Exploring the Relationship Between Athletic Identity and Beliefs About Rehabilitation Overadherence in College Athletes

2017 ◽  
Vol 26 (3) ◽  
pp. 208-220 ◽  
Author(s):  
Robert C. Hilliard ◽  
Lindsey Blom ◽  
Dorice Hankemeier ◽  
Jocelyn Bolin
Keyword(s):  
Outcome Measures ◽  
College Athletes ◽  
Athletic Trainers ◽  
Negative Affectivity ◽  
Athletic Identity ◽  
Athletic Participation ◽  
Rehabilitation Program ◽  
Measurement Scale ◽  
Rehabilitation Adherence ◽  
Significant Model

Context:Athletic identity has been associated with rehabilitation overadherence in college athletes.Objectives:To explore which constructs of athletic identity predict rehabilitation overadherence, gauge athletes’ views of the most salient aspect of their athletic participation, and understand their perceptions of the reasons they adhere to their rehabilitation program.Design:Cross-sectional, mixed methods.Setting:University athletic training clinics and online.Participants:Currently injured college athletes (N = 80; 51 male, 29 female).Main Outcome Measures:Athletic Identity Measurement Scale (AIMS), Rehabilitation Overadherence Questionnaire (ROAQ), and 2 open-ended questions about athletic participation and rehabilitation adherence.Results:Higher levels of athletic identity were associated with higher levels of rehabilitation overadherence (r = .29, P = .009). Hierarchical multiple regression used on AIMS subscales to predict ROAQ subscales did not reveal a significant model for the subscale “ignore practitioner recommendations.” However, a significant model was revealed for the subscale “attempt an expedited rehabilitation,” F5,73 = 2.56, P = .04, R2 = .15. Negative affectivity was the only significant contribution to the equation (β = 0.33, t = 2.64, P = .01). Content analysis revealed that bodily benefits, sport participation, personal achievement, social relationships, and athlete status were perceived to be the most important aspects of being an athlete. The themes of returning to competition, general health, and relationship beliefs were identified as the major factors for adhering to a rehabilitation program.Conclusions:Negative affectivity accounted for a significant but low amount of variance for rehabilitation overadherence, suggesting that athletic trainers should pay attention to personal variables such as athletic identity that might influence the rehabilitation process. Using the knowledge of why athletes adhere to their rehabilitation and what is most important to them about being an athlete, athletic trainers can use appropriate interventions to facilitate proper rehabilitation adherence.

scholarly journals The Athletic Identity of Collegiate Athletic Trainers: A Descriptive Study

2021 ◽  
Author(s):  
Christianne M Eason ◽  
Stephanie Clines
Keyword(s):  
Athletic Trainers ◽  
Athletic Identity ◽  
Measurement Scale ◽  
Group Differences ◽  
Division Iii ◽  
Cross Sectional ◽  
Former Athletes ◽  
Employment Setting ◽  
Division Ii ◽  
Collegiate Athletic Trainers

Context: Empirical and anecdotal evidence suggest that many athletic trainers were former athletes and select the profession due to its affiliation with sport. Qualitative research has indicated that collegiate athletic trainers may have a strong athletic identity, but the concept of athletic identity has not been quantified in this population. Objective: To quantitatively asses the athletic identity of collegiate athletic trainers and determine if group differences exist. Design: Cross-sectional observational study. Setting: Collegiate clinical setting. Patients and Other Participants: A total of 257 (n = 93 (37%) males, n = 162 (63%) females) athletic trainers employed in the collegiate setting were included in data analysis. Main Outcome Measure(s): Data were collected via a web-based survey platform which was designed to measure athletic identity. Demographic information was analyzed for frequency and distribution. Mann-Whitney U tests and Kruskal-Wallis tests were calculated to determine if group differences existed. Results: The large majority of participants (90%) self-identified as having participated in organized sport yet scored moderately on the athletic identity measurement scale (22.9 ± 7.9). There were no sex differences in overall athletic identity (p = .446), but females did have higher levels of negative affectivity (p = .045) than males. Testing also revealed group differences based on current employment setting for social identity (p = .020), with NCAA Division I scores less than Division II, III, and NAIA. NCAA Division III exclusivity (p = .030) was lower than NCAA Division II and NAIA. Conclusions: It appears that components of athletic identity vary based on the employment setting of collegiate athletic trainers and may have a relationship to the number of hours worked in the summer. The moderate athletic identity scores of collegiate athletic trainers are comparable to former athletes who selected career paths outside of sport. This may indicate adaptive career decision processes.

