From Injury to Recovery: Rehabilitation Strategies for Athletes

Special Issue Editors


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Guest Editor
Coimbra Health School, Polytechnic University of Coimbra, Rua 5 de Outubro, 3045-043 Coimbra, Portugal
Interests: physical therapy; exercise; musculoskeletal conditions; osteoarthritis; knee; clinimetrics; patient-reported outcome measures; performance-based measures; human movement analysis; isokinetic dynamometry; physical activity; exercise prescription
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Guest Editor
Department of Physiotherapy, North Polytechnic Institute of Health, R. Central de Gandra, 1317, 4585-116 Gandra, Portugal
Interests: physiotherapy; muscle damage; proprioception; muscle fonction

Special Issue Information

Dear Colleagues,

This Special Issue aims to explore current and emerging rehabilitation strategies for athletes recovering from sports-related injuries, with a focus on evidence-based approaches that support functional recovery and a safe return to sport. We welcome original research, reviews, and case studies addressing interventions such as therapeutic exercise, resistance training, functional training, and manual therapy.

In addition, submissions focusing on the epidemiology of sports injuries—including their prevalence and incidence—are highly encouraged. Such research provides crucial insights into injury patterns and risk factors, helping to inform preventive strategies and guide targeted rehabilitation planning.

Key topics also include rehabilitation protocols for musculoskeletal injuries, injury prevention and recurrence, timelines for return to play, and sport-specific adaptations in physiotherapy. Interdisciplinary approaches involving sports medicine professionals, as well as the integration of technologies in rehabilitation (e.g., wearable sensors, tele-rehabilitation), are also of interest.

We are particularly interested in studies linking rehabilitation strategies to performance outcomes, as well as those offering innovative, sport-specific, and evidence-based rehabilitation programmes. By encompassing both clinical interventions and injury epidemiology, this Special Issue aims to serve clinicians, researchers, and practitioners committed to improving recovery processes and long-term athlete health across sporting contexts.

Prof. Dr. Rui Soles Gonçalves
Prof. Dr. Rui Torres
Guest Editors

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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

  • sports injuries
  • rehabilitation protocols
  • therapeutic exercise
  • return to sport
  • injury prevention
  • resistance training
  • functional training
  • epidemiology of sports injuries
  • musculoskeletal disorders

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Published Papers (2 papers)

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Research

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20 pages, 536 KB  
Article
Effects of a Scapular-Focused Exercise Protocol for Patients with Rotator Cuff-Related Pain Syndrome—A Randomized Clinical Trial
by Cristina dos Santos, Isabel Bastos de Almeida, Mark A. Jones and Ricardo Matias
J. Funct. Morphol. Kinesiol. 2025, 10(4), 475; https://doi.org/10.3390/jfmk10040475 - 9 Dec 2025
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Abstract
Background: Current clinical practice still lacks consistent evidence in the physiotherapy management of rotator cuff-related pain syndrome (RCS). The purpose of this trial was to compare the effectiveness of a scapular-focused treatment with and without real-time electromyographic biofeedback (EMGBF) to a control [...] Read more.
Background: Current clinical practice still lacks consistent evidence in the physiotherapy management of rotator cuff-related pain syndrome (RCS). The purpose of this trial was to compare the effectiveness of a scapular-focused treatment with and without real-time electromyographic biofeedback (EMGBF) to a control therapy in patients with RCS, in the short-term. Methods: 60 patients with RCS were divided into three groups: the scapular-focused exercise protocol group (P_G n = 20), the scapular-focused exercise protocol with EMGBF group (P+EMGBF_G n = 20), and the control therapy group (CT_G n = 20). Values of pain and function [Shoulder Pain and Disability Index (SPADI) questionnaire, complemented by the Numeric Pain Rating Scale (NPRS) and Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire], scapular stabilizer neuromuscular control (SSNC), scapular stabilizer activation onset (SSAO), dynamic scapular alignment, range of motion (ROM), and glenohumeral flexor and abductor muscle strength (GMS) were assessed at baseline and after 6 weeks and compared within and between groups. Results: There were significant differences in pain and function, SSNC, SSAO, dynamic scapular alignment, ROM, and GMS in all groups between the initial and 6-week assessments. However, the P+EMGBF_G showed superior results in pain and function, SSNC, and dynamic scapular alignment than the CT_G and superior results in SSNC than the P_G. The P_G had superior results in pain and function and dynamic scapular alignment than the CT_G. Conclusions: This trial supports the use of a scapular-focused exercise protocol as a comparative approach that effectively improves pain and function in patients with rotator cuff-related shoulder pain syndrome. These results in pain and function were shown to be independent of the use of EMGBF. Full article
(This article belongs to the Special Issue From Injury to Recovery: Rehabilitation Strategies for Athletes)
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Review

