Journal of Sport Rehabilitation最新文献

Context: Athletes who do not follow proper concussion recovery protocols are likely to experience their symptoms for longer while putting themselves at risk of further health issues. It is, therefore, critical to identify the types of athletes who may be more or less likely to follow the guidance of medical professionals following concussions. In this research, we tested the hypothesis that athletes with higher levels of self-compassion would be more willing to follow concussion recovery protocols.

Design: Cross-sectional study.

Methods: We collected data from 2 samples of combat sport athletes (sample 1, N = 173 and sample 2, N = 172). All participants completed online surveys assessing self-compassion, the likelihood that they would follow 10 recovery recommendations if they were to experience a concussion in their sport, and scales assessing 3 covariates: self-esteem, conscientiousness, and sport competitiveness.

Results: After controlling for self-esteem, conscientiousness, and sport competitiveness, the results of multiple regression analyses in both samples showed that self-compassion was positively associated with willingness to follow concussion recovery recommendations (sample 1: β = 0.19, 1-tailed P = .039; sample 2: β = 0.20, 1-tailed P = .025). The results of a mini meta-analysis of these effects supported this positive association, Mean r = .144, Z = 2.666, 1-tailed P = .004.

Conclusions: Athletes who are highly self-compassionate reported a greater willingness to follow the advice of medical professionals and adhere to return-to-play protocol. This finding has implications for the rehabilitation of sport concussions; it may be advantageous to encourage athletes to be kind and compassionate toward themselves throughout the concussion recovery process.

Context: Anterior cruciate ligament (ACL) injuries, prevalent in athletic contexts have profound physical and psychological impacts. Despite extensive research on the physiological aspects of ACL recovery, the psychological dimensions of this process have gained increased attention. This scoping review delves into the intricate landscape of psychological factors influencing ACL rehabilitation.

Design: Scoping review.

Methods: A literature search across multiple databases was conducted to identify relevant published studies that provide insight into the psychological aspects of ACL recovery. This search spanned various study designs, enabling a nuanced understanding of the psychological intricacies surrounding ACL recovery. Overall, a total of 1830 unique articles were screened, of which 66 were included in this review. Our findings are further contextualized through alignment with insights from prior reviews on similar themes. Through a comprehensive analysis of diverse literature, we explore 3 key themes: psychological challenges, current rehabilitation programs, and the integration of psychological support.

Results: Psychological challenges emerged as a pervasive aspect of ACL rehabilitation, encompassing fear, anxiety, motivation, and depression. The nuanced emotional responses, particularly the fear of reinjury, impact treatment adherence and overall well-being. Contemporary rehabilitation programs revealed inconsistencies in incorporating psychological support, emphasizing the need for standardized, multidisciplinary approaches. The alignment with prior reviews in the literature reinforced the importance of psychological traits, such as knee self-efficacy, in predicting positive outcomes.

Conclusion: This scoping review provides a comprehensive overview of psychological factors within ACL rehabilitation, highlighting the importance of tailored interventions and standardized approaches. The integration of multidisciplinary expertise emerges as crucial for optimizing patient outcomes. Our findings not only contribute to a nuanced understanding of psychological nuances in ACL rehabilitation but also offer valuable implications for clinical practice and policy development.

Context: Adductor longus muscle strains are one of the most common injuries occurring in intermittent sports such as soccer.

Objective: The purpose of this study was to know the effect of a specific rehabilitation and reconditioning program, which was previously validated, after adductor longus injury in professional soccer players.

Methods: A specific rehabilitation and reconditioning program was applied to 11 injured male professional soccer players.

Participants: Eleven male professional soccer players (age = 29.18 [4.45] y; height = 179.64 [4.97] cm; mass = 75.33 [3.84] kg).

Interventions: In the first place, the days taken to return to full team training and to return to competition (RTP) was analyzed; second, the most important performance parameters were analyzed and compared in the preinjury match (PRE) and after the return to competition at 2 different points in time (RTP1-RTP2).

Results: The return to full team training recorded was 11.91 (1.92) days and the RTP was 15.36 (3.04) days. Match performance parameters showed significant improvements after injury. Significant improvements were observed during RTP2, in the variables of high-speed running (P = .002), very high-speed running (P = .006), acceleration (>3 m/s2; P = .048), and high metabolic load distance (P = .009).

Conclusion: The results allow us to conclude that this program was very effective, as it allowed the players to obtain similar and/or higher performance values in a reduced period of time after the injury.

Context: The quadriceps femoris is consistently ranked among the muscles most prone to sustain strain injuries in sports involving kicking and sprinting actions. Given the documented preventive effect of Nordic hamstring curl programs against hamstring strain injuries, incorporating exercises that induce eccentric overload on the quadriceps could potentially help mitigate strain injuries within this muscle group. The Reverse Nordic Curl (RNC) has emerged as a viable field-based exercise for eccentrically working the quadriceps. This study aimed to compare quadriceps muscle eccentric activation during the RNC with 3 bodyweight squat-based exercises: single-leg squat (SLS), Bulgarian squat, and forward lunge.

Design: Cross-sectional study.

Methods: Twenty-three healthy volunteers (15 men) were monitored for rectus femoris, vastus lateralis, and vastus medialis electromyographic signal, as well as knee range of motion, while performing 10 repetitions of each exercise. Electromyography data acquired during eccentric phases were normalized by maximum voluntary isometric contraction of the knee extensors. The exercises were compared based on the electromyography and knee range of motion values.

Results: RNC generated a similar rectus femoris and vastus medialis eccentric activation compared with the squat-based exercises (P > .05 for all), and a lower vastus lateralis activation than SLS (P < .001). Among the bodyweight squat-based exercises, SLS generated greater eccentric activation than forward lunge and Bulgarian squat for the 3 muscles (P < .05 for all). RNC was performed with lower knee-flexion range of motion than bodyweight squat-based exercises (P < .001).

Conclusions: RNC did not produce superior eccentric quadriceps activation compared to bodyweight squat-based exercises, even proving to be less demanding for the vastus lateralis compared to the SLS. These findings may assist practitioners in selecting exercises to elicit quadriceps eccentric stimulus, with a focus on preventing strain injuries.

Context: Psychological concerns, such as athlete burnout and diminished well-being, have become a more recognized problem among collegiate student-athletes due to substantial demands. The purpose of this study was to determine if (1) an association exists between athlete burnout and well-being in female collegiate student-athletes and (2) social support has a main or buffering-effect on well-being and athlete burnout.

Design: Cross-sectional.

Methods: 174 National Collegiate Athletic Association Division I female collegiate student-athletes were recruited from a single institution to participate. A web-based survey was distributed via Qualtrics during the middle of an academic semester. The following scales were utilized to evaluate social support, athlete burnout, and well-being: Perceived Available Support in Sport Questionnaire, Athlete Burnout Questionnaire, and Warwick Edinburgh Metal Well-Being Scale.

Results: Correlation analyses presented a significant negative, moderate correlation (r = -.58, P < .001) between athlete burnout and well-being as well as between social support and athlete burnout (r = -.526, P < .001). A moderate, positive correlation was identified between social support and well-being (r = .604, P < .001). Social support was a significant predictor for reduced sense of accomplishment (F1,172 = 68.32, P < .001), physical and emotional exhaustion (F1,172 = 22.00, P < .001), sport devaluation (F1,172 = 56.51, P < .001), and well-being (F1,172 = 115.3, P < .001).

Conclusion: Findings provide new information on theory-based considerations for reducing athlete burnout and improving well-being in female collegiate student-athletes.