运动康复外文文献.pdfVIP

Psychosocial Aspects of Rehabilitation in Sports Tracey Covassin, PhD, ATCa,*, Erica Beidler, MEd, ATCa, Jennifer Ostrowski, PhD, ATCb, Jessica Wallace, MA, ATCa KEYWORDS Psychosocial skills Rehabilitation Injury Psychological recovery KEY POINTS Awareness of the psychosocial response to athletic injury helps clinicians to effectively assist patients with the healing and recovery process. Patients with high trait anxiety tend to have high state anxiety and this may influence thoughts and feelings about the injury and healing process. Fear of reinjury can have a negative influence on the rehabilitation process because of concerns about returning to preinjury level, especially as the patient gets closer to return-to-play. Effective communication skills in the athletic training setting are a key component to patient care. Clinicians must focus on the injured person, rather than the physical injury. There are several psychosocial techniques to choose from to ensure a holistic treatment of each individual. INTRODUCTION: NATURE OF THE PROBLEM Injury is an inherent consequence of athletic participation. Athletic injury not only affects patients’ physical well-being, but also their self-concept, self-esteem, belief system, values, commitments, and emotional equilibrium.1 Often, sports medicine professionals focus on the physical damage from injury, while ignoring the psychoso- cial aspects of injury and the thoughts, feelings, and behaviors associated with an injury.2 Athletic injury can be an imposing source of stress, and patients often experi- ence feelings of tension, confusion, hostility, loneliness, fear, irritability, and anxiety.3 Furthermore, feelings of guilt and being ignored often accompany athletic injury because patients feel isolated and