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Innovations for Injury Prevention and Rehabilitation in Sport and Physical Activity

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Sport and Health".

Deadline for manuscript submissions: closed (30 October 2023) | Viewed by 12066

Special Issue Editor


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Guest Editor
1. Office of Student Affairs, Lingnan University, Hong Kong
2. Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong
Interests: sports biomechanic; injury prevention; sports rehabilitation; biomedical engineering

Special Issue Information

Dear Colleagues,

The advancement of injury prevention and rehabilitation in sports and physical activity will provide a safer and more pleasant arena for both professional and recreational athletes to enjoy. Innovations in development and application are based on evidence and technology, such as the use of small wearable devices that can access movement quality and detect risky motions. Recently, the use of big data has been shown to systematically analyze a large volume of data to provide trend prediction and health screening. There could be even more such breakthroughs if there is good exchange of knowledge between biomechanical engineering, sports technology, pedagogy in physical education, etc. This Special Issue aims to attract new ideas that could spark more discussion on innovations for injury prevention and rehabilitation in sport and physical activity.

Dr. Kam-Ming Mok
Guest Editor

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Keywords

  • injury prevention
  • injury mechanism
  • motion analysis
  • rehabilitation
  • physical wellness

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Published Papers (4 papers)

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Research

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13 pages, 1067 KiB  
Article
Effects of Aquatic versus Land High-Intensity Interval Training on Acute Cardiometabolic and Perceptive Responses in Healthy Young Women
by Manny M. Y. Kwok, Eric T. C. Poon, Shamay S. M. Ng, Matthew C. Y. Lai and Billy C. L. So
Int. J. Environ. Res. Public Health 2022, 19(24), 16761; https://doi.org/10.3390/ijerph192416761 - 14 Dec 2022
Cited by 3 | Viewed by 2067
Abstract
The effects of aquatic high-intensity interval training (AHIIT) on cardiometabolic and perceptive responses when compared to similar land-based exercise (LHIIT) remain unknown. Here, we aimed to (1) establish a matched intensity between mediums and (2) compare the acute cardiometabolic and perceptive responses to [...] Read more.
The effects of aquatic high-intensity interval training (AHIIT) on cardiometabolic and perceptive responses when compared to similar land-based exercise (LHIIT) remain unknown. Here, we aimed to (1) establish a matched intensity between mediums and (2) compare the acute cardiometabolic and perceptive responses to the two interventions in healthy young women. Twenty healthy young women performed a stationary running exercise at a matched exercise intensity. The incremental stages, in terms of percentage of heart rate (HR), maximal oxygen uptake (%VO2max), percentage of oxygen uptake reserve (%VO2R), percentage of heart rate reserve (%HRR), and rate of perceived exertion (RPE), were examined and acute cardiometabolic and perceptive responses were evaluated. The results showed that HR was significantly reduced (AHIIT: W 150 ± 19, R 140 ± 18, LHIIT: W 167 ± 16, R 158 ± 16 p < 0.01) and oxygen pulse (AHIIT: W 12 ± 2, R 10 ± 2, LHIIT: W 11 ± 2, R 9 ± 2 p < 0.05) was significantly increased with AHIIT compared to LHIIT. No significant group differences were observed for the perceptive responses. The comparable results demonstrated by the aquatic and land incremental tests allow precise AHIIT and LHIIT prescriptions. AHIIT had distinct differences in HR and oxygen pulse, despite having no distinct difference from LHIIT for some cardiometabolic and affective responses. Full article
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Review

