Sport Injury Rehabilitation Research Articles

Psychological Factors in Sports Injury Rehabilitation: How Can a Sports Rehabilitation Practitioner Facilitate Communication?

SYNOPSIS: Communication, goal setting, and shared decision making are possible tools to address psychological components of rehabilitation process after a sports injury. The nature and quality of interactions between sports rehabilitation practitioners and athletes may have a profound impact on athletes’ emotional processes. High-quality communication between sports rehabilitation practitioners and injured athletes is always referred to, yet rarely specified. Our purpose was to outline a proposed definition of high-quality communication. We propose the “Winning 11 of Communication,” consisting of the following: show respect and empathy, be genuine, be transparent, be concrete, check perceptions, have emotional intelligence, get specific, listen before you fix, value patient input, listen for the “but,” and cooperate. To have the communication skills to establish an environment where the injured athletes feel cared for is one important part to increase the likelihood of positive outcomes of rehabilitation. JOSPT Open 2024;2(1):1-3. Epub 4 October 2023. doi:10.2519/josptopen.2023.0007

The Role of Kinematics in Sports Injury Rehabilitation.

The Role of Kinematics in Sports Injury Rehabilitation.

Integrating Psychological Care in Sports Injury Rehabilitation: A Comprehensive Mini-Review

Background: Sports injuries can have significant psychological impacts on athletes, including increased anxiety, depression, isolation, and fear of reinjury. These mental health factors can impede physical rehabilitation. Aim: This mini review synthesizes recent literature on the psychological responses to sports injuries and argues for integrating mental health care into injury rehabilitation. Methods: The review analyzes current research on the psychological impacts of injuries on athletes across various sports and age groups. It focuses on studies highlighting emotional reactions, identity loss, isolation, fear of reinjury, and other psychological distress. Results: Injured athletes commonly experience negative emotional reactions like shock, anger, sadness, irritation, and altered sleep and appetite. They also face increased risks of anxiety, depression, isolation from teammates, loss of identity, fear of reinjury, and low motivation during rehabilitation. These psychological factors can negatively impact adherence to rehabilitation and return to sport. Conclusions: Sports medicine professionals should address mental health alongside physical rehabilitation to optimize outcomes. Recommended psychological strategies include screening, counseling, motivation techniques, goal-setting, social support, and gradual return to sport protocols. A biopsychosocial approach is necessary to properly care for the whole athlete.

Impact of lower limb alignment abnormality (physiologic knee valgus) on the functional recovery outcome of athletes with meniscal injuries.

This study aimed to investigate the impact of lower limb alignment abnormalities, specifically physiological knee valgus, on the functional recovery outcomes of athletes with meniscal injuries. It also examined the factors influencing these abnormalities to provide scientific evidence for treatment and rehabilitation of related sports injuries. We conducted a retrospective study of 118 athletes from Guizhou Normal University, who were divided into two groups based on the presence or absence of lower limb alignment abnormalities. The Simple group comprised athletes with isolated meniscal injuries, while the Combined group included athletes with meniscal injuries and concurrent lower limb alignment abnormalities. We assessed the functional status of both groups and analyzed factors influencing lower limb alignment abnormalities. Of the 118 athletes, 46 (38.98%) exhibited lower limb alignment abnormalities, and 72 (61.02%) did not. No significant differences in general characteristics were found between the groups (all P > 0.05). The Combined group displayed higher Visual Analog Scale (VAS) scores and Functional Performance Test (FPT) results (coordinated contraction, shuttle run, CarioCa) compared to the Simple group (P < 0.05). Conversely, joint range of motion (ROM), knee muscle strength (flexors), and International Knee Documentation Committee (IKDC) scores were lower in the Combined group (all P < 0.05). Multivariate logistic regression analysis identified active ROM < 105.32°, passive ROM < 101.66°, and knee muscle strength (flexors) < 84.41 N as risk factors for lower limb alignment abnormalities (P < 0.05), while FPT acted as a protective factor (P < 0.05). The combined testing model demonstrated higher predictive efficacy (AUC = 0.903, 95% CI: 0.852-0.955, P < 0.001). Lower limb alignment abnormalities significantly affect the functional recovery outcomes of athletes with meniscal injuries. Factors such as ROM, knee muscle strength, and IKDC score may pose risks for these abnormalities, whereas FPT can provide protective benefits. Timely detection and correction of lower limb alignment abnormalities during the rehabilitation process from meniscal injuries are crucial to enhance recovery and improve prognosis.

