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Collegiate Athletes’ Perceptions of Adhesive Ankle Taping: A Qualitative Analysis

Erika Hunt and Sandra Short

Objective:

To study athletes perceptions of adhesive ankle taping.

Design:

A qualitative study where athletes were interviewed regarding adhesive ankle taping.

Setting:

The University of North Dakota in Grand Forks, ND, USA.

Participants:

Eleven collegiate athletes, all currently taping their ankles, representative of three groups: recent injury, past injury, and no prior injury.

Results:

Taping resulted in feelings of increased confidence, increased strength, and decreased anxiety for injury or reinjury. Differences were found in responses given by the participants in the three groups.

Conclusions:

Taping has a psychological impact on athletes. Athletic trainers should make sure they educate athletes about the uses and functions of adhesive tape.

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An Exploration of Athletes’ Views on Their Adherence to Physiotherapy Rehabilitation After Sport Injury

Andy Marshall, Maggie Donovan-Hall, and Steve Ryall

Objective:

To explore athletes’ perceptions of the factors that they feel may affect their adherence to a physiotherapy intervention.

Design:

A qualitative design using semistructured interviews.

Setting:

Participants were interviewed at home or their athletic club.

Participants:

8 participants, 5 men and 3 women with a mean age of 30.4 y.

Results:

Thematic analysis revealed 2 main categories of themes. The first relates to the athlete’s perceptions of factors affecting his or her own adherence, with themes including the impact of injury, justification of adherence, and strategies used by the patient. The second relates to perceptions of the physiotherapist’s impact on adherence, with themes relating to characteristics of and strategies used by the physiotherapist.

Conclusions:

Findings demonstrate the importance of exploring patients’ perceptions of adherence. A number of factors that affect adherence are identified, and strategies that may enhance adherence suggested.

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Biopsychosocial Experiences of Elite Athletes Retiring From Sport for Career-Ending Injuries: A Critically Appraised Topic

Haley S. Moore, Samuel R. Walton, Morgan R. Eckenrod, and Melissa K. Kossman

of Quality Assessment The Critical Appraisal Skills Programme Qualitative checklist was used to determine the quality of the included studies. The Critical Appraisal Skills Programme Qualitative includes 10 items that help determine the methodological rigor of a qualitative research study. 9 Summary

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Adherence to Anterior Cruciate Ligament Rehabilitation: A Qualitative Analysis

Tania Pizzari, Helen McBurney, Nicholas F. Taylor, and Julian A. Feller

Objective:

To investigate the subjective experience of anterior cruciate ligament (ACL) rehabilitation and identify variables that influence adherence as perceived by ACL-reconstructed patients.

Design:

A qualitative study using in-depth interviews to gather data and thematic coding to analyze findings.

Setting:

Participants were interviewed at home or in their workplace.

Participants:

Eleven patients were interviewed at an average of 4.8 months (SD = 0.8) after ACL reconstruction.

Results:

Using thematic coding of the interview data, 3 categories of variables influencing adherence emerged: environmental factors, physical factors, and psychological factors. Variables specifically affecting adherence to home exercise were perceived lack of time and a lack of self-motivation. Fear of reinjury emerged as a significant consideration for those who were nonadherent. Factors such as therapist support, the rehabilitation clinic, and the progression of exercises were identified as being important for attendance at physiotherapy appointments and adherence during appointments.

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The Context of Emotional Responses to Athletic Injury: A Qualitative Analysis

Lynne Halley Johnston and Douglas Carroll

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.

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Reliability of a Squat Movement Competency Screen in Individuals With a Previous Knee Injury

Suzi Edwards and Mark Liberatore

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.

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A Reversal Theory Analysis of Psychological Responses during Sports Injury Rehabilitation

Joanne Thatcher, John Kerr, Kristy Amies, and Melissa Day

Context:

Few studies have examined psychological and emotional processes in injury rehabilitation from a longitudinal, theoretically framed perspective.

Objective:

This study explored the applicability of Reversal Theory to examine these processes.

Setting:

University of Wales, Aberystwyth, UK.

Participants:

Three severely injured athletes; two were female (karate and judo) and one was male (hockey), aged 20 to 28.

Main Outcome Measures:

Fortnightly interviews after participant’s initial consultation with a sports therapist, until complete physical rehabilitation.

Results:

Supported the use of Reversal Theory in this context (eg, as a means of understanding the origins of athletes’ emotional responses to injury and changes in these responses throughout rehabilitation).

Conclusions:

Suggestions for future research are made (eg, examining the consequences of emotional and metamotivational states for athlete behavior and recovery outcomes during rehabilitation).

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The Provision of Social Support to Injured Athletes: A Qualitative Analysis

Lynne Halley Johnston and Douglas Carroll

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.

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Return-to-Play With R2Play: Protocol for Evaluating Cross-Site Feasibility, Face Validity, and Content Validity of a Multidomain Concussion Assessment Tool for Youth

Shannon Scratch, Josh Shore, Danielle DuPlessis, Andrew Lovell, Andrea Hickling, Pavreet Gill, Kylie Mallory, Emily Lam, Fanny Hotze, Roger Zemek, Carolyn Emery, Kathryn Schneider, Michael Hutchison, Isabelle Gagnon, Jeffrey Caron, Nick Reed, and Elaine Biddiss

-of-concept for R2Play by demonstrating good-to-excellent clinician-rated usability (System Usability Scale = 81 [8.4]) and promising exertion potential (peak heart rate = 80% [11%] age-predicted maximum), with only minor technical issues. 40 In qualitative feedback (manuscript in preparation), youth reported

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Perspectives of Nigerian Athletes About Physiotherapy Services in Sports Injury Management: Implications for Rehabilitation

Adesola C. Odole, Olawale T. Agbomeji, Ogochukwu K.K. Onyeso, Joshua O. Ojo, and Nse A. Odunaiya

Study Design The study was a mixed-method design of a cross-sectional survey and explanatory qualitative study. For the survey, we used convenient sampling to select the participants from 3 purposively selected government sports councils in the southwest region of Nigeria. The participants were all