Search Results

This study used grounded theory to describe the emotional responses of athletes following injury and their situational and temporal contexts. Sixteen seriously injured athletes were interviewed. The NUD*IST (Nonnumerical Unstructured Data Indexing Searching and Theorizing) computer program was used to search, store, explore, and organize the qualitative material. The main emotional responses, appraisals, events, and behaviors that emerged from the analysis were represented diagrammatically. Frustration and depression were the prevalent emotional responses throughout rehabilitation, although the situational corollaries differed as recovery progressed. In the early phase of rehabilitation, frustration and depression resulted from disruption to normal function, in the middle phase they were provoked by a negative appraisal of rehabilitation progress, and. at the end of rehabilitation the main instigator was impatience to return to sport. Whether to risk returning prematurely to sport emerged as a key theme, as did the confounding effects of exercise withdrawal. symptoms in extremely committed athletes. The results were considered in terms of both cognitive appraisal and risk models.

Context: Movement screens are a common method of assessing movement efficiency either against a specific criterion of segments/joint(s) motion (segmental method) or a summary label of general quality of the whole movement (overall method). While not as commonly utilized within clinical practice as the segmental method, the overall method is less time consuming to perform and more reliable. Objectives: The aim of this study was to assess the reliability of the “overall” method approach during a squat in individuals with a previous knee joint injury. Design: Cross-sectional, clinical measurement. Participants: Two-dimensional video recordings of 5 squat trials were recorded for 16 participants with a history of a major knee joint injury(s) and were visually rated by 3 novice and 3 expert raters. Main Outcome Measures: Weighted quadratic Kappa was used to determine the intra- and inter-rater reliability of the squat movement competency screen. Results: Good inter-rater reliability for the expert and novice groups was observed. Intra-rater reliability was very good between analysis sessions for 1 expert rater. Conclusions: The overall method is a reliable method that enables allied health professionals of different levels of clinical experience to utilize a framework to assess movement quality during a squat in patients with a previous knee joint injury.

Twelve seriously injured athletes were asked to describe the provision of eight functional types of support during their rehabilitation. NUD*IST (Nonnumerical Unstructured Data Indexing Searching and Theorizing) was used to organize the data. Overall, the provision of social support largely matched demand. Emotional and practical forms of support decreased with time, while varieties of informational support were increasingly received and preferred over time. The provision of informational and emotional support appeared to be dictated by four temporally sequential appraisals: injury severity, rehabilitation progress, recovery/readiness to return, and sports performance. Practical support in the form of personal assistance greatly depended upon the visibility of the injury and the mobility of the injured athlete. Physiotherapists, doctors, and other currently or previously injured athletes were most likely to provide informational support requiring expert medical knowledge, whereas coaches provided informational support requiring sport-specific expertise. Friends and family were the main source of emotional and practical support. The situational and temporal context of the provision of support is represented diagrammatically.