Psychosocial factors associated with outcomes of sports injury rehabilitation in competitive athletes: a mixed studies systematic review.

The prime focus of research on sports injury has been on physical factors. This is despite our understanding that when an athlete sustains an injury it has psychosocial as well as physical impacts. Psychosocial factors have been suggested as prognostic influences on the outcomes of rehabilitation. The aim of this work was to address the question: are psychosocial factors associated with sports injury rehabilitation outcomes in competitive athletes?Mixed studies systematic review (PROSPERO reg.CRD42014008667).Electronic database and bibliographic searching was undertaken from the earliest entry until 1 June 2015. Studies that included injured competitive athletes, psychosocial factors and a sports injury rehabilitation outcome were reviewed by the authors. A quality appraisal of the studies was undertaken to establish the risk of reporting bias.25 studies were evaluated that included 942 injured competitive athletes were appraised and synthesised. Twenty studies had not been included in previous reviews. The mean methodological quality of the studies was 59% (moderate risk of reporting bias). Convergent thematic analysis uncovered three core themes across the studies: (1) emotion associated with rehabilitation outcomes; (2) cognitions associated with rehabilitation outcomes; and (3) behaviours associated with rehabilitation outcomes. Injury and performance-related fears, anxiety and confidence were associated with rehabilitation outcomes. There is gender-related, age-related and injury-related bias in the reviewed literature.Psychosocial factors were associated with a range of sports injury rehabilitation outcomes. Practitioners need to recognise that an injured athlete's thoughts, feelings and actions may influence the outcome of rehabilitation

Psychosocial factors in sports injury rehabilitation and return to play

This article discusses the principles and practices that guide psychological intervention with injury, and encourages a psychological approach to injury for clinicians. Part 1 reviews the research literature, and serves as a foundation for the review of clinical practices in part 2. Examination of the research literature highlights 4 areas: (1) psychological factors influencing rehabilitation, (2) social factors affecting rehabilitation, (3) performance concerns among returning athletes, and (4) tools/inventories for assessing psychological readiness to return. A synopsis of an injury intervention plan is provided, and the influence of pain and fear in the rehabilitation process is described

Psychosocial factors in sports injury rehabilitation and return to play

pre-printThe goal of this review is to provide insight into the principles and practices that guide psychological intervention with injury and in so doing cultivate a psychologically minded approach to injury for the medical provider. The chapter is divided into two parts. Part 1 provides an overview of the research literature, which serves as a foundation for the brief review of clinical practices that follow in Part 2. Examination of the research literature will highlight four areas including: (1) psychological factors influencing rehabilitation, (2) social factors impacting rehabilitation (3) performance concerns among returning athletes, and (4) tools/inventories for assessing psychological readiness to return. The section on clinical practices highlights the Affective Cycle of Injury as a model for clinical intervention and the Sports Medicine Injury Checklist as a practical guide for assessment and triage. Finally, a brief synopsis of an injury intervention plan is provided, and the influence of pain and fear in the rehabilitation process is described

The effect of variety expectations on interest, enjoyment, and locus of causality in exercise

ManuscriptMost attempts to influence intrinsic motivation have focused on contextual support for basic need satisfaction, including the provision of autonomy support, structure, and interpersonal involvement (e.g., Edmunds et al. in Eur J Soc Psychol 38:375-388, 2008). This study explored the extent to which another factor, expectations for task variety, influenced interest, enjoyment, and locus of causality in a novel exercise setting. Results showed that participants exposed to messages about variety in an exercise class enjoyed the class more, found it more interesting, and perceived greater internal causality than those who received messages about similarity in the class. Moderator analyses indicated that expectations of task variety were particularly conducive for task interest among participants who usually demonstrated lower intrinsic motivation for exercise. Discussion focuses on the relevance of these findings to self-determination theory and on opportunities for future research

College students goal orientations, situational motivation and effort/persistence in physical activity classes

pre-printThe purpose of this study was to examine relationships among college students' 2 × 2 goal orientations (mastery-approach [MAp], mastery-avoidance [MAv], performance-approach [PAp], performance-avoidance [PAv]), situational motivation (intrinsic motivation, identified regulation, external regulation and amotivation) and effort/persistence in physical activity classes. Participants (140 female, 109 male) completed a battery of questionnaires assessing the outcome variables at the last week of instruction. Regression analyses revealed that MAp and PAp emerged as positive predictors for intrinsic motivation whereas MAp was the only positive predictor for identified regulation. MAp was negatively related to amotivation (AM), while PAp and PAv were positively related to AM. In addition, MAp, PAp, intrinsic motivation, and identified regulation were significant positive predictors of effort/persistence

Stressors, social support, and tests of the buffering hypothesis: effects on psychological responses of injured athletes.

