This article presents a three-phase model that can guide sport psychologists assisting in crisis intervention with athletes in the weeks following a major trauma. The model employs a systems theory framework within which therapeutic tasks that facilitate recovery from trauma are offered. The unique role of the sport psychologist in post-traumatic care of athletes is discussed. The model’s utility is illustrated via retrospective application to the author’s work with a team that experienced the suicide of one of its veteran members.
Jonathan S. Goodwin, Robert A. Creighton, Brian G. Pietrosimone, Jeffery T. Spang and J. Troy Blackburn
Individuals who sustain traumatic joint injuries are at an increased risk of knee osteoarthritis (OA). 1 , 2 Several surgical procedures are performed to repair cartilage following trauma (eg, microfracture, osteochondral allograft transplantation surgery), but their ability to reduce knee OA risk
Aditi Mankad, Sandy Gordon and Karen Wallman
The present study adopted a qualitative, exploratory approach to describe the underlying emotional climate among injured athletes within team sport environments. Nine elite athletes undergoing long-term injury rehabilitation (LTIR) participated in semi-structured interviews to describe their LTIR experience. A general inductive analysis extracted three higher-order themes: (a) emotional trauma, (b) emotional climate, and (c) emotional acting. Athletes reported experiencing emotional trauma throughout LTIR. To maintain in-group norms, they described engaging in avoidance behaviors and reported suppressing negative affect for fear of negative evaluation. They also reported frequently controlling emotions in public using acting strategies. Athletes perceived these emotionally inhibitive behaviors as encouraged within their team environment. These results have important implications for the identification and treatment of emotionally destructive behaviors that could potentially delay an athlete’s psychological rehabilitation from athletic injury.
Maria T. Allison
This paper explores the process of social change and problems that arise in the study of such change in play, sport, and leisure domains. After outlining major theoretical perspectives utilized to describe and explain the nature of change in society, the paper describes several myths, including myths of trauma, unidirectionality, deviance, and semantic illusion (Lauer, 1973), which have inhibited the study of change. Drawing from examples in play, sport, and leisure domains, the author suggests ways in which the study of change can be better integrated into our research consciousness.
Jordan Anderson and Justin Stanek
Plantar fasciitis is a debilitating and painful problem present in the general population. It most often presents with moderate to severe pain in the proximal inferior heel region and is most commonly associated with repeated trauma to the plantar fascia. Plantar fasciitis, itself, is an injury at the site of attachment at the medial tubercle of the calcaneus, often due to excessive and repetitive traction. Plantar fasciitis is the most common cause of heel pain and is estimated to affect 2 million people in the United States alone.
Focused Clinical Question:
For adults suffering from plantar fasciitis, are foot orthoses a viable treatment option to reduce pain?
Michael J. Asken
This paper discusses the delivery of sport psychology services to physically challenged (disabled) athletes. It begins with a description of the current status of athletic competition for physically disabled individuals. Commonalities in the sports experience of able-bodied and physically disabled athletes are addressed. Unique issues that must be considered for effective sport psychology consultations with disabled athletes are discussed. These include the background of physical and psychological trauma, altered physiological responses and medical problems, complexities in motivation to compete, unique performance problems, and the structure and organization of disabled sports. The article concludes with the effects of the social environment of disabled sports on the consultation process.
William L. Wang and Aaron V. Mares
Bilateral epidural hematoma is a rare complication of blunt head trauma. Few cases of bilateral epidural hematomas have been described in the literature and there have been no cases that have been described in a college or professional athlete. This case report presents an unusual case of a Division I collegiate football athlete who sustained a bilateral epidural hematoma with parietal skull fracture after falling down a flight of stairs. It highlights the initial presentation to rehabilitation up until eventual return-to-play 4 months later. There were no setbacks or complications in rehabilitation process.
Heather VanOpdorp, Bonnie Van Lunen and James Swanson
Hip and pelvic injuries are often associated with direct trauma, but spe-cific fractures to the acetabulum are rare. The signs and symptoms of an acetabular fracture can mimic those of conditions that are more common at the hip area, and therefore the specificity of the diagnostic testing is crucial.
To present the case of a female Division I college field-hockey player who developed a superomedial acetabular fracture.
The athlete’s initial complaint of intolerable hip pain decreased after a 3-week rest period but persisted with passive internal and external hip rotation. Additional diagnostic testing was needed to differentiate the various pathologies that were associated with her symptoms.
Clinicians should be aware of the potential differential diagnoses of the hip and should investigate all potential possibilities even though they might not coincide with the initial injury.
Andrea Bailey, Nicola Goodstone, Sharon Roberts, Jane Hughes, Simon Roberts, Louw van Niekerk, James Richardson and Dai Rees
To develop a postoperative rehabilitation protocol for patients receiving autologous-chondrocyte implantation (ACI) to repair articular-cartilage defects of the knee.
careful review of both basic science and clinical literature, personal communication with colleagues dealing with similar cases, and the authors’ experience and expertise in rehabilitating numerous patients with knee pathologies, injuries, and trauma.
Postoperative rehabilitation of the ACI patient plays a critical role in the outcome of the procedure. The goals are to improve function and reduce discomfort by focusing on 3 key elements: weight bearing, range of motion, and strengthening.
The authors present 2 flexible postoperative protocols to rehabilitate patients after an ACI procedure to the knee.
Richard P. Wells, Patrick J. Bishop and Malcolm Stephens
Spinal cord trauma due to head-first collisions is not uncommon in vehicle accidents, shallow water diving, football, or ice hockey. Two approaches to evaluating potential protective devices for ice hockey are described: an evaluative tool based upon an anthropometric test dummy, and a computer simulation of axial head-first collisions. Helmets reduced the peak cervical spine loads during low velocity head-first collisions by up to 8%. It is shown that large thicknesses of appropriate padding are necessary to hold the cervical spine loads to noninjurious levels. A head-first impact of 3.0 m • sec−1 required padding deformations on the order of 94 mm to hold cervical spine loads below 2,000 N.