Clinical Question: Is there sufficient evidence to determine which low back instability tests should be incorporated into a stabilization classification exam for athletes? Clinical Bottom Line: There is moderate level 2 evidence to include, but not to use in isolation, the prone instability test along with other instability tests in a stabilization classification exam.
Jessica Ross and Peter D. MacIntyre
Flow is a desirable state of consciousness and absorption in an optimally challenging activity. Prior research has investigated individual differences in flow. The present study investigates flow by contrasting physical versus mental activities, using a mixed-methods, sequential explanatory design. The sample from the quantitative phase included 205 undergraduate university students assessed on measures of personality, difficulties in emotion regulation, and flow. The big-five traits intellect and conscientiousness, as well as the emotion regulation subscale “lack of emotional clarity” predicted flow during mental activities, but unexpectedly no variables significantly predicted physical flow activities. The second phase used semi-structured interviews with 10 participants. Analyses of the interviews helped further explain the statistical findings, revealing four main themes: role of stress, source of guilt, presence of others, and satisfaction and fulfillment. We conclude that flow is especially relevant in physical activities which have advantages over mental activities in opportunities to experience flow.
Luke Wilkins, Jen Sweeney, Zoella Zaborski, Carl Nelson, Simon Tweddle, Eldre Beukes and Peter Allen
The purpose of the present study was to address perceptions towards Cognitive Behavioral Therapy (CBT) in soccer. Twenty-four male, elite academy soccer players (M age = 20.04) completed a custom-made questionnaire which included education on CBT. The results found that: i) initially, only 8% of players had heard of CBT whilst only 4% of players knew what CBT was, ii) players strongly agreed that CBT should be offered to all players, iii) not knowing how/where to seek help was identified as the main barrier to CBT, iv) players indicated a preference for one-to-one and face-to-face CBT, as opposed to small-group or online-CBT, and v) players perceived they would receive most support from family/friends, and least support from teammates, if they were to undertake CBT. These findings demonstrate that whilst initial awareness and knowledge of CBT is low, general perceptions towards CBT are positive once athletes are educated on the area.
Diane M. Wiese-Bjornstal, Kristin N. Wood, Amanda J. Wambach, Andrew C. White and Victor J. Rubio
The purpose of this study was to explore religiosity/spirituality (R/S) in coping with sport injuries, based on predictions of the integrated model of psychological response to the sport injury and rehabilitation process. A concurrent mixed methods design framed an online survey incorporating quantitative measures of R/S identification and commitment, health locus of control for sport injury, and ways of coping with sport injury, as well as qualitative open-ended questions about mechanisms through which R/S affected and was affected by coping with sport injuries. Participants included 49 physically active adults who experienced sport injuries, with 37 identifying as R/S. Quantitative findings among R/S participants showed religious commitment was a predictor of God health locus of control and positive religious coping. Quantitative results relative to differences between R/S and no-R/S participants showed that those self-identified as R/S relied on a God health locus of control and utilized active coping more so than did those self-identified as no-R/S, whereas no-R/S participants relied more than did R/S participants on an internal health locus of control. Thematic analyses exploring qualitative data revealed three main themes characterizing mechanisms through which R/S affected and was affected by coping with sport injuries: positive, negative, and no R/S coping strategies and effects. Findings support the predictions of the integrated model of psychological response to the sport injury and rehabilitation process and provide evidence-bases for clinical and counseling interventions that reflect cultural competence in accommodating patient or client R/S during recovery from sport injury.
Emily Kroshus, Sara P.D. Chrisman, Jeffrey J. Milroy and Christine M. Baugh
Purpose: Assess whether athletes with a prior concussion diagnosis are more likely to continue play with a possible concussion. Additionally, explore whether reasons for concussion under-reporting are different among athletes with a prior concussion when compared to other athletes. Methods: Cross-sectional survey of 328 collegiate athletes. Results: Athletes with a prior concussion diagnosis had significantly greater relative risk of continuing play while symptomatic of a possible concussion during their most recent season compared to athletes without prior concussion diagnosis. Significant differences exist in the reasons that athletes provided for not reporting by history of concussion. Conclusions: Findings suggest that learning may have occurred as a result of the prior diagnosis; however, this learning did not appear to result in safer reporting behavior. Additional research is necessary to clarify why athletes who have been previously diagnosed with a concussion are more likely to continue playing while experiencing concussion symptoms.
