Kinesiology 1070A/B Lecture 3: Kinesiology 1070A - Lecture 3
26 Sep 2018
School
Department
Course
Professor
Kinesiology 1070A
Wednesday September 12, 2018
Lecture 3: Rehab Psychology II
Announcements
• You will receive an email from your mentor around Oct. 1
• The mentor/protégé program is centered around using physical activity to build resilience
Recap: 3 Pillars of Rehab Psychology:
• Injury Prediction
• Injury Prevention
• Injury Recovery
Injury Recovery
Does psychology have a role?
• There has been substantial growth in research that has examined the role that
psychology has in understanding the recovery from sport and recreation-related
injuries.
• Various psychological interventions have been advocated or used in the injury recovery
setting.
Integrated model of psychological response to the sport injury and rehabilitation process
(Wiese-Bjornstal et al. 1998)
• Proposes that there are a number of pre-injury and post-injury factors, as well as
personal factors (history of injury, severity of injury, type of injury, age and gender of
athlete) and situational factors (type of sport, level of competition, time in the season),
and together they influence the athlete’s cognitive appraisal of the injury (how they
view and interpret the injury.)
• This cognitive appraisal influences emotional and behavioural responses of the athlete.
• These aspects continuously influence how the individual will deal with their recovery
from a psychological and physical standpoint.
Psychological Impact of Injury
• Stressors experienced by injured athletes:
o Incapacitation
▪ Not being able to perform at normal levels
o Missed opportunities
o Loss of independence
o Social comparison
o Lack of rehab progress
o Loss of fitness (losing muscle)
o Fear of not being able to perform at pre-injury levels
• There are a wide range of factors can influence athlete’s thoughts, emotions, and
behaviour during recovery
• Common feelings expressed by injured athletes:
o Anger
o Depression
o Frustration
o Decreased self-esteem
o Isolation
o Helplessness
o Confusion
o Worry
o Anxiety
o Fear
• Pain-related factors can also discourage an athlete and prevent them from achieving
their rehab goals
o Especially with muscular-skeletal injuries, pain is associated with poorer
outcomes because of associated psychological states
Positive Psychological Factors Associated with Recovery:
• Factors Associated with Adherence to Rehab:
o Self-motivation
o Pain tolerance
o Tough-mindedness
o Task involvement
▪ Allowing the injured individual to feel like they are a part of the rehab
experience and working with the coach/rehab therapist
o Attributing recovery to personally controllable factors
o Emotional adjustment
o Perceived ability to cope
o Self-efficacy for rehab (confidence that they can meet the demands of rehab)
Study: Returning to competition from a serious injury – The role of self-determination
(Podlog and Eklund, 2010)
• Purpose: To experimentally test how professional athletes would cognitively and
emotionally respond to self-appraisals towards returning to competition
• Rationale:
o The notion that the type of motivation energizing human behaviour affects
cognitive, emotional, and behavioural processes is a central tenet of self-
determination theory
o This motivational state ranges along a self-determination continuum from
amotivation (motivation outside of you) to intrinsic motivation (internal)
▪ We want individuals to be self-determinated/intrinsically motivated
