Rehabilitation Lecture.

Question 1

List the phases of the rehabilitation process. (General framework for applying effective PST program follows three phases.

Answer 1

P1 - Reaction to injury.
P2- reaction to rehabilitation.
P3 - Reaction to returning to sport.

Question 2

Describe phase 1 of the rehab process.

Answer 2

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.

Question 3

What could be used to help return to sport/rehab process.

Answer 3

Goal setting.

Question 4

What could be used to deal with pain?

Answer 4

Imagery.

Question 5

What could be used to deal with anxiety?

Answer 5

Relaxation technique.

Question 6

What is involved in Phase 1 - reaction to injury?

Answer 6

Athlete forms cognitive appraisal

Question 7

Describe common psychological reactions to injury (P2)

Answer 7

The injured athlete can experience anxiety and negative thoughts surrounding the injury.

Anxiety for returning to sport.

Question 8

Describe common physical reaction to injury (P1)

Answer 8

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.

Question 9

Describe phases 2 of the rehabilitation process.

Answer 9

Reaction to rehabilitation - swelling, mobility and pain improve - Phase 2.

Question 10

Describe physical reaction to injury (P2)

Answer 10

Return to normal strength, balance and mobility are the goals here.

Question 11

Describe psychological reaction to injury (P2) (long phase)

Answer 11

Motivation and hardiness are important.

Need to improve adherence and compliance to rehab.

Question 12

What can be used during P2 to increase motivation, adherence and hardiness.

Answer 12

Goal setting - adherence and motivation.

Self-talk - hardiness and motivation.

Question 13

Why is motivation so huge for the rehab process?

Answer 13

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.

Question 14

Describe phase 3 of rehabilitation process.

Answer 14

Reaction to returning to sport.

Strength and balance are normal

Question 15

What are some physical reactions to injury (P3)

Answer 15

Return to highly sport-specfic skills is the goal.

Scar tissue, which can temporarily set back rehab progress.

Question 16

What is a psychological reaction to injury (P3)

Answer 16

Self-confidence for returning to peak performance.

Fear of re-injury.

Question 17

What are some techniques that may be used during P3?

Answer 17

Performance imagery (returning to peak performance), goal setting (steps in return to sport) and self-talk (fear of re-injury). Social support.

Question 18

What are the key aims of Rehabilitation profiling?

Answer 18

1. Self-awareness (use table on lecture slides) 2. Goal setting.

Question 19

Why use rehabilitation profiling?

Answer 19

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.

Question 20

What is the first step in the rehabilitation profiling process.

Answer 20

Assessment using the rehab profiling (preferably within 72 hr of injury - allow time for gaining perspective regarding the injury.)

Question 21

What is the second step in rehabilitation profiling?

Answer 21

Discuss the athletes ratings (this helps in increasing the self-awareness of weakness and strengths)

Question 22

What is the third step in rehabilitation profiling? D

Answer 22

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.

Question 23

What is the fourth step in rehabilitation profiling?

Answer 23

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.

Question 24

Why might goal setting be used during P1 - reaction to injury.

Answer 24

Athletes must deal with the goals to return to sport through effort and engagement in rehab process on a daily basis.

Question 25

Why might goal setting be used during P2 - reaction to rehab process.

Answer 25

Accurate goals (and sub goals) can help to increase motivation and self-determination over the process.

Question 26

Why might goal setting be used during P3 - reaction to return to sport.

Answer 26

As the athlete has successfully achieved the goals in P1 and 2 this can increase SE for returning to sport.

Question 27

Why might imagery be used during P1 ?

Answer 27

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.

Question 28

Why might imagery be used during P2 ?

Answer 28

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.

Question 29

Why might imagery be used during P3?

Answer 29

Imagining themselves performing the right skills. Imagery on successful sport moments - could help get more in tune with their body. Progressive muscle relaxation

Question 30

Why might relaxation techniques be useful during P1.

Answer 30

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.

Question 31

Why might relaxation techniques be useful during P2.

Answer 31

Using physical relaxation techniques along with imagery for increasing effort and persistence due to the long rehab sessions.

Question 32

Why might relaxation techniques be useful during phase 3 ?

Answer 32

Initially used for decreasing the anxiety of returning to sport, must be followed by imagery and self-talk.

Question 33

Why might self talk be used in P1?

Answer 33

Should be focused on pain management "I can handle this" distraction self-tai and should enhance effort and rehab adherence (I am strong)

Question 34

Why might P2 involve self-talk?

Answer 34

Self-talk for reinforcing effort and persistence that in turn can increase adherence (I will do my hardest with each repetition)

Question 35

Why might self-talk be important in P3.

Answer 35

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.

Question 36

Why might social support be important in P1?

Answer 36

Identify who can help the athlete cope with the initial stress due to injury and lifestyle change (need both informational and emotional.

Question 37

Why might social support be important in P2?

Answer 37

To help cope with the daily challenges due to rehab process, a technical and emotional social support is important.

Question 38

Why might social support be important in P3?

Answer 38

Emotional support such as "you did well and the small amount of pain you feel is normal"