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Clinical Aspects of Return to Sport After Injuries: 2nd Edition
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Clinical Aspects of Return to Sport After Injuries: 2nd Edition

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Sports Medicine".

Deadline for manuscript submissions: 20 May 2026 | Viewed by 1691

Special Issue Editors

Prof. Dr. Anna Mika

E-Mail Website
Guest Editor
Institute of Clinical Rehabilitation, University of Physical Culture in Kraków, 31-571 Kraków, Poland
Interests: rehabilitation medicine; sports medicine; exercise science; biomechanics; bioengineering
Special Issues, Collections and Topics in MDPI journals
Dr. Łukasz Oleksy

E-Mail Website
Guest Editor
1. Department of Orthopedics, Traumatology and Hand Surgery, Faculty of Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland
2. Oleksy Medical & Sport Sciences, 37-100 Łańcut, Poland
Interests: rehabilitation medicine; sports medicine; exercise science; return to sport; injury risk; biomechanics; bioengineering
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are excited to announce the release of the second volume of the Special Issue titled “Clinical Aspects of Return to Sport After Injuries”. On this occasion, we would also like to invite you to visit our website to access the first volume of this Special Issue, available at https://www.mdpi.com/journal/jcm/special_issues/G263KR9D35.

Optimal athletic training should lead to a high level of performance, but, usually, a high volume of repetition and a lack of variety in movement patterns can result in muscle imbalance, altering tissue stress, which leads to injury. Returning to sport after injury is often a difficult and time-consuming process. However, it is crucial to understand the underlying mechanisms of sports injury, which allow for successive treatment, rehabilitation or sport training individualization. There is a need to define the key performance indicators in the return-to-sport monitoring process and to develop guidelines for effective therapeutic intervention after injuries. The aim of this Special Issue is to provide a comprehensive overview of the advances in the diagnosis and treatment of sports injuries, with a particular emphasis on all clinical and functional aspects that influence the safe and effective return to sport after an injury. Therefore, this Special Issue aims to highlight the explanations for alterations in the musculoskeletal system, particularly emphasizing mechanisms of tissue overload and injury from the biomechanical, rehabilitation and sport perspectives. Research papers as well as review papers are encouraged.

Prof. Dr. Anna Mika
Dr. Łukasz Oleksy
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. Journal of Clinical Medicine 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 2600 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

  • musculoskeletal system
  • tissue overload
  • diagnostic methods
  • rehabilitation
  • treatment
  • injury prevention
  • return to sport
  • rehabilitation medicine
  • sports medicine

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Related Special Issue

Published Papers (2 papers)