scholarly journals The role of dispositional factors achievement goals and volition in the formation of athletic identity people with physical disability

2020 ◽  
Vol 8 (1) ◽  
pp. 87-94
Author(s):  
Ioannis Proios
Keyword(s):  
Identity Formation ◽  
Achievement Goals ◽  
Physical Disability ◽  
Negative Affectivity ◽  
Athletic Identity ◽  
Goal Orientations ◽  
Physical Activities ◽  
Measurement Scale ◽  
Task Orientation ◽  
Dispositional Factors

Introduction: According to cognitive identity theory internal components can be likely to influence athletic identity formation. The purpose of the present study was to examine relationship between athletic identity of people with physical disabilities and goal perspectives (task and ego) and volitional competences (persistence, purposefulness and expedience). Material and methods: The participants were 134 people with physical disability (n=103 men, and n=31 women). Their age ranging from 14 to 67 years (M=34.98, SD=10.59). All participants participated in physical activities (competitive and recreational). The subjects filled in three questionnaires: Athletic Identity Measurement Scale (AIMS), Task and Ego Orientation in Sports Questionnaire (TEOSQ) and Measure Athletes’ Volition – Short (MAV-S). Results: The results revealed that goal orientations and volitional competencies can be predictors of athletic identity dimensions for people with disabilities participating in physical activities. In addition, they suggested that task orientation predicts the three identities (social β=0.43, exclusivity β=0.31 and negative affectivity β=0.38), purposefulness competence predicts two identities (social β=0.34 and exclusivity β=0.30), while persistence competence predicts the negative affectivity identity (β=0.49). Conclusions: In conclusion, dispositional factors achievement goals and volitional competencies can be predicting the athletic identity dimensions.

Injured Athletes’ Perceptions About Social Support

2011 ◽  
Vol 20 (4) ◽  
pp. 457-470 ◽  
Author(s):  
Damien Clement ◽  
Vanessa R. Shannon
Keyword(s):  
Social Support ◽  
Outcome Measures ◽  
Athletic Trainers ◽  
Well Being ◽  
Negative Influence ◽  
Psychological Reactions ◽  
The Social ◽  
Rehabilitation Adherence ◽  
Buffering Hypothesis ◽  
Injured Athletes

Context:According to the buffering hypothesis, social support moderates the harmful effects of stress and, in turn, indirectly affects injured athletes’ health and well-being. Previous research suggests that perceptions of social support influence athletes’ psychological reactions, as well as their rehabilitation adherence, but additional research in this area is warranted.Objective:To examine injured athletes’ perceptions regarding satisfaction, availability, and contribution for each of the 8 types of social support.Design:Descriptive.Setting:Mid-Atlantic Division II and III institutions.Participants:49 injured athletes.Main Outcome Measures:Social support was assessed using a modified version of the Social Support Survey.Results:Injured athletes were significantly more satisfied with social support provided by athletic trainers (ATCs) than that provided by coaches and teammates. In addition, injured athletes reported that social support provided by ATCs contributed significantly more to their overall well-being. Athletes reported several significant differences regarding satisfaction and contribution to well-being among the 8 different types of social support.Conclusions:Injury, an unavoidable part of sport, is often accompanied by negative psychological reactions. This reaction may have a negative influence on an athlete’s experience of injury and rehabilitation. Findings suggest that perceptions of social support provided by ATCs have the greatest influence on injured athletes’ rehabilitation and well-being.

scholarly journals Investigating correlates of athletic identity and sport-related injury outcomes: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e044199
Author(s):  
Tian Renton ◽  
Brian Petersen ◽  
Sidney Kennedy
Keyword(s):  
Outcome Measures ◽  
Scoping Review ◽  
Injury Severity ◽  
Athletic Identity ◽  
Sport Performance ◽  
Measurement Scale ◽  
Secondary Outcome ◽  
Future Research ◽  
Injury Outcomes ◽  
The Relationship

