Rehabilitation Lecture. Flashcards
List the phases of the rehabilitation process. (General framework for applying effective PST program follows three phases.
P1 - Reaction to injury.
P2- reaction to rehabilitation.
P3 - Reaction to returning to sport.
Describe phase 1 of the rehab process.
Physical reaction to injury. The athlete will experience swelling, discolouration and pain. Level will depend on the severity of injury.
Psychological reaction to injury - the injured athlete can experience anxiety and negative thoughts surrounding the injury. Anxiety for retiring to sport.
What could be used to help return to sport/rehab process.
Goal setting.
What could be used to deal with pain?
Imagery.
What could be used to deal with anxiety?
Relaxation technique.
What is involved in Phase 1 - reaction to injury?
Athlete forms cognitive appraisal
Describe common psychological reactions to injury (P2)
The injured athlete can experience anxiety and negative thoughts surrounding the injury.
Anxiety for returning to sport.
Describe common physical reaction to injury (P1)
The athlete will experience swelling, discolouration and Pain. The level will depend on the severity of injury.
Immobilization of the injury so the athlete is forced to become inactive.
Describe phases 2 of the rehabilitation process.
Reaction to rehabilitation - swelling, mobility and pain improve - Phase 2.
Describe physical reaction to injury (P2)
Return to normal strength, balance and mobility are the goals here.
Describe psychological reaction to injury (P2) (long phase)
Motivation and hardiness are important.
Need to improve adherence and compliance to rehab.
What can be used during P2 to increase motivation, adherence and hardiness.
Goal setting - adherence and motivation.
Self-talk - hardiness and motivation.
Why is motivation so huge for the rehab process?
If your whole life is sport, and get wrapped up on injury - sitting on sidelines - can have huge implications. If all that you do is taken away from you - can be very disheartening. Lead to a lack of motivation. - Personal factor you want to be aware of (use self-talk) Idea of the unknown can be a challenge.
Describe phase 3 of rehabilitation process.
Reaction to returning to sport.
Strength and balance are normal
What are some physical reactions to injury (P3)
Return to highly sport-specfic skills is the goal.
Scar tissue, which can temporarily set back rehab progress.
What is a psychological reaction to injury (P3)
Self-confidence for returning to peak performance.
Fear of re-injury.
What are some techniques that may be used during P3?
Performance imagery (returning to peak performance), goal setting (steps in return to sport) and self-talk (fear of re-injury). Social support.
What are the key aims of Rehabilitation profiling?
- Self-awareness (use table on lecture slides) 2. Goal setting.
Why use rehabilitation profiling?
Provides a better understanding of both physical and psychological needs of an athlete.
Deliver a tailored and more effective intervention.
Athletes have a visual representation of where they are during the rehabilitation
Sport psychologists will be able to adjust goals.
The SP will be able to see what psychological skills work in each case and adjust the program accordingly.
What is the first step in the rehabilitation profiling process.
Assessment using the rehab profiling (preferably within 72 hr of injury - allow time for gaining perspective regarding the injury.)
What is the second step in rehabilitation profiling?
Discuss the athletes ratings (this helps in increasing the self-awareness of weakness and strengths)
What is the third step in rehabilitation profiling? D
Develop SMART goals. e.g. increase confidence to 10 when you go back to sport.
- Personal profile area identified.
- Strategies for improvement.
- Timeframe of goal.
What is the fourth step in rehabilitation profiling?
Re-assess using the rehab profiling, within different phases. This could help monitor progress (can increase SE) and adjust goals. This step can also help in decreasing anxiety due to returning to sport.
Why might goal setting be used during P1 - reaction to injury.
Athletes must deal with the goals to return to sport through effort and engagement in rehab process on a daily basis.
Why might goal setting be used during P2 - reaction to rehab process.
Accurate goals (and sub goals) can help to increase motivation and self-determination over the process.
Why might goal setting be used during P3 - reaction to return to sport.
As the athlete has successfully achieved the goals in P1 and 2 this can increase SE for returning to sport.
Why might imagery be used during P1 ?
Control over the perception of pain (imagining different colours as levels of pain and trying to change the colour to pain free colours.) and imagine their injury healed.
Why might imagery be used during P2 ?
Imagining themselves the day before completing a successful rehab session. Also, imagery can work by imaging how rehab sessions will help in the return to sport.
Why might imagery be used during P3?
Imagining themselves performing the right skills. Imagery on successful sport moments - could help get more in tune with their body. Progressive muscle relaxation
Why might relaxation techniques be useful during P1.
Can decrease pain experience as muscle tension decreases. So it could be considered an initial method that also induces benefits for imagery and self-talk.
Why might relaxation techniques be useful during P2.
Using physical relaxation techniques along with imagery for increasing effort and persistence due to the long rehab sessions.
Why might relaxation techniques be useful during phase 3 ?
Initially used for decreasing the anxiety of returning to sport, must be followed by imagery and self-talk.
Why might self talk be used in P1?
Should be focused on pain management “I can handle this” distraction self-tai and should enhance effort and rehab adherence (I am strong)
Why might P2 involve self-talk?
Self-talk for reinforcing effort and persistence that in turn can increase adherence (I will do my hardest with each repetition)
Why might self-talk be important in P3.
Self-talk that builds self-confidence (my knee is strong) and reinforce the readiness “I did hard at rehab so I am prepared”. Can decrease the anxiety of return to sport.
Why might social support be important in P1?
Identify who can help the athlete cope with the initial stress due to injury and lifestyle change (need both informational and emotional.
Why might social support be important in P2?
To help cope with the daily challenges due to rehab process, a technical and emotional social support is important.
Why might social support be important in P3?
Emotional support such as “you did well and the small amount of pain you feel is normal”
