Adherence to sport injury rehabilitation programs: An integrated psycho-social approach

A. R. Levy, R. C J Polman, P. J. Clough

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

The aim of the present study was to examine an adapted integrated psycho-social model to predict sport injury rehabilitation adherence. A longitudinal prospective design was used whereby 70 patients attending private physiotherapy clinics completed a battery of questionnaires both pre- and post-rehabilitation treatment based on the adapted framework. All participants were receiving treatment for tendonitis-related injuries. Adherence was monitored prospectively over the entire rehabilitation program using an observational measure of clinic adherence, a self-report measure of home-based adherence, in addition to monitoring attendance at rehabilitation sessions. In the initial phase of rehabilitation learning goal orientation, attitudes and perceived severity were found to predict rehabilitation intention. Intentions were also found to mediate the relationship between the aforementioned variables and clinic rehabilitation. Self-efficacy and self-motivation were predictors of clinic rehabilitation and attendance but not home rehabilitation. During the maintenance phase of rehabilitation coping ability and social support were predictors regarding all three measures of adherence. Implications for practitioners rehabilitating injured athletes are discussed.

Original languageEnglish
Pages (from-to)798-809
Number of pages12
JournalScandinavian Journal of Medicine and Science in Sports
Volume18
Issue number6
DOIs
Publication statusPublished - 1 Dec 2008
Externally publishedYes

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