Anne Holding, Jo-Annie Fortin, Joëlle Carpentier, Nora Hope and Richard Koestner
Retirement from competitive sports significantly influences former athletes’ well-being. We propose that disengaging from the former athletic career is a crucial factor in retired athletes’ adaptation. Using the theoretical framework of Self-Determination Theory (SDT) we propose that sport motivation at the career peak and motivation for retirement are important determinants of athletes’ disengagement progress from a terminated athletic career. We also seek to examine how motivation for retirement and disengagement progress predict retired athletes’ well-being. Using a mixed-retrospective/prospective longitudinal design we followed 158 government-supported elite athletes who had recently retired from an athletic career. In two online surveys administered 1.5 years apart, retired athletes reported on motivation, disengagement, and well-being. Results suggested that SDT motivation factors are important predictors for elite athletes career disengagement and well-being in retirement. The clinical implications of these findings for athletic career transition and support programs are discussed.
Leonardo Ruiz, Judy L. Van Raalte, Thaddeus France and Al Petitpas
More than 1,400 Latin American professional baseball players, age 16-21, are employed by 30 Major League Baseball (MLB) academies in the Dominican Republic. The popular press has highlighted scandals related to professional youth baseball player recruitment, selection, and exploitation in the academies, but little attention has been given to the academy experiences of youth baseball players from the perspective of the players themselves. For this research, 11 professional baseball players residing at an MLB Academy in the Dominican Republic participated in semi-structured interviews. Players described their transitions into the baseball academy system, their experiences in the academy, and their perceptions and expectations upon leaving or being released from the academy. Themes that emerged from the data included athletes’ hopes and dreams, stress, faith, and career transitions. Clinical implications of these findings for sport psychology practitioners are discussed.
Eric P. Scibek, Matthew F. Moran and Susan L. Edmond
Context: The deep squat (DS) test is a component of the functional movement screen, which is used to assess the quality of fundamental movement patterns; however, the accuracy of the DS has not been studied. The DS is a complex, total body movement pattern with evaluation required at several points along the kinematic chain. Objective: To assess the accuracy of DS scoring by an athletic trainer, physical therapist, and exercise science professional via a comparative analysis with kinematic data (KD) and to identify scoring criteria that would improve agreement between raters and KD scores. Design: Cross-sectional study. Setting: Motion analysis laboratory. Participants: A rater from each of 3 movement science disciplines rated the DS of 23 male college athletes (20.3 [1.2] y; 70.5 [3.5] kg). Interventions: Subjects were outfitted with reflective markers and asked to perform the DS. The DS performance was scored by 3 raters and kinematic analysis. Subsequently, the optimal set of criteria that minimized the difference between mode rater score and KD was determined via a Nelder–Mead simplex optimization routine. Main Outcome Measures: Intraclass correlation coefficients (ICCs) were calculated using SPSS (version 23; IBM, Armonk, NY) to determine tester agreement with the KD score and between the mode score and KD score. Results: Agreement was poor for the athletic trainer (ICC = .387), physical therapist (ICC = .298), exercise science professional (ICC = .378), and raters’ DS scores when compared with the KD. Agreement was poor for the mode score when compared with KD prior to optimization and good following optimization (ICC = .830), thereby allowing identification of specific scoring errors. Conclusions: Agreement for DS scores is poor when compared with KD; however, it may be improved with optimization of DS scoring criteria.
Jessica St Aubin, Jennifer Volberding and Jack Duffy
Clinical Question: How does early return to physical activity impact return-to-play recovery time in patients 5–30 years old after an acute concussion as compared to the current best practice of resting? Clinical Bottom Line: Based on the information gathered, there is moderate evidence to support the incorporation of light to moderate physical activity within 7 days after a concussion in order to decrease recovery time and symptoms.
James Geiselman, Rachel Gillespie and Andrew Miller
A 22-year-old male varsity collegiate wrestler presented for general chiropractic care for an unrelated condition and noted right elbow pain that had progressively increased over the past few weeks. The athlete was diagnosed with a right brachialis strain and advised to follow up with his athletic trainer for co-management of his injury. The patient responded positively to prescribed treatments and rehabilitation to decrease pain and restore functionality (<14 days) while only missing one competitive match. The location of the brachialis muscle and scarcity of literature makes diagnosis and treatment complex. The physical examination and conservative treatment presented in this report demonstrate the need for comprehensive and exploratory examination and co-management of wrestling athletes with a brachialis strain.