Athlete autonomy, supportive interpersonal environments and clinicians’ duty of care; as leaders in sport and sports medicine, the onus is on us: the clinicians

Thornton, Jane S

doi:10.1136/bjsports-2019-100783

Cited by 9 publications

(4 citation statements)

References 4 publications

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“…It can be seen from Table 1 and Figure 2 that the singlefoot standing time of A in the case increased by 0.9 s, the passing time of the balance beam decreased by 0.2 s, and the balance ability was improved [16]. C's single-foot standing time increased by 3 s, and the balance beam passing time decreased by 1 s, indicating that the dynamic balance and static balance have been enhanced, and the dynamic balance has not been improved.…”

Section: Analysis Of Experimental Resultsmentioning

confidence: 90%

Application of the VR Sensor Image Combined with Sports Games in the Treatment of Autistic Children

Wang¹

2022

Journal of Sensors

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In order to study the application of the VR sensor image combined with sports games in the treatment of autistic children, this study mainly takes qualitative research as the main research method and uses physical intervention based on sensory integration training to study autistic children aged 6-9. Three children, A, B, and C, are mainly selected in order to promote the improvement of children’s physical function and motor skills and further have a positive impact on behavior and psychology. By analyzing the effects measured before and after the experiment, this paper explores the impact of sports intervention based on sensory integration training on the motor ability of autistic children over the age of 6, as well as its impact on their sensory integration function, daily behavior, and psychological activities, so as to enrich the empirical research on the content, principles, implementation methods, and specific implementation process of sensory integration training, to provide reference and enlightenment for schools, institutions, and children’s parents engaged in educational intervention for autistic children.

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Section: Analysis Of Experimental Resultsmentioning

confidence: 90%

Application of the VR Sensor Image Combined with Sports Games in the Treatment of Autistic Children

Wang¹

2022

Journal of Sensors

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“…For longer lasting, healthier and more satisfying athlete careers, clinicians and sport stakeholders should consider holistic athlete health, during and after athletes’ careers. Clinicians have a duty of care to help support a healthy interpersonal environment 54 and sport culture including asking about mental health concerns, harassment and abuse. Clinicians should similarly promote healthy eating behaviours and adequate energy intake, and long-term reproductive health and pregnancy planning as needed—these conversations should begin during an athlete’s career and include education and resources.…”

Section: Discussionmentioning

confidence: 99%

Beyond the medals: a cross-sectional study exploring retired elite female athletes’ health

Thornton

Rosen

Davenport

et al. 2023

BMJ Open Sport Exerc Med

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ObjectivesLittle is known about the impact of elite sport participation on long-term athlete health. We aimed to: (1) describe musculoskeletal, mental health, reproductive/endocrine and cardiovascular characteristics in retired elite female athletes and compare to the general population and (2) explore athletes’ perceptions of their elite sport participation and its impact on health.MethodsA 136-item online questionnaire was disseminated to Canadian elite female rowing and rugby athletes >18 years old,>2 years retired from elite competition. Matched general population data were obtained from Statistics Canada when available.ResultsSeventy-four (24% response rate) athletes (average age 45 (±9) years; retired 15 (±9) years) completed the questionnaire (30 rowing, 44 rugby athletes). During their career, 63 athletes (85%) experienced a hip/groin, knee, foot/ankle injury, or low back pain, with 42 (67%) reporting ongoing symptoms. Athletes 35–54 years reported worse knee symptoms and quality of life compared with the general population (symptom: p=0.197; d=1.15 [0.66, 1.63]; quality of life: p=0.312 d=1.03 [0.54, 1.51]) while other hip, knee and foot/ankle outcome scores were similar. Retired athletes had lower odds of anxiety (OR=0.155 [95% CI0.062 to 0.384]), greater lifetime/ever odds of amenorrhea (OR=6.10 [95%CI 2.67 to 13.96]) and gave birth when older (p<0.05). Fifty-nine (79%) recalled witnessing or experiencing at least one form of harassment/abuse during their career. Sixty athletes (81%) rated their current health as above average or excellent and 61 (82%) would compete at the same level again if given the choice.ConclusionThese novel insights can inform future preventative efforts to promote positive elite sport-related outcomes for current, former and future female athletes.

