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physiological aspects from parr

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
Created by: jwebst1
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