The Application of Sports Biomechanics in Sports Injury Prevention and Rehabilitation

The Application of Sports Biomechanics in Sports Injury Prevention and Rehabilitation

Common sports injuries and physical treatments

Physiotherapy is a non-invasive and non-pharmaceutical application of artificial physical factors and natural physical factors to the human body through the body's neurological, humoral, endocrine, immune and other physiological regulatory mechanisms to achieve the purpose of treatment and rehabilitation. With the widespread popularity and popularity of sports, more people are participating in sports in which injuries become common at different levels of sports from daily recreation to high intensity competitive levels. Physical therapy is considered the first choice for sports people to treat sports injuries and is becoming common and mainstream in the field of sports injury treatment and rehabilitation. Physiotherapy has become critical as a primary treatment or secondary intervention after a sports injury and make sense in the rehabilitation of sports injuries. This article focuses on the physiotherapy treatment of common sports injuries in different sports. Common sports injuries in basketball include ankle sprains, meniscus tears, Achilles tendon ruptures, and patellar tendonitis. Common sports injuries in rugby include groin injuries and shoulder dislocations. Common sports injuries in baseball include ulnar collateral ligament injuries and rotator cuff injuries. Common sports injuries in tennis include epicondylitis of the elbow joint. Common injuries in soccer include medial collateral ligament sprains and calf strains. This article analyzes the anatomical structure of the above-mentioned common injury sites, the physical means of intervention and the different roles of physiotherapy in different sports injuries. The results of the article found that physiotherapy is available for all the sports mentioned above. However, depending on the injury in a sport, physiotherapy has a different proportion of the conventional treatment modalities.

Athletes’ Expectations About Physiotherapy in Sports Injury Rehabilitation: A Literature Review of Qualitative Studies

Within the sports injury team, physiotherapists play a vital role in sports injury rehabilitation. An effective athlete-physiotherapist relationship is essential for proper treatment and achieving athletes' injury rehabilitation objectives. As a result, one of the most important considerations in designing a sports injury rehabilitation programe is to address players' expectations. The goal of this study was to investigate players' perceptions of physiotherapy in sports injury rehabilitation. Medline/PubMed, Scopus, Google Scholar, PEDro and Cochrane Library databases were electronically searched using Boolean operators and MeSH key heading to include the pertinent articles for the last 15 years .This review included 3 high quality articles identifying athletes expectations about physiotherapy in sports injury rehabilitation and need for strong athlete-physiotherapy relationship for effective treatment and return to play.

The role of therapist-patient relationships in facilitating engagement and adherence in upper extremity rehabilitation.

Active patient engagement and adherence are essential for successful rehabilitation outcomes, particularly in complex cases such as work-related musculoskeletal injuries. Although the therapist-patient relationship is a significant component of successful care coordination, there has been limited examination of this relationship within upper extremity musculoskeletal rehabilitation. To explore therapists' perspectives on how the therapist-patient relationship intersects with engagement and adherence in the provision of holistic and collaborative rehabilitation services. Data were collected from four therapists over three months. Descriptive statistics were generated from the Sport Injury Rehabilitation Adherence Scale (SIRAS) and the Rehabilitation Therapy Engagement Scale (RTES) completed by therapists following visits from a sub-sample of patients (n = 14). Weekly semi-structured group interviews (n = 13) were analyzed using an iterative grounded theory-informed process. Emerging themes were identified, refined, and situated within the context of quantitative results. SIRAS scores averaged 14.4 (SD: 1.0) and RTES scores averaged 42.5 (SD: 3.5), indicating high perceived patient engagement and adherence. Four themes emerged from therapist interviews: (1) dynamic power; (2) co-constructed engagement; (3) emotional states; (4) complementary therapy contexts. In this engaged and adherent setting, therapist-patient relationships were complex and intimate, and extended beyond education and physical interventions. Careful management of this relationship was central to active patient participation and engagement. Incorporating holistic techniques may provide more structure for managing and communicating these aspects of care. These findings provide a preliminary understanding of the impact of therapeutic relationships on engagement and collaborative care.

Study on proximal humerus evaluation of effective treatment (SPHEER) – what is the effect of rehabilitation compliance on clinical outcomes of proximal humerus fractures

