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Psychological Interventions Can Reduce Injury Risk in Athletes: A Critically Appraised Topic

Shauna Ericksen, Geoff Dover, and Richard DeMont

increased symptoms of depression. 5 Psychological interventions like cognitive behavioral therapy, mindfulness, and imagery are used to help manage responses to stress, anxiety, and depression, and can reduce injury risk by up to 53%. 2 , 3 , 7 , 8 Identifying athletes who are negatively affected by sport

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Effects of Mindfulness-Based Interventions in High School and College Athletes for Reducing Stress and Injury, and Improving Quality of Life

Haley Petterson and Bernadette L. Olson

Clinical Scenario:

Student athletes experience a variety of stressors from school and social activities, as well as the additional demands of sport participation. Mindfulness-based interventions can help increase mental awareness and acceptance, as well as mitigate negative thoughts and emotions. The use of mindfulness-based interventions may be beneficial for reducing thoughts of stress, injury reduction, and improving overall wellbeing.

Clinical Question:

Does the use of mindfulness-based interventions for student-athletes aged 13–24 years reduce stress and injury as well as improve overall quality of life?

Summary of Findings:

The literature was searched for studies that investigated the use of mindfulness-based strategies for student-athletes specifically for reducing stress and injury and/or improving quality of life. The literature search returned 8 possible studies related to the clinical question and 3 studies met the inclusion criteria (1 randomized control trial, 2 nonrandomized control cohort studies). All 3 included studies demonstrated overall improved levels of mindfulness among student-athletes after the use of a mindfulness-based intervention. Mindfulness-based interventions had positive effects for reducing negative thoughts and levels of perceived stress. The number of injury occurrences were found to decrease following the integration of a mindfulness-based intervention within an athletic population.

Clinical Bottom Line:

There is sufficient evidence supporting the use of mindfulness-based interventions with student-athletes for increasing mindfulness, managing negative emotions and perceived stress, as well as improving overall well-being. There is also current literature that advocates the use of mindfulness-based interventions for reducing injury, but further research is needed for support.

Strength of Recommendation:

Grade B evidence exists to support that the use of mindfulness-based interventions for student-athletes will reduce stress and improve overall well-being as well as support the possibility that if a student-athlete is more mindful, it may help decrease risk of injury incurred if the student-athlete is under mental stress.

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Feasibility and Preliminary Effectiveness of an Online Meditation Intervention in Young Adults With Concussion History

Christine E. Callahan, Kyla Z. Donnelly, Susan A. Gaylord, Keturah R. Faurot, J.D. DeFreese, Adam W. Kiefer, and Johna K. Register-Mihalik

symptoms beyond typical recovery, 3 , 4 resulting in continued burden. 5 , 6 Further research has identified that perceived stress may be heightened in those with a concussion history, 7 potentially predicting long-term postconcussion impairments. 8 Greater mindfulness (ie, awareness of one’s internal

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Exploring the Relationship Between Mental Toughness and Self-Compassion in the Context of Sport Injury

Karissa L. Johnson, Danielle L. Cormier, Kent C. Kowalski, and Amber D. Mosewich

humanity (ie, recognizing that suffering allows one to feel connected to the rest of humanity rather than feeling isolated), and mindfulness (ie, bringing a balanced awareness to one’s suffering and accepting it without over-identifying, overreacting, or ignoring it). Women athletes experiencing injury

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Self-Compassion and Willingness to Adhere to Return-to-Play Protocol Following Sport-Related Concussions

Kiera Wortley and Benjamin J.I. Schellenberg

distinct components: self-kindness (being kind and understanding to oneself), mindfulness (maintaining a sense of balance), and common humanity (appreciating that difficulties are part of being human). 13 The self-compassion literature overwhelmingly supports the benefits of responding to difficulties in

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Effects of College Athlete Life Stressors on Baseline Concussion Measures

J.D. DeFreese, Michael J. Baum, Julianne D. Schmidt, Benjamin M. Goerger, Nikki Barczak, Kevin M. Guskiewicz, and Jason P. Mihalik

potentially protective against life stressors (eg, trait optimism, mindfulness 41 , 42 ) being possible reasons. Ultimately, a clinical difference of 10 points in the verbal memory domain is likely insufficient to alter the management of an injured athlete. Thus, this result should be interpreted cautiously

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Examining the Relationship Between Neuroplasticity and Learned Helplessness After ACLR: Early Versus Late Recovery

Julie P. Burland, Adam S. Lepley, Marc Cormier, Lindsay J. DiStefano, and Lindsey K. Lepley

the 15 Item ACL-HI Item Component 1 Impairment mindfulness Component 2 Intrinsic helplessness Component 3 Functional awareness Component 4 External support Q12 0.927 Q13 0.895 Q1 0.759 0.419 Q14 0.669 Q3 0.864 Q11 −0.496 −0.790 Q8 0.771 Q15 −0.677 −0.449 Q5 0.867 Q4 0.824 Q2 −0.471 0.764 Q6 0.442 0

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Mental Fatigue Uniquely Influences Drop Landing Biomechanics for Individuals With a Concussion History

Eric J. Shumski, Tricia M. Kasamatsu, Kathleen S. Wilson, and Derek N. Pamukoff

landing mechanics. Injury prevention and performance programs may seek to incorporate training strategies such as mindfulness 40 to teach athletes how to reduce mental fatigue. Based on our results, mental fatigue was only relevant for individuals who were postconcussion due to the increase in vertical

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The Effect of Kinesio Tape on Factors for Neuromuscular Control of the Lower-Extremity: A Critically Appraised Topic

Nickolai Martonick, Kimber Kober, Abigail Watkins, Amanda DiEnno, Carmen Perez, Ashlie Renfro, Songah Chae, and Russell Baker

, short-term benefits were observed. Consideration for the use of KT in patient care must include diagnostic expertise, a patient’s needs, and the clinical context. Clinicians should also be mindful of the potential for taping applications to alter biomechanical behavior away from the site of application

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Exploratory Examination of Knee Self-Efficacy in Individuals With a History of ACL Reconstruction and Sport-Related Concussion

Francesca M. Genoese, Aaron J. Zynda, Kayla Ford, Matthew C. Hoch, Johanna M. Hoch, Tracey Covassin, and Shelby E. Baez

activities, physical activities, and future knee function. 18 After assessment, cognitive behavioral interventions, such as goal setting, imagery, and mindfulness, may be integrated into the rehabilitation process. These techniques have been shown to improve psychological outcomes, including self