Adherence to sport injury rehabilitation programs

Brewer, Britton W.

doi:10.1080/10413209808406378

Cited by 83 publications

(85 citation statements)

References 22 publications

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“…Consequently, the belief by the subject that treatment will achieve its desired goals appears crucial to treatment adherence. 33,42 No significant (P > 0.05) between-group changes were observed in Biering-Sørensen test scores over time, indicating that all treatments were equally effective in this regard. Thus, contrary to the research hypothesis, no positive effects of goal setting on treatment outcome were observed.…”

Section: Discussionmentioning

confidence: 94%

“…The Biering-Sørensen test has been shown to be reliable as a measure of back extensor endurance, and has been accepted as a valid outcome measure in the rehabilitation of lower back pain. 31,32 Behavioural regulations are a personal factor consistently linked with adherence, 33 and was assessed using the Behavioural Regulation in Exercise Questionnaire (BREQ-2).…”

Section: 27mentioning

confidence: 99%

“…11,[22][23][24][25] This assumes that those who recover faster from the injuries do so due to their adherence to the treatment regimen. Nonetheless, Brewer 33 suggested that this assumption is not warranted and inevitably results in the confounding of adherence with treatment outcome. The BieringSørensen test is an indirect measure of healing rate reflected by spinal extensor endurance scores.…”

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confidence: 99%

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Use of a goal setting intervention to increase adherence to low back pain rehabilitation: a randomized controlled trial

Coppack¹,

Kristensen²,

Karageorghis

2012

Clin Rehabil

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Objective: To examine the effects of a goal setting intervention on self-efficacy, treatment efficacy, adherence and treatment outcome in patients undergoing low back pain rehabilitation. Design: A mixed-model 2 (time) × 3 (group) randomized controlled trial. Setting: A residential rehabilitation centre for military personnel. Subjects: UK military personnel volunteers ( N = 48); mean age was 32.9 (SD 7.9) with a diagnosis of non-specific low back pain. Interventions: Subjects were randomly assigned to either a goal setting experimental group (Exp, n = 16), therapist-led exercise therapy group (C1, n = 16) or non-therapist-led exercise therapy group (C2, n = 16). Treatment duration for all groups was three weeks. Main measures: Self-efficacy, treatment efficacy and treatment outcome were recorded before and after the treatment period. Adherence was rated during regularly scheduled treatment sessions using the Sports Injury Rehabilitation Adherence Scale (SIRAS). The Biering-Sørensen test was used as the primary measure of treatment outcome. Results: ANCOVA results showed that adherence scores were significantly higher in the experimental group (13.70 ± 1.58) compared with C2 (11.74 ± 1.35), ( P < 0.025). There was no significant difference for adherence between the experimental group and C1 ( P = 0.13). Self-efficacy was significantly higher in the experimental group compared to both C1 and C2 ( P < 0.05), whereas no significant difference was found for treatment efficacy. Treatment outcome did not differ significantly between the experimental and two control groups. Conclusions: The findings provide partial support for the use of goal setting to enhance adherence in clinical rehabilitation.

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Section: Discussionmentioning

confidence: 94%

Section: 27mentioning

confidence: 99%

mentioning

confidence: 99%

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Use of a goal setting intervention to increase adherence to low back pain rehabilitation: a randomized controlled trial

Coppack¹,

Kristensen²,

Karageorghis

2012

Clin Rehabil

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“…These behaviors can be measured by a combination of patient self-report logs, attendance records, and PT or SMP ratings of effort. 16,22,23,31 By tracking adherence and the various factors that may be impacting positive and negative reactions to rehabilitation, physical therapy clinics will be able to provide patients and healthcare providers with evidence of effective prevention and treatment programs.…”

Section: Suggestion 1: Complement Orthopedic Assessment With Psychosomentioning

confidence: 99%

“…22 The multitude of factors related to adherence behavior have commonly been categorized as either personal or environmental. Personal factors most commonly reported as affecting adherence rates include belief in efficacy of treatment, [23][24][25] selfmotivation, 23,[26][27][28][29][30][31] perceived social support, 23,27,32 pain tolerance, 27,29,32 emotional disturbance, 18,33 belief in ability to perform activities prescribed, 25 goal direction, 23 instrumental coping, 34 positive attitude, 30 perceived risks for future complications and long-term benefits, 25 success perceived to be related to controllable factors, 26 and perceived lack of time.…”

Section: Key Factors Related To Rehabilitation Adherencementioning

confidence: 99%

Using a Multidimensional Approach to Predict Motivation and Adherence to Rehabilitation in Older Adults

Grindley

Zizzi

2005

Topics in Geriatric Rehabilitation

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Physical therapists working with older adults often encounter problems related to low motivation and adherence. This review article integrates data on factors related to adherence behavior from the fields of sports medicine, sport psychology, athletic training, and physical therapy and applies the results to older adults in rehabilitation. Key factors are highlighted and a model for predicting adherence behavior, based on protection motivation theory, is outlined. The authors advocate complementing orthopedic assessment with a psychosocial assessment in the form of brief surveys or structured interview. The article concludes with several evidence-based recommendations for the practicing physical therapist.

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Psychological Factors in Sports Injury Rehabilitation

Brewer¹,

Cornelius²

2003

Rehabilitation of Sports Injuries: Scientific Basis

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Rehabilitation of sports injuries involves more than repairing the physical injury and regaining previous levels of physical performance. Optimizing injury rehabilitation also includes understanding the psychological impact of the injury on the athlete and how psychological factors may interact with the rehabilitation process. The purpose of this chapter is to review the research examining psychological factors related to sports injury rehabilitation.Major advances have been made in recent years in our understanding of the range of psychological factors associated with sports injury rehabilitation. In the early 1990s, Williams and Roepke et al. (1993) and Brewer (1994) made specific suggestions for improving the quality of psychological research on sports injury rehabilitation. Fortunately, many of these recommendations have been heeded. Specifically, responding to the recommendations made by Williams and Roepke, researchers have: (i) identified cognitive and emotional responses to injury that are characteristic of athlete populations (e.g. Leddy et al. and (vii) examined groups of athletes that are homogeneous with respect to injury type, severity and prognosis (e.g.

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Adherence to sport injury rehabilitation programs

Cited by 83 publications

References 22 publications

Use of a goal setting intervention to increase adherence to low back pain rehabilitation: a randomized controlled trial

Use of a goal setting intervention to increase adherence to low back pain rehabilitation: a randomized controlled trial

Using a Multidimensional Approach to Predict Motivation and Adherence to Rehabilitation in Older Adults

Psychological Factors in Sports Injury Rehabilitation

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