IntroductionProximal humeral fractures (PHFs) are 3rd commonest fragility fractures and cause significant functional impairment. This paper sought to determine impact of rehabilitation compliance on the clinical outcomes for non-surgically managed PHFs, while ascertaining reasons for non-compliance which can be addressed to improve compliance.MethodsProspective cohort study of patients undergoing non-surgical treatment for PHFs from August 2017 to April 2020 in a tertiary trauma centre was performed. Data was collected via questionnaire: patient demographic data, PHF injury details, clinical outcome measures, therapist-reported (Sport Injury Rehabilitation Adherence Scale [SIRAS]) and patient-reported (subjective compliance, frequency of exercise) rehabilitation compliance measures. Data was analysed using multiple linear regression model to account for confounding variables.Results107 participants attended physical therapy follow-up for mean 137.8 days. 6-week SIRAS strongly predicted 3-month Constant score (p = 0.023; 95%CI = 0.265,3.423), OSS (p = 0.038; 95%CI = 0.049,1.634), flexion ROM (p < 0.001; 95%CI = 2.872,8.982), extension ROM (p = 0.035; 95%CI = 0.097,2.614), abduction ROM (p = 0.002;95%CI = 1.995,8.466) and achievement of functional active ROM at 3-months (p = 0.049; 95%CI = 1.001,1.638). Pain was the top reason impairing rehabilitation compliance from therapist (43.9% at 6-weeks and 20.6% at 3-months) and patient-perspective (33.6% at 6-weeks, 24.3% at 3-months). Author-developed patient-reported compliance measures had good correlation with validated SIRAS score (subjective compliance: p < 0.001 frequency of exercise: p = 0.001).ConclusionRehabilitation compliance predicts short-term clinical outcomes up to 3-months and potentially 1-year outcomes. Pain control should be optimised to maximise rehabilitation compliance and improve PHF outcomes. There is lack of consensus definition for rehabilitation compliance measures; patient-reported measures used have good correlation to existing validated measures and could serve as a steppingstone for further research.Level of evidenceII, cohort study.

A comparative analysis of global optimization algorithms for surface electromyographic signal onset detection

Surface Electromyography (sEMG) is a technique for measuring muscle activity by recording electrical signals from the surface of the body. It is widely used in fields such as medical diagnosis, human–computer interaction, and sports injury rehabilitation. The detection of the onset and offset of muscle activation is a longstanding challenge in sEMG analysis. This study pioneers the implementation, configuration, and evaluation of Particle Swarm Optimization (PSO) against other optimization algorithms for sEMG signal detection, including Genetic algorithms (GA), Simulated Annealing (SA), Ant Colony Optimization (ACO), and Tabu Search (TS). The results show that the PSO algorithm achieves the highest median accuracy and F1-Score and is the fastest among the selected algorithms but has lower stability compared to Genetic algorithms and Ant colony optimization. The design and value of the cost function had a significant impact on the results, with optimal results obtained when the cost value was between 0.1203 and 0.1384. The use of these algorithms improved detection efficiency and reduced the need for manual parameter adjustment. To the best of our knowledge, no published studies have utilized Simulated Annealing, Ant colony optimization, and Tabu search meta-heuristic algorithms to detect sEMG signal onsets.

Retracted: Health Index Monitoring of Sports Injury Rehabilitation Training Based on Wearable Sensors.

[This retracts the article DOI: 10.1155/2021/6302991.].

Retracted: A Virtual Reality Algorithm for the Study of Clinical Efficacy of Sports Injury Rehabilitation Training.

[This retracts the article DOI: 10.1155/2021/6725625.].

Design and application of blockchain and IoT-enabled sports injury rehabilitation monitoring system using neural network

Design and application of blockchain and IoT-enabled sports injury rehabilitation monitoring system using neural network

Simulation Research on the Application of Visual Image Capture Technology in Sports Injury Rehabilitation

Simulation Research on the Application of Visual Image Capture Technology in Sports Injury Rehabilitation

NEUROMUSCULAR ELECTRICAL STIMULATION IS BENEFICIAL FOR EARLY REHABILITATION AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

The principal of “function priority, early rehabilitation, and return to sports” is now the goal for sports injury rehabilitation. Neuromuscular electrical stimulation for anterior cruciate ligament (ACL) reconstruction is a rising procedure for early rehabilitation. This paper systematically assessed the effects of neuromuscular electrical stimulation on postoperative ACL reconstruction to provide guidance for physiotherapist and patient when designing a suitable rehabilitation protocol.To evaluate the interventional outcomes of neuromuscular electrical stimulation following ACL reconstruction, we searched PubMed, EMbase, the Cochrane Library, Web of Science and CNKI to collect all randomized controlled trials (RCTs) comparing the effects with neuromuscular electrical stimulation and without intervention on rehabilitation after ACL reconstruction up to January 30, 2022. Two investigators independently performed literature screening, data extraction, bias assessment of risk, and used RevMan 5.3 software to conduct a meta-analysis.A total of six RCTs were included, and the results showed that the use of neuromuscular electrical stimulation after anterior cruciate ligament reconstruction significantly improved the International Knee Documentation Committee (IKDC) scores (MD 6.33, 95% CI [-0.43, 12.22]; I2 = 66%; p = 0.040), the Lysholm score (MD 7.94, 95% CI [6.49, 9.39]; I2 = 89%; p &lt; 0.001), and the range of motion (ROM) (MD 9.99, 95% CI [7.97, 12.02]; I2 = 81%; p &lt; 0.001) in the knees when compared to the control group without using neuromuscular electrical stimulation.Existing evidence show that neuromuscular electrical stimulation is beneficial for early rehabilitation after ACL reconstruction. The use of neuromuscular electrical stimulation is encouraged in the design of rehabilitation protocol. However, due to the limited number of RCT studies and the small sample size, further multi-center RCTs with more participants are needed for a higher-level evidence.

