Sport Physiotherapists' Perceptions of Psychological Strategies in Sport Injury Rehabilitation

2000 ◽  
Vol 9 (3) ◽  
pp. 191-206 ◽  
Author(s):  
Alana Ninedek ◽  
Gregory S. Kelt

Context:Recent literature has focused on the role of physiotherapists in addressing psychological sequelae of sport injury and rehabilitation.Objective:The study investigated sports physiotherapists' views of psychological characteristics that distinguished athletes who cope well with injury from those who cope poorly. Physiotherapists' opinions on the role of psychological skills in rehabilitation were also examined.Design:A questionnaire-based study.Participants:Participants were 150 physiotherapists who had completed, or were completing, a postgraduate sports physiotherapy program.Main Outcome Measures:The test instrument used was the Sports Physiotherapists' Views on Psychological Strategies questionnaire (adapted from Wiese et al1).Results:The physiotherapists reported communication skills, a positive attitude, intrinsic motivation, and realistic goal setting as important aspects of effective rehabilitation.Conclusions:The findings are discussed in relation to physiotherapists' roles in addressing basic psychological aspects of injury.

Author(s):  
Colin Deal ◽  
Chris Shields

Previous research has highlighted the importance of relationships (e.g., athletic therapist/client) and psychological skill use to manage negative emotions (e.g., frustration, anger) in order to obtain optimal adherence and injury rehabilitation outcomes. However, the relationship between student athletic therapists and varsity athletes has not been examined. Thus, the objective was to examine the relationship between student therapists and varsity athletes and psychological skill use in injury rehabilitation in relation to adherence. Two senior student therapists and three varsity athletes who had completed injury rehabilitation were recruited to participate in semi-structured interviews. Transcripts were analysed using thematic analysis. Both groups of participants described the role of the student therapists as being primarily focused on injury prevention and management. Furthermore, the peer relationships that developed were valued. Goal-setting was used in injury rehabilitation to guide progress, improve adherence, and frame injuries as temporary setbacks. Participants were familiar with imagery from use in other context, however did not report using it in injury rehabilitation. Finally, participants acknowledged that adherence was not perfect, but acknowledged the peer relationships and collaborative goal-setting as helpful. These findings highlight the importance of the relationship between student therapists and athletes and suggest these relationships may support athlete adherence.


2001 ◽  
Vol 10 (3) ◽  
pp. 165-172 ◽  
Author(s):  
Carrie B. Scherzer ◽  
Britton W. Brewer ◽  
Allen E. Cornelius ◽  
Judy L. Van Raalte ◽  
Albert J. Petitpas ◽  
...  

Objective:To examine the relationship between self-reported use of psychological skills and rehabilitation adherence.Design:Prospective correlational design.Setting:Outpatient physical-therapy clinic specializing in sports medicine.Patients:Fifty-four patients (17 women and 37 men) undergoing rehabilitation after anterior-cruciate-ligament reconstruction.Main Outcome Measures:An abbreviated version of the Sports Injury Survey (Ievleva & Orlick, 1991) was administered approximately 5 weeks after surgery to assess use of goal setting, imagery, and positive self-talk. Four adherence measures were obtained during the remainder of rehabilitation: attendance at rehabilitation sessions, practitioner ratings of patient adherence at rehabilitation sessions, patient self-reports of home exercise completion, and patient self-reports of home cryotherapy completion.Results:Goal setting was positively associated with home exercise completion and practitioner adherence ratings. Positive self-talk was positively correlated with home exercise completion.Conclusions:Use of certain psychological skills might contribute to better adherence to sport-injury rehabilitation protocols.


2016 ◽  
Vol 12 (1) ◽  
pp. 109-118 ◽  
Author(s):  
Jacqueline A Newton ◽  
Paul S Holmes

A range of cognitive skills that support the development of sport potential have been suggested to be important for athletes and coaches. This study explored performers’ psychological characteristics within orienteers. The psychological skills of World Elite orienteers and athletes in the National Junior Squads of both Great Britain and Switzerland were assessed using the six-factor Psychological Characteristics of Excellence Questionnaire. Data suggested that, as juniors, elite orienteers reported less support for long-term success than the Swiss juniors, perhaps because of the earlier adoption of self-coaching, but were not significantly different from either junior group on all other factors. British juniors were not significantly different from the other two groups on any factor. Follow-up qualitative approaches explored possible reasons for the World Elites’ early reliance on “self” rather than “other”, the role of the coach and the self-coaching phenomenon. The role of orienteering in developing these skills is also discussed along with unique psychological challenges faced by high performing orienteers.


2016 ◽  
Vol 25 (4) ◽  
pp. 338-347 ◽  
Author(s):  
Monna Arvinen-Barrow ◽  
Damien Clement ◽  
Jennifer Jordan Hamson-Utley ◽  
Cindra Kamphoff ◽  
Rebecca Zakrajsek ◽  
...  