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“…The consensus statement on RTS from injury [ 83 ], reinforces the importance of clear lines of communication between medical personnel, players and coaches during the RTS process—so the communication skills of medical personnel are critical. Significantly, some of the players voiced concerns over a lack of duty of care for them by medical personnel and this is at odds with the importance Thornton [ 86 ] places on the responsibility of medical personnel to create a supportive interpersonal environment for athletes, as well as Truong et al’s [ 87 ] call for medical practitioners to take the social and contextual side of injury seriously. Without this support from medical personnel, players may choose not to self-report when they have an injury; this could lead to inaccurate recording of injury incidence rates and injury severity [ 88 ].…”

Section: Discussionmentioning

confidence: 99%

“…A more participative leadership style from coaches and better communication channels could lead to more player-specific injury management strategies with the potential benefit of lowering injury incidence rates, injury burden, and improving performance [ 10 , 11 , 68 , 88 ]. To achieve this type of collaborative working environment in team sports, medical staff need to develop the required leadership skills that foster trusting relationships between them and the players and coaches that they work with [ 86 , 98 , 99 ].…”

Section: Discussionmentioning

confidence: 99%

Players’, Head Coaches', And Medical Personnels' Knowledge, Understandings and Perceptions of Injuries and Injury Prevention in Elite-Level Women’s Football in Ireland

et al. 2023

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Background To manage injuries effectively, players, head coaches, and medical personnel need to have excellent knowledge, attitudes, and behaviours in relation to the identification of risk factors for injuries, the implementation of injury prevention initiatives, as well as the implementation of effective injury management strategies. Understanding the injury context, whereby specific personal, environmental, and societal factors can influence the implementation of injury prevention initiatives and injury management strategies is critical to player welfare. To date, no qualitative research investigating the context of injuries, has been undertaken in elite-level women’s football. The aim of our study was to explore the knowledge, attitudes, and behaviours of players, head coaches, and medical personnel in the Irish Women’s National League (WNL) to injury prevention and injury management. Methods We used qualitative research methods to explore the knowledge, attitudes, and behaviours of players, head coaches, and medical personnel in the Irish WNL to injury prevention and injury management. Semi-structured interviews were undertaken with 17 players, 8 medical personnel, and 7 head coaches in the Irish WNL. The data were analysed using thematic analysis. Our study is located within an interpretivist, constructivist research paradigm. Results The participants had incomplete knowledge of common injuries in elite-level football, and many held beliefs about risk factors for injuries, such as menstrual cycle stage, which lacked evidence to support them. Jumping and landing exercises were commonly used to reduce the risk of injuries but evidence-based injury prevention exercises and programmes such as the Nordic hamstring curl, Copenhagen adduction exercise, and the FIFA 11+ were rarely mentioned. Overall, there was dissatisfaction amongst players with their medical care and strength and conditioning (S & C) support, with resultant inadequate communication between players, head coaches, and medical personnel. Conclusion Poor quality and availability of medical care and S & C support were considered to be a major obstacle in the effective implementation of injury risk reduction strategies and successful return-to-sport practices. More original research is required in elite-level women’s football to explore injury risk factors, injury prevention initiatives, and contextual return-to-sport strategies, so that players, head coaches, and medical personnel can use evidence that is both up-to-date and specific to their environment.

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Athlete autonomy, supportive interpersonal environments and clinicians’ duty of care; as leaders in sport and sports medicine, the onus is on us: the clinicians

Cited by 9 publications

References 4 publications

Application of the VR Sensor Image Combined with Sports Games in the Treatment of Autistic Children

Application of the VR Sensor Image Combined with Sports Games in the Treatment of Autistic Children

Beyond the medals: a cross-sectional study exploring retired elite female athletes’ health

Players’, Head Coaches', And Medical Personnels' Knowledge, Understandings and Perceptions of Injuries and Injury Prevention in Elite-Level Women’s Football in Ireland

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