physiological aspects from parr
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| 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
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| 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.
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| 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
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| 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
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| Barriers to progress | Lack of Knowledge, Lack of skill, lack of risk taking, social support
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| 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
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| 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
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| 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
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| Social support as a barrier to progress | recognize their social support & discuss what will help the athlete
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| Psychological Influences | Confidence, Program confidence, adherence confidence, physical confidence, Return to sport confidence
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| 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
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| 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
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| Adherence Confidence | The individual’s belief that the prescribed program can be completed & enable the recovery Utilize the skills the athlete already has.
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| 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]
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| 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
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| Highly Motivated | Builds confidence, decreases anxiety, decreases perception of pain, increase focus on positive
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| Low Motivation | Insupportable excuses [poor attendance, low effort & productivity, lack of attentiveness to instructions, undefined goals]
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| 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]
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| Causes of Anxiety | pain, perceives as slow healing, low confidence, pressure from others] Lack of familiarity, predictability, & control
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| 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
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| How to control Anxiety | deep breathing, passive & active relaxation, soothing music, therapeutic massage
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| Focus: | The ability to attend to various cues simultaneously If needed, can shift focus onto something different
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| 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
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| Facilitating Cues to focus | pain (use as information [overload or specificity]), letting know about ROM or strength, support from others, feedback from the equipment
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| 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
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| Benign Pain | characterized as dull, generalized, not lasting long after exertion, not associated with swelling, localized tenderness, or long term soreness
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| Harmful Pain | characterized as sharp, localized to injury site, experienced during and after exertion, associated with swelling, localized tenderness, & long term soreness
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| Strategies for Pain | medications [side effects, banned substances]
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| Pain Reduction Techniques | muscle relaxation, deep breathing, meditation, therapeutic massage
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| 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
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| Types of Interventions | cognitive restructuring, concentration skills, confidence training, coping rehearsal, imagery, positive self talk
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| Cognitive Restructuring | therapist needs to recognize any negative thinking
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| concentration skills | skills to over come negative process make sure they avoid potential reinjury look @ little thinks to make sure they are focused
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| Confidence Training | encourage patient to direct their own course of action, help them choose to succeed
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| Coping rehearsal | performance enhancing techniques to prepare the patient for challenges(video tapes of success stories beginning(struggle) to end)
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| Imagery | mentally practice skills or processes
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| Positive self-talk | re-direct negative thoughts into positive task oriented thoughts
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| 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
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| 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
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