ObjectivesTo conduct a scoping review that (1) describes what is known about the relationship between athletic identity and sport-related injury outcomes and (2) describes the relationship that an injury (as an exposure) has on athletic identity (as an outcome) in athletes.DesignScoping review.ParticipantsA total of n=1852 athletes from various sport backgrounds and levels of competition.Primary and secondary outcome measuresThe primary measure used within the studies identified was the Athletic Identity Measurement Scale. Secondary outcome measures assessed demographic, psychosocial, behavioural, physical function and pain-related constructs.ResultsTwenty-two studies were identified for inclusion. Samples were dominated by male, Caucasian athletes. The majority of studies captured musculoskeletal injuries, while only three studies included sport-related concussion. Athletic identity was significantly and positively associated with depressive symptom severity, sport performance traits (eg, ego-orientation and mastery-orientation), social network size, physical self-worth, motivation, rehabilitation overadherence, mental toughness and playing through pain, as well as injury severity and functional recovery outcomes. Findings pertaining to the association that an injury (as an exposure) had on athletic identity (as an outcome) were inconsistent and limited.ConclusionsAthletic identity was most frequently associated with psychosocial, behavioural and injury-specific outcomes. Future research should seek to include diverse athlete samples (eg, women, athletes of different races, para-athletes) and should continue to reference theoretical injury models to inform study methodologies and to specify variables of interest for further exploration.

Certified Athletic Trainers' Perspectives on Rehabilitation Adherence in Collegiate Athletic Training Settings

2014 ◽  
Vol 23 (2) ◽  
pp. 123-133 ◽  
Author(s):  
Megan D. Granquist ◽  
Leslie Podlog ◽  
Joanna R. Engel ◽  
Aubrey Newland
Keyword(s):  
Athletic Training ◽  
Outcome Measures ◽  
Online Survey ◽  
Injury Severity ◽  
Athletic Trainers ◽  
The United States ◽  
Return To Play ◽  
Certified Athletic Trainers ◽  
Rehabilitation Adherence ◽  
Content Analyses

Context:Adherence to sport-injury rehabilitation protocols may be pivotal in ensuring successful rehabilitation and return-to-play outcomes.Objectives:To investigate athletic trainers' perspectives related to the degree to which rehabilitation adherence is an issue in collegiate athletic training settings, gain insight from certified athletic trainers regarding the factors contributing to rehabilitation nonadherence (underadherence and overadherence), and ascertain views on the most effective means for promoting adherence.Design:Crosssectional, mixed methods.Setting:Collegiate athletic training in the United States.Participants:Certified athletic trainers (n = 479; 234 male, 245 female).Main Outcome Measures:Online survey consisting of 3 questions regarding rehabilitation adherence, each followed by an open-ended comments section. Descriptive statistics were calculated for quantitative items; hierarchical content analyses were conducted for qualitative items.Results:Most (98.3%) participants reported poor rehabilitation adherence to be a problem (1.7% = no problem, 29.2% = minor problem, 49.7% = problem, 19.4% = major problem), while most (98.96%) participants reported that they had athletes who exhibited poor rehabilitation adherence (1% = never, 71.4% = occasionally, 22.5% = often, 5% = always). In addition, the majority (97.91%) of participants reported that overadherence (eg, doing too much, failing to comply with activity restrictions, etc) was at least an occasional occurrence (2.1% = never, 69.3% = occasionally, 26.3% = often, 1.9% = always). Hierarchical content analyses regarding the constructs of poor adherence and overadherence revealed 4 major themes: the motivation to adhere, the development of good athletic trainer–athlete rapport and effective communication, athletic trainers' perception of the coaches' role in fostering adherence, and the influence of injury- or individual- (eg, injury severity, sport type, gender) specific characteristics on rehabilitation adherence.Conclusions:These results suggest that participants believe that underadherence (and to a lesser extent overadherence) is a frequent occurrence in collegiate athletic training settings. Strategies for enhancing rehabilitation adherence rates and preventing overadherence may therefore be important for optimizing rehabilitation outcomes.

