Perceived Barriers and Facilitators of Sports Rehabilitation Adherence in Injured Volleyball Athletes: A Qualitative Study From Greece

Paraskevopoulos, Eleftherios; Gioftsos, George; Georgoudis, George; Παπανδρέου, Μαρία

doi:10.1123/jcsp.2021-0040

Cited by 4 publications

(2 citation statements)

References 62 publications

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“…11 Thus, the exercise interventions used and the therapeutic alliance that is created between patients and therapists during the rehabilitation process might result in important changes in shoulder pathology and patients' behavior that are together effective enough. 39 As has been highlighted previously 21 adding MT is not expected to attribute to the patient-therapist relationship leading to no additional benefits for the patient. Clinicians may consider the findings of this study in light of treatment costs, which are bound to increase when more interventions are provided without evidence that proves efficacy.…”

Section: Discussionmentioning

confidence: 91%

Effectiveness of Combined Program of Manual Therapy and Exercise Vs Exercise Only in Patients With Rotator Cuff-related Shoulder Pain: A Systematic Review and Meta-analysis

Paraskevopoulos

Plakoutsis

Chronopoulos

et al. 2022

Sports Health: A Multidisciplinary Approach

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Context: Therapeutic exercise is considered the mainstay in the management of rotator cuff-related shoulder pain (RCRSP). Manual therapy (MT) interventions have also shown to be effective in RCRSP. However, the benefits of adding MT along with exercise interventions for the management of RCRSP remain unknown. Objective: To evaluate the additional benefits of MT with exercise compared with exercise in isolation for the management of RCRSP. Data Sources: A search of PubMed, Scopus, PEDro, and EBSCO from the inception date of each database through April 20, 2022, was conducted for randomized trials comparing the additional effects of MT in exercise interventions compared with exercise alone for pain management and function in patients with RCRSP. Standardized mean differences (SMDs) and 95% CIs were calculated using a random-effects inverse variance model according to the outcome of interest and comparison group. Methodological quality was assessed with PEDro and quality of evidence with the grading of recommendations assessment, development and evaluation approach. Study Design: Meta-analysis of randomized controlled trials. Level of Evidence: Level 2. Results: Twelve articles were found eligible and 8 of them demonstrated high methodological quality. Eleven articles were included for quantitative analysis. Pain with movement was not significantly different between MT and exercise versus exercise alone (SMD [95% CI] = −0.15 [−0.41 to 0.12]; I2 = 0%), whereas pain at rest was significantly improved in the groups that used exercise only with a moderate effect size (SMD [95% CI] = 0.47 [0.04 to 0.89]; I2 = 75%). Furthermore, shoulder function was not significantly different between MT and exercise versus exercise alone in the short term (SMD [95% CI] = 0.23 [−0.22 to 0.69]; I2 = 88%) or the long term (SMD [95% CI] = −0.02 [−0.21 to 0.16]; I2 = 2%). Conclusion: Adding MT to exercise interventions for the management of RCRSP is not more effective than exercise alone for pain and function in adult patients.

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Section: Discussionmentioning

confidence: 91%

Effectiveness of Combined Program of Manual Therapy and Exercise Vs Exercise Only in Patients With Rotator Cuff-related Shoulder Pain: A Systematic Review and Meta-analysis

Paraskevopoulos

Plakoutsis

Chronopoulos

et al. 2022

Sports Health: A Multidisciplinary Approach

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“…Consequently, young athletes, instead of reaping the assumed health benefits from competitive archery, grapple with significant psychosocial effects and potential burnout [ 41 ]. Addressing this complex scenario requires an individually tailored multidisciplinary treatment plan that embraces a biopsychosocial approach, aiming for CS and more favorable rehabilitation outcomes [ 42 , 43 ].…”

Section: Discussionmentioning

confidence: 99%

Injuries and Persistent Pain in Elite Adolescent Archery Athletes: A Cross-Sectional Epidemiological Study