Opportunities and prospects for sports medicine in China

Over the past decades, Chinese sports medicine has made remarkable progress, successfully establishing its status as a discipline and embracing unprecedented development opportunities. In the foreseeable future, "sports for health promotion", in addition to already fast development of "sports injury treatment" and "sports rehabilitation", will become the third vital advancing directions of sports medicine in China. The popularization and application of exercise prescription will become an effective and reliable approach to fulfill sports for health promotion. "Function first, early rehabilitation, return to sports" is the principle of treatment and discipline tenet that will lead the sports injury treatment and rehabilitation to achieve great breakthrough in many fields of sports medicine. With the opportunities and challenges, how to consistently identify and follow the right development path in line with our national circumstances requires the determination, perseverance, courage and wisdom of all Chinese sports medicine practitioners.

International Journal of e-Collaboration (IJeC)

In researching cognitive or motor learning aspects of activity control, motor imagery (MI) is a widely used model. Research has shown that motor imagery training can aid in memorizing motor functions because of the functional associations it shares with physical movement. Because of the high level of contact in these sports, players are more likely to sustain finger injuries. As a group of machine learning techniques, cognitive web services are designed to solve AI-related challenges. Because they are modular, cognitive web services can be easily integrated into any program, making AI more accessible to everyone. Some performers return to play early with defensive splinting, taping, and casting depending on the damage and the position played. Other injuries, predominantly in performers necessitating the full use of their hand for their position, require a more extended rehabilitation period and lengthy time away from the field. Therefore, this paper proposes the motor imagery-based finger rehabilitation system (MIFRS) in sports injury rehabilitation.

EXERCÍCIOS FÍSICOS NA REABILITAÇÃO DE LESÕES ESPORTIVAS EM IDOSOS

ABSTRACT Introduction: According to the background of the healthy aging population and national fitness care, rapid development has begun in national sports in China. This development is the result of current research on the current scenario. Objective: Study the effects of exercise on the rehabilitation of middle-aged and elderly people with sports injuries. Methods: Twenty individuals were recruited for the experiment; the experimental group received the rehabilitation exercise protocol three times a week for four weeks, while the control group maintained the original lifestyle with no exercise or vigorous exercise. Results: It was found that there was no significant difference in height, weight, and body fat percentage after the aerobic exercise intervention training protocol (P&gt;0.05), but there was a significant difference in BMI between the experimental group and the control group after the intervention training period (P&lt;0.05). The VAS score of the experimental group before and after training decreased from 5.49 to 0.90, showing a significant effect, indicating a significant difference between the experimental group before and after training (P&lt;0.05). Conclusion: The research shows that exercise positively affects the prevention and rehabilitation of sports injuries. The results obtained can help groups in national fitness. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

A Case Study Investigation Into a Group Online Sport Psychology Support Intervention for Injured Athletes

Sport psychology support can have a positive impact on sport injury rehabilitation; however, there appear to be barriers to injured athletes accessing such support (e.g., financial and geographical constraints). Online delivery has been suggested as a method to address some of these barriers. This case study therefore sought to explore whether an online sport psychology support hub was an effective method of sport injury psychology support. Sixteen injured athletes (seven male and nine female) participated in a 6-week sport psychology intervention where they were given access to an online hub moderated by a sport psychologist, in which sport psychology support was provided through social support (online forum), written emotional disclosure (diary), and psychological skills development (education resources). The impact of the hub was measured through analysis of the forum posts, diary entries, and responses to an evaluation questionnaire. While engagement with the hub was not as high as anticipated, the athletes reported several positive benefits from using the hub and rated its overall impact highly, demonstrating the potential of online delivery.

Counseling Goals of Athletes During Injury Rehabilitation: A Descriptive Analysis

Although goal setting is widely recommended for sport injury rehabilitation, little is known about the content of the goals set by athletes with injuries. Toward this end, a qualitative content analysis was performed on the goals and barriers to goal attainment identified by 163 intercollegiate student athletes (117 men and 46 women) participating in counseling interventions during sport injury rehabilitation. Most of the 956 goals set (84%) contained a physical element. A physical barrier was identified for 49% of the goals. Economic, cognitive, emotional, and social elements were noted as both goals and barriers. Goal content did not change significantly over the course of rehabilitation. Most goals were specific, process, short term, and positively phrased. The findings provide a detailed description of the types and qualities of counseling goals set by athletes during injury rehabilitation, offering professionals insight into the wide range of concerns expressed by athletes with injury during counseling.