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physicalogical
physiological aspects from parr
Question | Answer |
---|---|
Need to establish goals. [Need goals to accomplish a task]-long term | Decrease the fear of the unknown They don’t motivate on a daily basis |
Need to establish goals. [Need goals to accomplish a task]-short term | Daily motivator Need goals for each session: Increase self-efficacy [your belief that YOU can accomplish a particular task] & increase satisfaction with performance Decide where we are now & then @ the end of the week decide where we want to be. |
In developing goals in a rehab program which of the following would help to increase self-efficacy? a. Long term goals b. Short term goals c. Weekly goals | B |
When setting goals they should be? | personalized-based on position, emotion response to injury challenging but relistic-not realistic will loose confidence in ATC Establish a timeline-not just for coach, sit with athlete and make realistic goals Monitor Progress=with various tools |
Barriers to progress | Lack of Knowledge, Lack of skill, lack of risk taking, social support |
Lack of Knowledge as a barrier to progress | need to educate the athlete about the injury, recovery progress, treatment, goals, side effects(of meds, splinting/bracing etc), avoid suprises |
Lack of Skill as a barrier to progress | “we” cannot assume someone has the skill to do something we ask to do, even with basic skills |
Lack of risk taking as a barrier to progress | In general most people have fear & anxiety of the unknown, which will decrease their ability take a risk |
Social support as a barrier to progress | recognize their social support & discuss what will help the athlete |
Psychological Influences | Confidence, Program confidence, adherence confidence, physical confidence, Return to sport confidence |
CONFIDENCE | Critical to a full & timely recovery Someone with low confidence leads to negative thinking which leads to increased anxiety & negative emotions, effects focus, results in lower motivation |
Program Confidence | Refers to the individuals belief that the program will enable recovery Enhancing the Program confidence: the ATC’s confidence increases the program confidence |
Adherence Confidence | The individual’s belief that the prescribed program can be completed & enable the recovery Utilize the skills the athlete already has. |
Physical Confidence | Know that one’s body is able to handle the commands [it was the body that let them down] Make sure there are aspects that the athlete is able to physically do & build into the rehab program [this shows their body can meet the demands] |
Return to Sport Confidence | Believing that they can RTP at the either same level or even a higher level than where they were before the injury. The process continues even after RTP |
Highly Motivated | Builds confidence, decreases anxiety, decreases perception of pain, increase focus on positive |
Low Motivation | Insupportable excuses [poor attendance, low effort & productivity, lack of attentiveness to instructions, undefined goals] |
How to enhance motivation: | goal setting, key is to have individual to be a part of the goal making process, providing very clear direction & the means by which the process leads to recovery] |
Causes of Anxiety | pain, perceives as slow healing, low confidence, pressure from others] Lack of familiarity, predictability, & control |
physiological effects of anxiety | Can restrict oxygen intake & blood flow Can increase muscle tension & p! Regardless of the cause can have very REAL physical consequences |
How to control Anxiety | deep breathing, passive & active relaxation, soothing music, therapeutic massage |
Focus: | The ability to attend to various cues simultaneously If needed, can shift focus onto something different |
Interfering Cues to focus | negative thoughts, anxiety, pain, pre-occupation with injury when back to sport, peer pressure to recover quickly, any distraction during PT |
Facilitating Cues to focus | pain (use as information [overload or specificity]), letting know about ROM or strength, support from others, feedback from the equipment |
4 P's associated with focus | Positive attributes of the rehab not the negative, present time rather than the past, process and what needs to be done on a day to day basis to increase recovery, progress as you move through the rehab program to identify the progress you are makin |
Benign Pain | characterized as dull, generalized, not lasting long after exertion, not associated with swelling, localized tenderness, or long term soreness |
Harmful Pain | characterized as sharp, localized to injury site, experienced during and after exertion, associated with swelling, localized tenderness, & long term soreness |
Strategies for Pain | medications [side effects, banned substances] |
Pain Reduction Techniques | muscle relaxation, deep breathing, meditation, therapeutic massage |
Pain focusing Techniques | [mental stress] attention onto [association] or away [disassociation] from the pain, external focus, imaging techniques [picture your perfect location], rhythmic cognitive activities |
Types of Interventions | cognitive restructuring, concentration skills, confidence training, coping rehearsal, imagery, positive self talk |
Cognitive Restructuring | therapist needs to recognize any negative thinking |
concentration skills | skills to over come negative process make sure they avoid potential reinjury look @ little thinks to make sure they are focused |
Confidence Training | encourage patient to direct their own course of action, help them choose to succeed |
Coping rehearsal | performance enhancing techniques to prepare the patient for challenges(video tapes of success stories beginning(struggle) to end) |
Imagery | mentally practice skills or processes |
Positive self-talk | re-direct negative thoughts into positive task oriented thoughts |
Role of the ATC | don't negate the individuals emotional responses to the process procide positive encouragement include patient as an integral part of rehab process |
Referral for psychological | establish a procedural plan general rule:any psychological difficulty that persists for more than a few days and interferes with the progress of rehab should be referred |