The purpose of this article was to examine the main and stress-buffering effect relationships between social support and psychological responses to injury

A review of return to sport concerns following injury rehabilitation: practitioner strategies for enhancing recovery outcomes

ManuscriptObjectives: Evidence suggests that competitive athletes returning to sport following injury rehabilitation may experience a range of psychosocial concerns. The purpose of this paper is to review some of the psychosocial stresses common among returning athletes and to provide practitioner strategies for enhancing recovery outcomes. Evidence Acquisition: Findings are based on a database search of Sport Discus, Psychinfo, and Medline using sport injury, fear of re-injury, return to full activity. Results: Salient apprehensions among athletes' returning to sport following injury were found to include: anxieties associated with re-injury; concerns about an inability to perform to pre-injury standards; feelings of isolation, a lack of athletic identity and insufficient social support; pressures to return to sport; and finally, self-presentational concerns about the prospect of appearing unfit, or lacking in skill in relation to competitors. Conclusions: The results suggest that athletes returning to sport from injury may experience concerns related to their sense of competence, autonomy and relatedness. Given its focus on competence, autonomy and relatedness issues, self-determination theory (SDT) is offered as a framework for understanding athlete concerns in the return to sport from injury. Practical suggestions for sport medicine practitioners, researchers and applied sport psychology specialists seeking to address athlete issues are provided using an SDT perspective

Management and Rehabilitation Strategies Following IED Related Mild Traumatic Brain Injury in Civilian Settings - What to Expect and How to Optimize Recovery From mTBI

The wide array of psychological and physical responses following an IED bombing may reduce the likelihood that appropriate assessment and recovery from mTBI occur. Such a situation is problematic as mTBI itself may negatively influence the recovery from the traumatic event or associated injuries if not diagnosed and managed properly. Consequently, the overall aim of this article is to better inform healthcare practitioners, patients, and patients’ social support networkabout the nature of IED-related mild traumatic brain injuries. In so doing, we hope to facilitate enhanced assessment, management, and rehabilitation of this injury. In particular, the specific goals of the review include: (i) a description of the nature of an IED-related mTBI in a civilian setting (section 2 to 2.3); (ii) a description of the unique circumstances for mTBI survivors in regards to the signs and symptoms that may be anticipated (section 2.4); (iii) what key stakeholders including: the rehabilitant, the managing health care team, and social support providers (e.g., family members) can expect in terms of the physical and emotional recovery process (sections 3 to 4.4.) Finally, general and specific lifestyle modifications to improve survivors’ health are described in order to lay a clear foundation for patients’ recovery from an IED-related mTBI

The Relationship Between Self-Presentation Concerns and Pre-Game Affect among Adolescent Football Players

Background: The influence of self-presentation concerns on the adolescent sport experience has received scant empirical attention. The purpose of this investigation was to prospectively examine the relationship among self-presentational concerns and pre-game affective states among middle and high school aged football players. Methods: American football players (n = 112; mean age = 15.57 years) completed a measure of self-presentational concerns (SPSQ, McGowan, et al., 2008) a week prior to the measurement of selected pre-game affective states (i.e., attentiveness, self-assurance, serenity, and fear). Results: Regression analyses revealed that concerns about appearing athletically untalented negatively contributed to the significant prediction ( p \u3c 0.001) of pre-game attentiveness, b = 0.43, R2 adj = 19.5% ( p \u3c 0.001), and self-assurance, b = 0.38, R2 adj = 11.9% ( p \u3c 0.01). Conclusion: These findings highlight the importance of reducing self-presentational concerns in promoting positive pre-game mental states that likely impact the quality of athletes’ competitive play and experience

Quality and acceptability of measures of exercise adherence in musculoskeletal settings: a systematic review

Objective. To recommend robust and relevant measures of exercise adherence for application in the musculoskeletal field. Method. A systematic review of measures was conducted in two phases. Phase 1 sought to identify all reproducible measures used to assess exercise adherence in a musculoskeletal setting. Phase 2 identified published evidence of measurement and practical properties of identified measures. Eight databases were searched (from inception to February 2016). Study quality was assessed against the Consensus-based Standards for the Selection of Health Measurement Instruments guidelines. Measurement quality was assessed against accepted standards. Results. Phase 1: from 8511 records, 326 full-text articles were reviewed; 45 reproducible measures were identified. Phase 2: from 2977 records, 110 full-text articles were assessed for eligibility; 10 articles provided evidence of measurement/practical properties for just seven measures. Six were exercise adherence-specific measures; one was specific to physical activity but applied as a measure of exercise adherence. Evidence of essential measurement and practical properties was mostly limited or not available. Assessment of relevance and comprehensiveness was largely absent and there was no evidence of patient involvement during the development or evaluation of any measure. Conclusion. The significant methodological and quality issues encountered prevent the clear recommendation of any measure; future applications should be undertaken cautiously until greater clarity of the conceptual underpinning of each measure is provided and acceptable evidence of essential measurement properties is established. Future research should seek to engage collaboratively with relevant stakeholders to ensure that exercise adherence assessment is high quality, relevant and acceptable