Context:Athletes enter injury rehabilitation with certain expectations about the recovery process, outcomes, and the professional providing treatment. Their expectations influence the effectiveness of the assistance received and affect the overall rehabilitation process. Expectations may vary depending on numerous factors such as sport experience, gender, sport type, and cultural background. Unfortunately, limited information is available on athletes’ expectations about sport-injury rehabilitation.Objective:To examine possible differences in athletes’ expectations about sport-injury rehabilitation based on their country of residence and type of sport (contact vs noncontact).Design:Cross-sectional.Setting:Recreational, college, and professional athletes from the US, UK, and Finland were surveyed.Participants:Of the 1209 athletes ranging from 12 to 80 y of age (mean 23.46 ± 7.91), 529 US [80%], 253 UK [86%], and 199 Finnish [82%] athletes provided details of their geographical location and were included in the final analyses.Main Outcome Measures:The Expectations About Athletic Training (EAAT) questionnaire was used to determine athletes’ expectations about personal commitment, facilitative conditions, and the expertise of the sports-medicine professional (SMP).Results:A 3 × 2 MANCOVA revealed significant main effects for country (P = .0001, ηp2 = .055) and sport type (P = .0001, ηp2 = .023). Specifically, US athletes were found to have higher expectations of personal commitment and facilitative conditions than their UK and Finnish counterparts. Athletes participating in contact sports had higher expectations of facilitative conditions and the expertise of the SMP than did athletes participating in noncontact sports.Conclusions:SMPs, especially those in the US, should consider the sport and environment when providing services. In addition, SMPs need to highlight and demonstrate their expertise during the rehabilitation process, especially for those who compete in contact sports.


2006 ◽  
Vol 15 (3) ◽  
pp. 245-254 ◽  
Author(s):  
Andrew R. Levy ◽  
Remco C.J. Polman ◽  
Peter J. Clough ◽  
David C. Marchant ◽  
Keith Earle

Objective:To investigate the relationship between mental toughness, sport injury beliefs, pain, and adherence toward a sport injury rehabilitation program.Design:A prospective design was employed that evaluated adherence over the entire rehabilitation period.Participants:70 patients undertaking a sport injury rehabilitation program for a tendonitis related injury.Main Outcome Measures:Adherence was measured using self report measures of clinic and home based rehabilitation alongside attendance.Results:No association was found between mental toughness and coping appraisals, although high mentally tough individuals displayed more positive threat appraisals and were better able to cope with pain than their less mentally tough counterparts. Greater attendance at rehabilitation sessions was displayed by more mentally tough individuals; however, more positive behavior during clinic rehabilitation was characterized by low mental toughness.Conclusions:Despite the 0benefits of being mentally tough, sports medicine providers need to be aware that a high degree of mental toughness may have negative consequences upon rehabilitation behavior and subsequently recovery outcomes.


2014 ◽  
Vol 49 (6) ◽  
pp. 764-772 ◽  
Author(s):  
Monna Arvinen-Barrow ◽  
William V. Massey ◽  
Brian Hemmings

Context: Research from the sport medicine professional's (SMP's) perspective indicates that SMPs are often required to address psychosocial aspects of injuries during treatment. However, only a few authors have investigated injured athletes' experiences with these concerns. Objective: To explore injured professional athletes' views on the role of SMPs in the psychosocial aspects of sport-injury rehabilitation. Design Qualitative study. Setting: Professional association football and rugby union clubs. Patients or Other Participants: Ten professional, male football (n = 4; 40%) and rugby union (n = 6; 60%) players (age = 22.4 ± 3.4 years). Data Collection and Analysis We collected data using a semistructured interview guide, and the data were then transcribed and analyzed following the interpretative phenomenological analysis guidelines. We peer reviewed and triangulated the established emergent themes to establish trustworthiness. Results: Athletes in our study viewed injuries as “part and parcel” of their sports. Despite normalizing sport injuries, athletes reported frequent feelings of frustration and self-doubt throughout the rehabilitation process. However, athletes' perceived the role of SMPs in injury rehabilitation as addressing physical concerns; any intervention aimed at psychosocial outcomes (eg, motivation, confidence) needed to be subtle and indirect. Conclusions: The SMPs working with injured athletes need to understand the psychosocial principles that underpin athletes' sport-injury processes and the effect psychosocial reactions can have on athletes. Moreover, SMPs must understand the self-regulatory processes that may take place throughout injury rehabilitation and be able to apply psychological principles in natural and subtle ways to aid athletes' self-regulatory abilities.


1994 ◽  
Vol 8 (2) ◽  
pp. 176-188 ◽  
Author(s):  
Britton W. Brewer ◽  
Karin E. Jeffers ◽  
Albert J. Petitpas ◽  
Judy L. Van Raalte

Two experiments were conducted to evaluate perceptions of three different psychological interventions in the context of sport injury rehabilitation. In Experiment 1, college students (N = 161) rated their perceptions of goal setting, imagery, or counseling as an adjunct to physical therapy for a hypothetical injured athlete. In Experiment 2, injured athletes (N = 20) received brief introductory sessions of goal setting, imagery, and counseling. Subjects’ perceptions were assessed immediately following each intervention. In both experiments, subjects displayed a preference for goal setting, although positive perceptions were obtained for all three interventions. Females’ perceptions of the interventions were significantly more positive than those of males in Experiment 1, but not in Experiment 2. The findings suggest that goal setting, imagery, and counseling are sufficiently credible to be examined in controlled outcome studies with injured athletes.


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