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21 pages, 3109 KB  
Review
Non-Contact, Mechanical Fatigue-Related ACL Injury Prevention Through Extracellular Matrix Crosslink Preservation: A Narrative Review
by John Nyland, Maggie Head, Essa H. Gul, Brandon Pyle and Jarod Richards
J. Funct. Morphol. Kinesiol. 2026, 11(2), 180; https://doi.org/10.3390/jfmk11020180 - 29 Apr 2026
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Abstract
Background: Anterior cruciate ligament (ACL) injuries are increasing in young athletes and many are related to non-contact, spontaneous mechanical fatigue-related ruptures. The objective of this narrative review is to identify and synthesize the anatomical, histological, physiological, and biomechanical basis of extracellular matrix (ECM) [...] Read more.
Background: Anterior cruciate ligament (ACL) injuries are increasing in young athletes and many are related to non-contact, spontaneous mechanical fatigue-related ruptures. The objective of this narrative review is to identify and synthesize the anatomical, histological, physiological, and biomechanical basis of extracellular matrix (ECM) factors that contribute to ACL injuries and suggest ways to decrease their occurrence. Methods: The primary investigator searched PubMed, Web of Science, and Google Scholar database titles and abstracts using search phrases with Boolean operators: “anterior cruciate ligament” OR “ACL”, OR “cranial cruciate ligament” AND “disease”; “anterior cruciate ligament” OR “ACL”, OR “cranial cruciate ligament” AND “spontaneous rupture” OR “non-contact injury”; and “anterior cruciate ligament” OR ACL, OR cranial cruciate ligament” AND “crosslink”, “collagen” OR “extracellular matrix”; and “anterior cruciate ligament” OR “ACL”, OR “cranial cruciate ligament” AND “microtrauma”, OR “sudden” OR “fatigue failure”. The primary investigator and a sports orthopedic surgeon reviewed titles and abstracts of diverse evidence sources. From these identified sources, the study team performed full text reviews, selected contributing articles, performed Strength of Recommendation Taxonomy (SORT) grading, and synthesized the following themes: A Hostile Environment, ACL Strain, and Poor Nutrient Delivery; Accumulative ACL Microtrauma and Mechanical Failure; The ACL Differs From Other Ligaments; Collagen, the ECM, and ACL Mechanobiology; Crimps and ACL ECM Stretch; Crosslinks Improve ECM Mechanical Properties; The Delicate Collagen Synthesis and Degradation Balance; Exercise Training and the ACL; Can Nutraceuticals Help Restore the Balance?; Training Induced ACL Hypoxia; Estrogen and the Female Athlete; Counting Pitches or Counting Collagen Fiber Ruptures; and Restoring A Positive Anabolic–Catabolic Collagen Balance. Results: Regular exercise training within a physiologically safe loading range is vital to ACL ECM health. However, low or moderate evidence suggested that poor blood supply, slow metabolism, and a hypoxic environment may unbalance anabolic and catabolic homeostasis. Active rest and recovery concepts that prevent youth baseball shoulder and elbow injuries may help prevent non-contact ACL injuries. Conclusions: More prescriptive active rest and recovery intervals and neuromuscular control training may restore the anabolic–catabolic balance that increases mature crosslink density and improves ACL ECM strength. Confirmatory studies are needed to better establish therapeutic intervention mode(s), timing, dosage, and frequency optimization. Full article
(This article belongs to the Special Issue From Injury to Recovery: Rehabilitation Strategies for Athletes)
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