Sport injury rehabilitation adherence: Perspectives of recreational athletes

Abstract The purpose of this study was to investigate recreational participants’ experiences of adhering to a sport injury rehabilitation program. Six participants undertaking a rehabilitation program for a tendonitis‐related injury as a result of sport involvement took part in this study. Data were collected using semi‐structured interviews and were thematically analyzed using interpretative phenomenological analysis (Smith & Osborn, 2003). Five themes emerging from the data set were motivation, confidence, coping, social support, and pain. Specifically, a lack of motivation and confidence were perceived to have a negative effect upon home‐based rehabilitation adherence while ineffective coping strategies, over support and pain, appeared to have an adverse influence on rehabilitation adherence in a clinic setting. The use of effective coping strategies and varied types of social support aided rehabilitation adherence. Applied implications and future research directions are discussed

[1]  N. Durand-Bush,et al.  Sport Psychology , 2011, The Canadian Handbook for Careers in Psychological Science.

[2]  J. Creswell.  Research Design: Qualitative, Quantitative, and Mixed Methods Approaches , 2010 .

[3]  R. Polman,et al.  Examining the Relationship Between Perceived Autonomy Support and Age in the Context of Rehabilitation Adherence in Sport , 2008 .

[4]  Jonathan A. Smith,et al.  Interpretative phenomenological analysis , 2008 .

[5]  Ailsa Niven,et al.  Rehabilitation adherence in sport injury: sport physiotherapists' perceptions. , 2007, Journal of sport rehabilitation.

[6]  M. Arvinen-Barrow,et al.  Views of chartered physiotherapists on the psychological content of their practice: a follow-up survey in the UK. , 2007, Journal of sport rehabilitation.

[7]  C. Heaney.  Physiotherapists’ perceptions of sport psychology intervention in professional soccer , 2006 .

[8]  M. Griffin,et al.  Injury Representations, Coping, Emotions, and Functional Outcomes in Athletes With Sports-Related Injuries: A Test of Self-Regulation Theory , 2005 .

[9]  Julian A. Feller,et al.  Adherence to Rehabilitation after Anterior Cruciate Ligament Reconstructive Surgery: Implications for Outcome , 2005 .

[10]  R. Polman,et al.  A Phenomenological Analysis of Coping Effectiveness in Golf , 2005 .

[11]  Craig R. Hall,et al.  Self-Efficacy, Imagery Use, and Adherence to Rehabilitation by Injured Athletes , 2005 .

[12]  S. Lippke.  59-THE ROLE OF SOCIAL SUPPORT IN ADHERENCE PROCESSES FOLLOWING A REHABILITATION TREATMENT , 2004 .

[13]  J. Moskowitz,et al.  Coping: pitfalls and promise. , 2004, Annual review of psychology.

[14]  T. Petrie,et al.  Cognitive Appraisals, Stress, and Coping: Preinjury and Postinjury Factors Influencing Psychological Adjustment to Sport Injury , 2003 .

[15]  B. Brewer,et al.  Age-Related Differences in Predictors of Adherence to Rehabilitation After Anterior Cruciate Ligament Reconstruction. , 2003, Journal of athletic training.

[16]  B. Brewer,et al.  Protection Motivation Theory and Adherence to Sport Injury Rehabilitation Revisited , 2003 .

[17]  P. Kannus,et al.  Is it Possible to Prevent Sports Injuries? , 2002, Sports medicine.

[18]  J. Feller,et al.  Adherence to Anterior Cruciate Ligament Rehabilitation: A Qualitative Analysis , 2002 .

[19]  B. Hemmings,et al.  Views of chartered physiotherapists on the psychological content of their practice: a preliminary study in the United Kingdom , 2002, British journal of sports medicine.

[20]  K. J. Munroe,et al.  Task and Scheduling Self-efficacy as Predictors of Exercise Behavior , 2002 .

[21]  T. Bianco.  Social Support and Recovery from Sport Injury: Elite Skiers Share Their Experiences , 2001, Research quarterly for exercise and sport.

