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Detrimental effects of fear avoidance behavior on return to sport outcomes following ACLR

Abstract

Introduction: Injury to the Anterior Cruciate Ligament is a common injury among athletes. Surgery is generally required followed by a lengthy rehabilitation process and gradual reintroduction to sport. Due to the severity of the injury, many athletes are unable to return to sport following surgery and rehabilitation or are unable to return to preinjury levels for various reasons. Purpose: The purpose of this study was to identify current assessment and treatment models dealing with fear avoidance behavior and its relationship in return to sport outcomes following Anterior Cruciate Ligament Repair (ACLR). Hypothesis: It is hypothesized that there is no standards for evaluation or intervention for fear avoidance behaviors following ACLR. Methods: A literature review was performed utilizing the Boise State University online database and the PubMed database utilizing the key terms of fear, sport and rehabilitation. Peer-reviewed articles focusing on fear avoidance and ACLR were chosen. Results: Fear avoidance behavior is a substantial contributor in failure to return to sport. No consistent assessment or treatment methods were identified. Current measurements in use tend to be modified questionnaires which initially addressed fear avoidance behavior relating to chronic back pain or back surgery. Steps have been recently taken to create knee and sport specific questionnaires however they are not in consistent use. Although no common intervention strategies were found, early patient education seems to be the most commonly utilized action. Self-efficacy beliefs also prove to be a helpful indicator for both success or failure. Conclusion: There are no current standards for evaluating and treating fear avoidance behavior following ACLR. Assessment and prediction for fear avoidance behavior should be conducted at the beginning of medical treatment. Early education intervention is shown to be helpful in reducing the likelihood of developing fear avoidance behavior and increasing the possibility for positive outcomes. Improved methods of identification and measurement as well as intervention are currently needed. [Read more…] about Detrimental effects of fear avoidance behavior on return to sport outcomes following ACLR

Holism as an approach to treating chronic pain

Holism as an approach to treating chronic pain

As an alternative pain rehabilitation therapist I end up seeing a wide variety of clientele who have failed to have their issues resolved utilizing traditional methods. Many times their physical therapy, chiropractic, massage, or surgical interventions fall short of providing the relief they sought, and as such, they initiate their search for any method that may be of help.

At the completion of most of my initial rehabilitation sessions I hear the phrase, “how come no one else told me this?” The client is referring to the time spent discussing their personal responsibility for initiating and maintaining the chronic pain they are in, as well as their personal responsibility for correcting it physically, mentally, and emotionally. In a medical system where efficiency, in regards to time and money, dictates health care intervention, often times the physical form is evaluated and treated with little regard to the mind or vice versa. [Read more…] about Holism as an approach to treating chronic pain

Groin Pulls: An Introduction

Groin Pulls: An introduction

What is it? What do I do? How will this help me?

 

The adductor group, typically referred to as the groin, is a group of muscles found on the inner thigh. A strain, often referred to as a pulled muscle, is a muscle tear. Therefor an adductor strain, commonly spoken as a pulled groin, is a tear to the inner thigh muscles. This muscle group plays a dominant role in both hip stabilization as well as lateral motions. Sports that engage in high levels of dynamic stability (stability through motion) as well as pivoting and lateral motion are susceptible to adductor strains. [Read more…] about Groin Pulls: An Introduction

Think Snow

The snow has begun to fall! With any luck the slopes will be opening soon and winter fun will begin.

With such a short season the worst thing that can happen is to get sidelined from injury causing you to miss some or all of it. Before gearing up and heading out, take the time to get your body ready to handle the fun.

When it comes to the downhill we must ensure our ankles, hips, and core are strong and balanced. Performing gentle stretches and exercises over the next month will help to ensure that you will own that powder, and not the other way around.

Book an appointment with Hybrid Health today and let us help to fine-tune your body and create a unique self care plan to ensure a successful healthy season.

Think Snow!

Introduction to Hip Health

Further building upon the foundation from our last articles on foot/ankle and knee health, we continue moving up the kinetic chain to examine the hip. Although the hip is a source of much chronic pain and injury we must recognize that it can be at the mercy of the highly mobile foot/ankle below and spine above. For simplicity we will keep with our examination of hip issues independently, however it’s important to keep in mind hip pain can have origins below and above. [Read more…] about Introduction to Hip Health

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