared with FP (0.83 ± 0.20 vs. 0.55 ± 0.25 L·h−1, p = 0.026), alongside greater estimated sweat sodium concentration (695 ± 305 vs. 404 ± 159 mg·L−1, p = 0.031) and higher perceived exertion (4.63 ± 1.41 vs. 3.13 ± 0.83, p = 0.021). Fluid intake was also significantly greater during LP (0.99 ± 0.19 vs. 0.49 ± 0.25 L, p < 0.001). No significant differences were observed for urine specific gravity, mean heart rate, or total body mass change (p > 0.05). These findings suggest that the luteal phase may be associated with higher thermoregulatory and perceptual responses during football training, highlighting the potential importance of menstrual cycle-informed hydration and training management strategies in female athletes. Full article
(This article belongs to the Special Issue Advances in Sports Medicine and Rehabilitation)
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