scholarly journals Athletic Identity and Sport Orientation of Adolescent Swimmers with Disabilities

1995 ◽  
Vol 12 (2) ◽  
pp. 113-123 ◽  
Author(s):  
Jeffrey J. Martin ◽  
Carol Adams-Mushett ◽  
Kari L. Smith
Keyword(s):  
Social Identity ◽  
Goal Orientation ◽  
Achievement Motivation ◽  
Role Theory ◽  
Negative Affectivity ◽  
Athletic Identity ◽  
Schema Theory ◽  
Measurement Scale ◽  
Self Identity ◽  
Sport Orientation

Measures of athletic identity and sport orientation, developed from self-schema theory, social role theory, and achievement motivation theory, were used to examine international adolescent swimmers with disabilities. The multidimensional Athletic Identity Measurement Scale (Brewer, Van Raalte, & Linder, 1993) was used to assess self-identity, social identity, exclusivity, and negative affectivity. The Sport Orientation Questionnaire (Gill & Deeter, 1988) measured competitiveness, win orientation, and goal orientation. Swimmers reported (a) a strong self-identity, (b) a moderate to strong social identity, (c) negative affectivity with lower levels of exclusivity, (d) strong competitiveness and goal orientation, and (e) moderate win orientation. Self-identity was correlated with competitiveness, suggesting that swimmers did not simply report an identification with an athletic role; they also reported a strong desire to attain competitive goals. Additionally, exclusivity was associated with negative affectivity, indicating that athletes without diversified self-schemas may be at risk for emotional problems when unable to compete. In general, the results indicated that these swimmers possess a strong athletic identity and that sport is important to them.

Clinical evaluation of a wrist sensorimotor rehabilitation program for triangular fibrocartilage complex injuries

Hand Therapy ◽  
2021 ◽  
pp. 175899832110333
Author(s):  
Zhiqing Chen
Keyword(s):  
Grip Strength ◽  
Outcome Measures ◽  
Rating Scale ◽  
Weight Bearing ◽  
Rehabilitation Program ◽  
Triangular Fibrocartilage Complex ◽  
Effect Sizes ◽  
Pronator Quadratus ◽  
Triangular Fibrocartilage ◽  
Wrist Function

Introduction Triangular fibrocartilage complex (TFCC) injuries are associated with distal radioulnar joint (DRUJ) instability and impaired wrist proprioception. Sensorimotor training of extensor carpi ulnaris (ECU) and pronator quadratus (PQ) can enhance DRUJ stability. With limited evidence on effectiveness of TFCC sensorimotor rehabilitation, this study aimed to evaluate the effects and feasibility of a novel wrist sensorimotor rehabilitation program (WSRP) for TFCC injuries. Methods Patients diagnosed with TFCC injuries were recruited from May 2018 to January 2020 at an outpatient hand clinic in Singapore General Hospital. There are four stages in WSRP: (1) pain control, (2) muscle re-education and joint awareness, (3) neuromuscular rehabilitation, and (4) movement normalization and function. WSRP also incorporated dart throwing motion and proprioceptive neuromuscular facilitation. Outcome measures included grip strength measured with grip dynamometer, numerical pain rating scale, joint position sense (JPS) measurement, weight bearing measured with the ‘push-off’ test, and wrist function reported on the Patient Rated Wrist Hand Evaluation. Results Ten patients completed the WSRP. Mean changes were compared with minimal clinically important differences (MCID) for outcomes. All patients achieved MCID on pain, 70% of patients achieved MCID on grip strength, weight bearing and wrist function. Paired t-tests and Cohen’s D for outcome measures were calculated. There were large effect sizes of 2.47, 1.35, and 2.81 for function, grip strength and pain respectively, and moderate effect sizes of 0.72 and 0.39 for axial loading and JPS respectively. Discussion WSRP presents a potential treatment approach in TFCC rehabilitation. There is a need for future prospective clinical trials with control groups.

