Advancement in Upper Limb Rehabilitation and Injury Prevention

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

Deadline for manuscript submissions: 30 November 2024 | Viewed by 4213

Special Issue Editors


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Guest Editor
Department of Medical and Surgical Sciences, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy
Interests: extended reality technologies; biomedical engineering; rehabilitation; electronic devices for telemedicine applications; remote home monitoring systems

E-Mail Website
Guest Editor
Department of Medical and Surgical Sciences, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy
Interests: biomedical engineering; rehabilitation; biomechanics; bioimaging
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Special Issue Information

Dear Colleagues,

Upper limb function is one of the main indicators of a patient’s independence, and pathologies affecting upper limbs represent a serious concern in rehabilitation.

This is particularly important in athletes, mainly in overhead sport, in which repetitive technical gestures are responsible for shoulder disorders, e.g., impingement syndrome, and rotator cuff lesion, which represent frequent causes of shoulder pain.

In addition, several neurologic diseases, e.g., stroke, multiple sclerosis, and cerebral palsy, affect upper limb function, with a negative effect on daily life activities.

In this context, the rapid advancements in technology over the last decade have significantly impacted the medicine and health sciences through the provision of enhanced functionalities and improved health services. The implementation of new technologies in upper extremity rehabilitation settings has been proven to provide a substantial added value in the clinical outcome of patients and to improve training responses in musculoskeletal rehabilitation and injury prevention. Moreover, the use of extended reality (XR) (virtual, augmented, mixed) throughout the continuum of medical education and training is demonstrating appreciable benefits. In particular, the existing literature shows that XR-based therapy for upper extremity rehabilitation is a promising solution for patients with neurological and musculoskeletal diseases, including stroke, multiple sclerosis, and cerebral palsy.

Considering the huge potential application of this technology and its impact on clinical practice and public health, the journal Medicina is launching this Special Issue with the aim to gather the existing evidence as regards the value of using XR-assisted approaches in upper extremity rehabilitation and injury prevention.

Papers dealing with innovative approaches to musculoskeletal rehabilitation and injury prevention using extended reality are welcome to this Special Issue.

Dr. Arrigo Palumbo
Dr. Vera Gramigna
Guest Editors

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Keywords

  • virtual, augmented, and mixed reality in rehabilitation
  • human–robot interaction
  • medical robotics telemedicine
  • tele-rehabilitation
  • rehabilitation
  • motor and/or cognitive rehabilitation
  • technology in healthcare
  • shoulder injury
  • neurorehabilitation
  • sport medicine
  • prevention
  • pain management

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Published Papers (2 papers)

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Research

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10 pages, 1038 KiB  
Article
Effects of an 11-Week Detraining, Imposed by the COVID-19 Confinement, on Handball Players’ Shoulder Rotator Isokinetic Profile, Shoulder Range of Motion, and Ball Release Velocity
by Nuno Batalha, João Paulo Sousa, Orlando Fernandes, Eduardo Dias, Jose A. Parraca and Santos Villafaina
Medicina 2023, 59(9), 1548; https://doi.org/10.3390/medicina59091548 - 25 Aug 2023
Cited by 1 | Viewed by 1410
Abstract
Background and Objectives: The COVID-19 confinement significantly impacted the physical condition of athletes. However, the detraining impacts of this period on the shoulder rotator and range of motion in handball players have not been studied. Thus, the main aim of this study was [...] Read more.
Background and Objectives: The COVID-19 confinement significantly impacted the physical condition of athletes. However, the detraining impacts of this period on the shoulder rotator and range of motion in handball players have not been studied. Thus, the main aim of this study was to investigate the effect of this 11-week detraining period, imposed by the COVID-19 pandemic confinement, on the shoulder rotator isokinetic profile (peak torque, ratio, fatigue index), shoulder rotator and flexion range of motion, and ball release velocity in handball players. Materials and Methods: A total of 16 handball players, with a mean age of 22.38 (5.28) years, participated in this study. The isokinetic strength was assessed using two protocols (three repetitions at an angular velocity of 60°/s and 20 repetitions at an angular velocity of 180°/s). In addition, the range of motion and ball release (at jump and standing shots) were measured. All these measurements were assessed before and after the COVID-19 confinement. Results: The results showed a significant reduction in the peak torque of the external rotation of their dominant and non-dominant shoulders. In addition, confinement significantly increased the fatigue index of external rotation and internal rotation and reduced the range of motion of internal rotation. Additionally, the ball release velocity during standing and jump shots was significantly reduced. Conclusions: These results suggested that strengthening external and internal rotation as well as recovering the internal rotation range of motion may be necessary after a detraining period in order to prevent shoulder injuries. Full article
(This article belongs to the Special Issue Advancement in Upper Limb Rehabilitation and Injury Prevention)
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20 pages, 370 KiB  
Review
The Role of Virtual Reality in the Management of Football Injuries
by Andrea Demeco, Antonello Salerno, Marco Gusai, Beatrice Vignali, Vera Gramigna, Arrigo Palumbo, Andrea Corradi, Goda Camille Mickeviciute and Cosimo Costantino
Medicina 2024, 60(6), 1000; https://doi.org/10.3390/medicina60061000 - 18 Jun 2024
Cited by 2 | Viewed by 1724
Abstract
Injuries represent a serious concern for football players, with a significant loss in terms of sport participation and long periods of rehabilitation. According to the 2019/20 UEFA Élite Club Injury Report, the average incidence of injuries during training is 2.8 per 1000 h [...] Read more.
Injuries represent a serious concern for football players, with a significant loss in terms of sport participation and long periods of rehabilitation. According to the 2019/20 UEFA Élite Club Injury Report, the average incidence of injuries during training is 2.8 per 1000 h of training, with an average absence from training of 20 days. In addition, injured athletes are 4 to 7 times more likely to relapse than uninjured athletes. High workloads and reduced recovery periods represent two of the most important modifiable risk factors. In this context, prevention and an adequate rehabilitation protocol are vital in managing injuries, reducing their incidence, and improving the return to competition. In recent years, technological development has provided new tools in rehabilitation, and Virtual reality (VR) has shown interesting results in treating neurologic and orthopedic pathologies. Virtual Reality (VR) technology finds application in the sports industry as a tool to examine athletes’ technical movements. The primary objective is to detect the biomechanical risk factors associated with anterior cruciate ligament injury. Additionally, VR can be used to train athletes in field-specific techniques and create safe and controlled therapeutic environments for post-injury recovery. Moreover, VR offers a customizable approach to treatment based on individual player data. It can be employed for both prevention and rehabilitation, tailoring the rehabilitation and training protocols according to the athletes’ specific needs. Full article
(This article belongs to the Special Issue Advancement in Upper Limb Rehabilitation and Injury Prevention)
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