Abstract

Objective:To examine the relationship between self-reported use of psychological skills and rehabilitation adherence.Design:Prospective correlational design.Setting:Outpatient physical-therapy clinic specializing in sports medicine.Patients:Fifty-four patients (17 women and 37 men) undergoing rehabilitation after anterior-cruciate-ligament reconstruction.Main Outcome Measures:An abbreviated version of the Sports Injury Survey (Ievleva & Orlick, 1991) was administered approximately 5 weeks after surgery to assess use of goal setting, imagery, and positive self-talk. Four adherence measures were obtained during the remainder of rehabilitation: attendance at rehabilitation sessions, practitioner ratings of patient adherence at rehabilitation sessions, patient self-reports of home exercise completion, and patient self-reports of home cryotherapy completion.Results:Goal setting was positively associated with home exercise completion and practitioner adherence ratings. Positive self-talk was positively correlated with home exercise completion.Conclusions:Use of certain psychological skills might contribute to better adherence to sport-injury rehabilitation protocols.

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