Vasilis,

Kyriakides,

Vasilopoulos

et al. 2024

Sports

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This cross-sectional epidemiological study aimed to evaluate the prevalence of injuries among young archers engaged in high-intensity training during the European Youth Championship. A total of 200 participants (104 males/96 females) from 34 countries were included, with a mean age of 16.9 years and average competitive experience of 6.5 years. Structured questionnaires, administered by four physiotherapist interviewers, gathered comprehensive data. Results revealed that 43.5% of participants experienced shoulder pain during training, highlighting the vulnerability of upper limbs in archers. Additionally, 30% required medications to facilitate training, underscoring the impact of injuries on continued participation. Physiotherapy was utilized by 52.3% of participants, emphasizing the need for therapeutic intervention. Furthermore, 31.8% had to cease training due to injuries, indicating a substantial hindrance to athletic progression. The mean pain duration was 3.9 months, with an average intensity of 5.94, and 8% exhibited symptoms of central sensitization. In conclusion, this study demonstrates a noteworthy prevalence of injuries, particularly in the upper limbs, among young archers undergoing intensive training. The findings underscore the importance of targeted injury prevention strategies and comprehensive rehabilitation approaches to ensure the well-being and sustained participation of young athletes in competitive archery.

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Secondary School Athletic Trainers’ Strategies and Barriers to Overuse Injury Treatment in Adolescent Athletes

Biese

Winans

Rudek

et al. 2023

Journal of Sport Rehabilitation

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Context: Studies have illustrated that overuse injuries occur in adolescent athletes more often than previously reported. The general purpose of this study was to provide a thorough report of secondary school athletic trainers encounters, practices, and perceptions of overuse injury in adolescent athletes. Design: Cross-sectional. Methods: An anonymous online questionnaire was distributed via email to athletic trainers in the secondary school setting. The questionnaire was sent to participants during the summer of 2021 and 430 participants (highest educational degree earned: master’s degree = 66%) completed the survey. Various survey methods were used to evaluate athletic trainers (1) demographics, (2) estimations about what percentage of injuries evaluated and treated were classified as overuse, (3) methods for treating overuse injuries, (4) confidence in treating overuse injuries and the complete implementation of their treatment plan, (5) perceptions of various barriers to treating overuse injuries, and (6) perception as to why patients did not want to reduce activity to treat their overuse injuries. Results: Participants reported that about half of all evaluations and treatments in a year were overuse injuries and they were “fairly” or “completely” confident (90%) in their ability to treat these injuries. The most common treatments cited were stretching (91%) and reducing activity (90%). Only 61% of participants were “fairly” or “completely” confident in the complete implementation of their treatment plan. Participants believed that patients’ reluctance to reduce sport activities (82% “moderate” or “extreme” barrier) was the most significant barrier to treatment. Participants cited athletes’ avoidance of missing games as the most common reason athletes were reluctant to reduce sporting activity. Conclusions: Participants felt confident in treating overuse injuries yet faced significant barriers in treating these injuries. Clinicians should be prepared to have conversations about the importance of reducing sporting activity to allow proper healing for overuse injuries in adolescent athletes.

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Perceived Barriers and Facilitators of Sports Rehabilitation Adherence in Injured Volleyball Athletes: A Qualitative Study From Greece

Cited by 4 publications

References 62 publications

Effectiveness of Combined Program of Manual Therapy and Exercise Vs Exercise Only in Patients With Rotator Cuff-related Shoulder Pain: A Systematic Review and Meta-analysis

Effectiveness of Combined Program of Manual Therapy and Exercise Vs Exercise Only in Patients With Rotator Cuff-related Shoulder Pain: A Systematic Review and Meta-analysis

Injuries and Persistent Pain in Elite Adolescent Archery Athletes: A Cross-Sectional Epidemiological Study

Secondary School Athletic Trainers’ Strategies and Barriers to Overuse Injury Treatment in Adolescent Athletes

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