The Lower Limb Amputee Measurement Scale: Reliability and predictive validity

2007 ◽  
Vol 31 (3) ◽  
pp. 300-312 ◽  
Author(s):  
Oren Cheifetz ◽  
Mark Bayley ◽  
Sharon Grad ◽  
Debbie Lambert ◽  
Cass Watson ◽  
...  
Keyword(s):  
Predictive Validity ◽  
Lower Limb ◽  
Assessment Tool ◽  
Pearson Correlation ◽  
Rehabilitation Program ◽  
Measurement Scale ◽  
Initial Assessment ◽  
Team Members ◽  
Scale Reliability ◽  
Lower Limb Amputee

This study assesses the reliability and predictive validity of the Lower Limb Extremity Amputee Measurement Scale (LLAMS), which is an assessment tool designed to predict the length of stay (LOS) of patients with lower limb amputations in a rehabilitation program. In order to evaluate inter-rater reliability a prospective evaluation was completed by five independent evaluators ( n = 10). Predictive validity was evaluated retrospectively by comparing the LLAMS predicted LOS to actual LOS ( n = 147). The ability of the amputee team members to administer the LLAMS to patients was very high (ICC [2,1] = 0.98, CI 95% = 0.96 – 0.99, F[9, 36] = 78.71, p < 0.05). In addition, a moderate positive correlation was found between the LLAMS predicted LOS and the actual LOS (Pearson Correlation Coefficient, r = 0.465, p < 0.01), and the LLAMS was able to identify those patients who required short versus long rehabilitation stays. The incorporation of the LLAMS into the physiatrist's initial assessment of patients in the amputee clinic has enhanced the ability to manage better the LOS and the time patients wait to enter the rehabilitation program.

The Effects of Walking on Gastrocnemius Cooling During an Ice Bag Treatment

2014 ◽  
Vol 19 (6) ◽  
pp. 34-40 ◽  
Author(s):  
Stephanie J. Guzzo ◽  
Susan W. Yeargin ◽  
Jeffery S. Carr ◽  
Timothy J. Demchak ◽  
Jeffrey E. Edwards
Keyword(s):  
Outcome Measures ◽  
Gastrocnemius Muscle ◽  
Athletic Trainers ◽  
Exercise Physiology ◽  
Lower Extremity Injury ◽  
Physically Active ◽  
Treatment Conditions ◽  
Males And Females ◽  
Physiology Laboratory ◽  
Randomized Crossover Study

Context:Many athletic trainers use “ice to go” to treat their athletes. However, researchers have reported that icing a working muscle may negate intramuscular (IM) cooling.Objective:The purpose of our study was to determine the length of time needed to cool the gastrocnemius while walking followed by rest.Design:A randomized crossover study design was used.Setting:Exercise Physiology Laboratory.Patients or Other Participants:Nine healthy, physically active males and females (males 5, females 4; age 24.0 ± 2.0 years; height 174.0 ± 8.0 cm; weight 86.3 ± 6.5 kg; skinfold taken at center of gastrocnemius greatest girth, R leg 20.3 ± 4.4 mm, L leg 19.6 ± 4.1 mm) without lower extremity injury or cold allergy volunteered to complete the study.Intervention:Participants randomly experienced three treatment conditions on separate days: rest (R), walk for 15 minutes followed by rest (W15R), or walk for 30 minutes followed by rest (W30R). During each treatment, participants wore a 1 kg ice bag secured to their right gastrocnemius muscle. Participants walked at a 4.5km/hr pace on a treadmill during the W15R and W30R trials.Main Outcome Measures:A 1 × 3 within groups ANOVA was used to determine the effect of activity on cooling time needed for the gastrocnemius temperature to decrease 6 °C below baseline.Results:The R condition cooled faster (25.9 ± 5.5 min) than both W15R (33.7 ± 9.3 min;P= .002) and W30R (49.4 ± 8.4 min;P< .001). Average time to decrease 6 °C after W15R was 18.7 ± 9.3 minutes and after W30R was 19.4 ± 8.4 minutes.Conclusions:Clinicians should instruct their patients to stay and ice or to keep the ice on for an additional 20 minutes after they stop walking and begin to rest.

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