A Narrative Literature Review of the Psychological Hindrances Affecting Return to Sport After Injuries

Abstract

After different sports injuries, athletes may experience various psychological emotions in response to such injuries, which could lead an athlete to feel stressed. These emotions include anger, fear, frustration, anxiety, and depression which may lead to lack of confidence in returning to their sport and/or fear of sustaining a new injury. This narrative review aims to determine the possible psychological hindrances present when an athlete is planning on returning to sport after injury to an anterior cruciate ligament (ACL) or after sustaining a concussion. The synthesized information for this review has been collected from researching the databases PubMed, SportDiscus, PsycInfo, and Google Scholar using search terms including “return to sport”, “ACL injury”, “concussion”, and “psychology”. Journal articles needed to be in English and published in the years 2009-2019; books and unpublished abstracts were excluded. A total of 42 studies were included and analyzed using deductive coding to organize and synthesize relevant articles into themes. The review summarizes the shared common and the different psychological hindrances that may be found in athletes after an ACL injury or concussion. Shared psychological characteristics for returning to sport following either an ACL injury or concussion included fear, self-esteem, control, anxiety, stress, recovery, and social support. Discovering the common and unique psychological barriers which may affect the injured athletes from returning to sport can help educate athletes’ families, coaches, and healthcare professionals, as well as promote discussions for the future to help athletes feel more secure in their return to their respective sport. KEYWORDS: ACL Injuries; Concussions; Sport Injuries; Athletes; Narrative Literature Review; Psychological Hindrances; Psychological Characteristics; Return to Sport; Psychology