[22]  S. Henert.  Gender Differences in Copying with Injury , 2001 .

[23]  J. Donovan,et al.  Why don't patients do their exercises? Understanding non-compliance with physiotherapy in patients with osteoarthritis of the knee , 2001, Journal of epidemiology and community health.

[24]  W. Rodgers,et al.  Catastrophizing and pain perception in sport participants , 2000 .

[25]  M. Somerfield,et al.  Stress and coping research. Methodological challenges, theoretical advances, and clinical applications. , 2000, The American psychologist.

[26]  Albert J. Petitpas,et al.  Psychological factors, rehabilitation adherence, and rehabilitation outcome after anterior cruciate ligament reconstruction. , 2000 .

[27]  Richard S. Lazanis.  Stress and emotion, a new synthesis , 1999 .

[28]  T. Orlick,et al.  Sport injury and illness: elite skiers describe their experiences. , 1999, Research quarterly for exercise and sport.

[29]  A. Sparkes.  Validity in Qualitative Inquiry and the Problem of Criteria: Implications for Sport Psychology , 1998 .

[30]  D. Carroll,et al.  The Provision of Social Support to Injured Athletes: A Qualitative Analysis , 1998 .

[31]  B. Brewer,et al.  Adherence to sport injury rehabilitation programs , 1998 .

[32]  Aynsley M. Smith,et al.  An integrated model of response to sport injury: Psychological and sociological dynamics , 1998 .

[33]  D. Gould,et al.  How to Help Elite Athletes Cope Psychologically with Season-Ending Injuries , 1997 .

[34]  E. Udry.  Coping and social support among injured athletes following surgery. , 1997 .

[35]  John W. Creswell,et al.  Research Design: Qualitative and Quantitative Approaches , 1997 .

[36]  Adrian H. Taylor,et al.  Threat and coping appraisal as determinants of compliance with sports injury rehabilitation: an application of Protection Motivation Theory. , 1996, Journal of sports sciences.

[37]  Jonathan A. Smith.  Beyond the divide between cognition and discourse: using interpretative phenomenological analysis in health psychology , 1996 .

[38]  M. Horodyski,et al.  Factors Associated with Adherence to Sport Injury Rehabilitation in College-Age Recreational Athletes , 1995 .

[39]  E. Domholdt,et al.  Rehabilitation compliance in an athletic training environment. , 1994, Journal of athletic training.

[40]  Fisher Ac,et al.  Adherence to Sports-Injury Rehabilitation Programs. , 1988, The Physician and sportsmedicine.

[41]  A. Bandura.  Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[42]  Morris F. Collen,et al.  Pain tolerance: differences according to age, sex and race. , 1972 .

[43]  A. P. Orfirer,et al.  Psychological aspects of rehabilitation. , 1957, The Ohio State medical journal.

[44]  T. Rees.  Influence of social support on athletes. , 2007 .

[45]  B. Brewer.  Chapter 4 – Psychological aspects of rehabilitation , 2004 .

[46]  B. Compas,et al.  Coping with stress during childhood and adolescence: problems, progress, and potential in theory and research. , 2001, Psychological bulletin.

[47]  Eugene B. Zechmeister,et al.  Research methods in psychology, 5th ed. , 2000 .

[48]  Helen Dawes MMedSci Mcsp.  Psychological Approaches to Sports Injury Rehabilitation , 1998 .

[49]  E. B. Zechmeister,et al.  Research Methods in Psychology. , 1990 .

[50]  Ellen L. Lewis,et al.  Facilitating Treatment Adherence: A Practitioner’s Guidebook , 1989 .

[51]  E. Guba,et al.  Naturalistic inquiry: Beverly Hills, CA: Sage Publications, 1985, 416 pp., $25.00 (Cloth) , 1985 .

[52]  A. Bandura.  Self-Efficacy: The Exercise of Control , 1977 .

[53]  W. Sobey.  Myxomatosis: the virulence of the virus and its relation to genetic resistance in the rabbit. , 1960 .