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16 pages, 1836 KiB  
Review
Secondary Anterior Cruciate Ligament Injury Prevention Training in Athletes: What Is the Missing Link?
by Choi-Yan (Tiffany) Wong, Kam-Ming Mok and Shu-Hang (Patrick) Yung
Int. J. Environ. Res. Public Health 2023, 20(6), 4821; https://doi.org/10.3390/ijerph20064821 - 9 Mar 2023
Cited by 3 | Viewed by 3634
Abstract
After reconstruction, the return to full competition rate of athletes is low, while the re-injury rate remains high despite the completion of a rehabilitation programme. Primary ACL prevention programmes are well developed, yet few research papers focus on secondary ACL injury prevention. The [...] Read more.
After reconstruction, the return to full competition rate of athletes is low, while the re-injury rate remains high despite the completion of a rehabilitation programme. Primary ACL prevention programmes are well developed, yet few research papers focus on secondary ACL injury prevention. The aim of current review is to determine if current ACL secondary prevention training has a positive influence on the re-injury rate, the clinical or functional outcomes, or the risk of re-injury in athletes. Studies investigating secondary prevention of ACL were searched in PubMed and EBSCOhost, followed by a review of the references in the identified articles. The existing evidence suggests that neuromuscular training, eccentric strengthening, and plyometric exercises may have a potential impact on improving biomechanical, functional, and psychological outcomes in athletes; however, the studies on the prevention of second ACL injury in athletes is scarce and inconclusive. Future research is needed to investigate the effectiveness of secondary ACL prevention in reducing the re-injury rates. (PROSPERO Registration number: CRD42021291308). Full article
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14 pages, 3229 KiB  
Review
Effectiveness of Deep Water Running on Improving Cardiorespiratory Fitness, Physical Function and Quality of Life: A Systematic Review
by Manny M. Y. Kwok, Billy C. L. So, Sophie Heywood, Matthew C. Y. Lai and Shamay S. M. Ng
Int. J. Environ. Res. Public Health 2022, 19(15), 9434; https://doi.org/10.3390/ijerph19159434 - 1 Aug 2022
Cited by 3 | Viewed by 2587
Abstract
Deep Water Running (DWR) is a form of aquatic aerobic exercise simulating the running patterns adopted on dry land. Little is known on the effectiveness of DWR despite gaining popularity. The objective of this study is to systematically review the effects of DWR [...] Read more.
Deep Water Running (DWR) is a form of aquatic aerobic exercise simulating the running patterns adopted on dry land. Little is known on the effectiveness of DWR despite gaining popularity. The objective of this study is to systematically review the effects of DWR on cardiorespiratory fitness, physical function, and quality of life in healthy and clinical populations. A systematic search was completed using six databases, including SPORTDiscus, MEDLINE, CINAHL, AMED, Embase, and The Cochrane Library, up to February 2022. Eleven studies evaluating the effectiveness of DWR on cardiorespiratory fitness (CRF), physical function, or quality of life (QoL), compared with no interventions (or standard treatment) or land-based trainings were identified. Data relevant to the review questions were extracted by two independent reviewers when means and standard deviations were reported, and standardized mean differences were calculated. A quality assessment was conducted using selected items from the Downs and Black checklist. A total of 11 clinical trials (7 randomized controlled trials) with a total of 287 participants were included. Meta-analyses were not completed due to the high level of clinical and statistical heterogeneity between studies. Compared with land-based training, DWR showed similar effects on CRF with limited studies reporting outcomes of physical function and QoL compared with the no-exercise control group. DWR appears to be comparable to land-based training for improving CRF. The aquatic environment may provide some advantages for off-loaded exercise at high intensity in populations that are weak, injured or in pain, but more studies are required. Full article
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Other

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11 pages, 794 KiB  
Systematic Review
Gait Pathology in Subjects with Patellofemoral Instability: A Systematic Review
by Andreas Habersack, Tanja Kraus, Annika Kruse, Katharina Regvar, Michael Maier and Martin Svehlik
Int. J. Environ. Res. Public Health 2022, 19(17), 10491; https://doi.org/10.3390/ijerph191710491 - 23 Aug 2022
Cited by 4 | Viewed by 2333
Abstract
Identifying potential gait deviations in patellofemoral instability (PI) can help with the development of effective rehabilitation strategies. The purpose of this systematic review was to examine whether there are specific gait alterations in subjects with PI. The present review followed the PRISMA guidelines [...] Read more.
Identifying potential gait deviations in patellofemoral instability (PI) can help with the development of effective rehabilitation strategies. The purpose of this systematic review was to examine whether there are specific gait alterations in subjects with PI. The present review followed the PRISMA guidelines and was initially registered at PROSPERO (CRD42021236765). The literature search was carried out in the databases of PubMed, the Cochrane library, Web of Science, ClinicalTrials.gov, and Medline. The search strategy resulted in the identification of seven relevant publications. Subjects with PI show decreased walking speed, stride length, and cadence. Some studies reported changes not only in knee kinematics and kinetics but also in hip and ankle kinematics and kinetics. There is evidence that most subjects with PI walk with a quadriceps avoidance gait and show increased genu valgum posture, but there is still great variability in the coping responses within individuals with PI. The discrepancy among the study results might underpin the fact that PI is a multifactorial problem, and subjects cope with the different underlying morphological as well as functional deficits using a variety of gait strategies, which makes the interpretation and understanding of the gait of subjects with PI a clinically challenging task. Full article
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