A Review of the Sport-Injury and -Rehabilitation Literature: From Abstraction to Application

Abstract

Despite advancements in sport-injury rehabilitation theory and intervention design, return-to-play outcomes remain suboptimal. To explore the current knowledge base in sport-injury rehabilitation, the authors use an existing framework to review and outline gaps in the sport-injury evidence base. Through the lens of this framework they highlight the dearth of literature exploring how professionals approach rehabilitation, which may be one of several factors contributing to persistently poor rehabilitation outcomes. To begin addressing the identified gap in practice, the authors hypothetically apply 3 established team-based approaches from other rehabilitation domains to a single sport-injury case study to provide concrete examples of how team-based practice approaches can be effectively used in the sport domain. Professional-practice implications are discussed alongside areas for future research.

Ansiedad rasgo, respuestas rumiativas y evolución del dolor en futbolistas lesionados

“…Para gestionar adecuadamente el dolor y aumentar la tolerancia al mismo algunos estudios mostraron la eficacia del Mindfulness o atención plena (Mohammed et al 2018), y de la visualización (Multhaupt y Beuth, 2018). De todas formas, resulta crucial conocer las experiencias reales de los profesionales (traumatólogos, fisioterapeutas, readaptadores, psicólogos) en la rehabilitación de las lesiones deportivas, ya que tal y como indican Hess et al (2019) hay poca literatura científica que muestre cómo estos profesionales abordan la rehabilitación, lo que puede ser uno de los factores que contribuyen a resultados de rehabilitación persistentemente deficientes. También es importante saber qué tipo de programas de asesoramiento psicológico se llevan a cabo, dado que han mostrado tener un impacto positivo en la práctica de los profesionales de la rehabilitación (Heaney et al, 2015), y qué tipo de actuaciones respecto a la salud mental se están llevando a cabo (Borg et al, 2021).…”

Considerations for the Medical Management of the Circus Performance Artist and Acrobat

“…34 Including the athlete across the entire rehabilitation process is at the core of this athlete-centric approach as it was shown to increase athletes' empowerment, engagement, and motivation in addition to decreasing burnout for sport medicine practitioners. 35 Further, environments which foster collaboration and trustworthiness amongst staff while providing athletes with a positive vision, clear communication and continued support throughout training programs resulted in more favorable outcomes in regards to injury reduction and increased game availability. 36 At a 'micro-level', adopting a transdisciplinary approach can translate into rehabilitation programs which integrate neurophysiologic and neurocognitive aspects of injury.…”

Looking inward to improve pediatric chronic pain outcomes: a call for team science research

“…The ability to compare treatment effectiveness or assess treatment fit is made more difficult when language is not clear regarding what team approach is being used. Often, terms such as "multidisciplinary," "interdisciplinary," and "transdisciplinary" are used interchangeably despite being clearly delineated 36,37,41 and leading to different outcomes 45,62,79 as they are distinct in their level of coordination, communication, and extent of patient-centeredness. 36,37,41 For example, within one integrated pain program, a physiotherapist outlines home exercises to reach a standing goal and the psychologist trains the patient in progressive muscle relaxation to improve sleep.…”

“…Often, terms such as "multidisciplinary," "interdisciplinary," and "transdisciplinary" are used interchangeably despite being clearly delineated 36,37,41 and leading to different outcomes 45,62,79 as they are distinct in their level of coordination, communication, and extent of patient-centeredness. 36,37,41 For example, within one integrated pain program, a physiotherapist outlines home exercises to reach a standing goal and the psychologist trains the patient in progressive muscle relaxation to improve sleep. Both goals are relevant-yet disconnected from one another and driven by the care team (ie, multidisciplinary care).…”