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Research

16 pages, 1004 KB  
Article
Evaluation of Muscle Oxygenation Responses to Eccentric Exercise and Recovery Enhancement Using Capacitive–Resistive Electric Transfer and Vibration Therapy
by Łukasz Oleksy, Anna Mika, Maciej Daszkiewicz, Martyna Sopa, Miłosz Szczudło, Maciej Kuchciak, Artur Stolarczyk, Olga Adamska, Paweł Reichert, Zofia Dzięcioł-Anikiej and Renata Kielnar
J. Clin. Med. 2026, 15(2), 794; https://doi.org/10.3390/jcm15020794 - 19 Jan 2026
Viewed by 618
Abstract
Background: Although Capacitive–Resistive Electric Transfer (TECAR) and vibration therapy (VT) are increasingly used in sports recovery, their effects on muscle oxygenation remain unclear. Objectives: This study compared the short-term influence of TECAR and VT on muscle oxygenation following eccentric exercise in young, active [...] Read more.
Background: Although Capacitive–Resistive Electric Transfer (TECAR) and vibration therapy (VT) are increasingly used in sports recovery, their effects on muscle oxygenation remain unclear. Objectives: This study compared the short-term influence of TECAR and VT on muscle oxygenation following eccentric exercise in young, active adults. We hypothesized that both interventions would support early metabolic recovery, as reflected by changes in muscle oxygenation, and potentially reduce the risk of musculoskeletal overuse. Methods: Forty-one young, recreationally active adults (age: 19 ± 2 years; height: 168 ± 9 cm; body mass: 63 ± 13 kg) were randomized into two groups: TECAR therapy and VT. Muscle oxygenation was assessed at baseline, post-exercise, and post-intervention using the arterial occlusion method with a MOXY muscle oxygenation monitor (Fortiori Design LLC, USA). The primary variables were mVO2 (muscle oxygen consumption), ΔSmO2 (change in oxygen saturation during occlusion), and ΔtHb (change in hemoglobin level during occlusion). Data were analyzed using a two-way repeated-measures ANOVA with post hoc Tukey tests, and statistical significance was set at p < 0.05. Results: Eccentric exercise significantly reduced mVO2 in both groups (VT: −0.18 ± 0.40 to −1.62 ± 0.70; TECAR: −0.12 ± 0.40 to −1.24 ± 0.70), indicating decreased metabolic demand. Following recovery, mVO2 increased in both groups (VT: −0.86 ± 0.50; TECAR: −0.35 ± 0.40), with no significant between-group differences (p > 0.05). ΔSmO2 also decreased after exercise (VT: −0.7 ± 0.4 to −3.2 ± 0.9; TECAR: −0.9 ± 0.6 to −3.45 ± 0.7). After recovery, ΔSmO2 partially returned to baseline (VT: −2.6 ± 0.8; TECAR: −1.35 ± 0.4), with no significant between-group differences. ΔtHb increased following exercise in both groups (VT: 0.03 ± 0.04 to 0.13 ± 0.09; TECAR: 0.03 ± 0.04 to 0.15 ± 0.07) and decreased after recovery to similar levels (VT: −0.05 ± 0.05; TECAR: −0.06 ± 0.04; p > 0.05). Conclusions: Both TECAR and VT were associated with improved muscle oxygenation during early recovery after eccentric exercise, as reflected by increases in mVO2 and comparable ΔtHb responses. Although ΔSmO2 tended to decrease more after VT, this difference was not statistically significant and should be interpreted cautiously. Overall, both modalities appear to be effective recovery-supporting strategies, while further controlled studies are needed to clarify their role in different athletic populations and exercise contexts. Full article
(This article belongs to the Special Issue Clinical Aspects of Return to Sport After Injuries: 2nd Edition)
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15 pages, 748 KB  
Article
The Impact of Rational Warm-Up on Physical Preparation and Injury Prevention in Young Footballers: A Longitudinal Study
by Henryk Duda, Łukasz Rydzik, Tadeusz Ambroży, Pavel Ruzbarsky, Andrzej Kędra and Wojciech Wąsacz
J. Clin. Med. 2026, 15(2), 608; https://doi.org/10.3390/jcm15020608 - 12 Jan 2026
Viewed by 767
Abstract
Background/Objectives: One of the pillars of optimal footballer performance is the gradual preparation of the body for physical exertion in terms of intensity. The aim of this study was to evaluate the impact of a structured warm-up and cool-down program on flexibility, [...] Read more.
Background/Objectives: One of the pillars of optimal footballer performance is the gradual preparation of the body for physical exertion in terms of intensity. The aim of this study was to evaluate the impact of a structured warm-up and cool-down program on flexibility, perceived fatigue, and injury prevention in young football players. Methods: Participants were 60 junior football players (U17), with a mean age of 16.5 ± 0.5 years, mean height of 172.5 ± 6.7 cm, and mean body mass of 70.2 ± 6.4 kg. The participants were assigned to experimental (EXP; n = 30) and control (CON; n = 30) groups during 8 mesocycles. A 4-week training stimulus was applied in parallel, consisting of an author-designed exercise routine with a profiled intensity (warm-up and cool-down parts) for the EXP group and standard exercises for the CON group. Selected variables (motor, endurance, injuries) were assessed before, during, and after the intervention. Additionally, the profile of selected correlations was analysed. Statistical analysis was performed using t-tests with a significance level set at p < 0.05. Results: In the EXP group (post-test), a significant improvement in flexibility was observed in the forward trunk flexion test (d = 1.13 cm; p < 0.001; dc2 = 1.05). Simultaneously, participants reported lower levels of subjective fatigue (RPE = 6.86 ± 0.82 points) compared to the CON group (p = 0.016; dc = 0.46) and demonstrated fewer injuries during the annual cycle (0.97 ± 0.83 vs. 1.33 ± 0.66; p = 0.026; dc = 0.48). Both groups showed a strong negative correlation between flexibility and the number of injuries in the annual cycle, training experience and the number of injuries, as well as training experience and RPE (all rp > −0.50). A strong positive correlation was found between RPE and the number of injuries (rp > 0.60). Conclusions: The results demonstrate that the structured warm-up and cool-down program significantly improved flexibility, reduced perceived fatigue, and decreased injury occurrence in the participants. Full article
(This article belongs to the Special Issue Clinical Aspects of Return to Sport After Injuries: 2nd Edition)
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