Sports injuries Objectives: BY THE END OF THE SESSION YOU SHOULD BE ABLE TO: o LIST THE PSYCHOLOGICAL RESPONSES COMMON TO MOST SPORTS INJURIES o DESCRIBE THE PSYCHOLOGICAL RESPONSES COMMON TO MOST SPORTS INJURIES
Jan 17, 2016
Sports injuriesObjectives:
BY THE END OF THE SESSION YOU SHOULD BE ABLE TO:
o LIST THE PSYCHOLOGICAL RESPONSES COMMON TO MOST SPORTS INJURIES
o DESCRIBE THE PSYCHOLOGICAL RESPONSES COMMON TO MOST SPORTS INJURIES
Revision List the physiological responses common to most sports injuries
1.Inflammatory response
2.Blood Clotting
3.Fibroblastic repair
4.Maturation remodelling
Phase 1 Immediate post injury phase (0-20 mins post-injury)
Prevent as much of the swelling as possible
(ABC)
Phase 2 Acute phase (up to 48-72 hrs post-injury)
Control any bleeding or swelling
Relieve pain
Protect from further damage
Give advice for home treatment
(PRICE)
Phase 3 Sub-acute phase (3-10 days) Early stages of recovery:
Removal of dead cells
Growth of new blood vessels
Development of scar tissue
Phase 4 Active rehabilitation stage mobilising exercises for joint range
Strengthening exercises
Before starting rehabilitation:
No significant inflammation
No significant swelling
There is a range of movement and some weight bearing
Phase 5 Functional rehabilitation or training stage
The aim of this stage is to:
Improve balance and movement co-ordination
Restore specific skills and movement patterns
Provide psychological reassurance
Stages of recoveryStages of recovery
How do you think the athlete would feel at these stages?
Phase 1 Immediate post injury phase (0-20 mins post-injury)
Phase 2 Acute phase (up to 48-72 hrs post-injury)
Phase 3 Sub-acute phase (3-10 days)
Phase 4 Active rehabilitation stage mobilising exercises
Phase 5 Functional rehabilitation or training stage
Key wordsKey words
Frustration Anger Disbelief Anxiety Stress
Josh Dueck
Psychological responsesPsychological responses
Readjustment pattern
Research suggests that all performers follow similar patterns of psychological readjustment
The degree of psychological trauma depends on the severity of the injury but also on the consequences for the performer
Denial
Sustaining an injury puts the body into shock
The injured performer may deny the severity of the injury saying “ill be ok let me carry on”
Later the severity of the injury becomes apparent
Jamie Roberts v Australia 2007
Anger When the injury is realised the denial turns to anger
The anger can be directed at themselves or other people
Intrinsic / Extrinsic – give examples
Frustration A performer can feel frustrated at having their goal taken away from them by the injury
E.g. Johnny Wilkinson - crying
Isolation An injured performer can feel very isolated as they become detached from the team and their team-mates
The impact on this separation will depend on how much they relied on the emotional support and comradeship of their team-mates.
How could this problem be minimised?
Anxiety
Loss of their playing position in the team
Exacerbated by the importance of their place in the team
E.g. losing a place for a division 6 side may not seem as important as losing a place in a regional side and the wages that would go with it
Anxiety of regaining fitness and the fears of recurrence can produce a spiral toward depression
Acceptance
This occurs when the performer acknowledges the severity and length of their injury and begin to focus on rehabilitation
Psychological response to treatment and rehabilitation
Anxiety – Frustration – Goal setting
Setting goals make long injuries more manageable
Task Write down a series of questions to find out how someone felt / would feel after they were injured. Think about their feelings from both a physiological and psychological perspective.
In pairs interview someone who has recently experienced a sports injury. One of you ask the questions while one of you transcribes what is being said.
Task Go through the transcript of the interview, identifying and describing the interviewee’s physiological and psychological responses