Positive Reframing: An Important but Underutilized Coping Strategy in Athletes Undergoing Sport-Related Knee Surgery
| Autor: | Joshua S. Everhart, Christian L Blough, Kristie M. Harris, Alex C. DiBartola, David C. Flanigan, Steven E. Schiele, Charles F. Emery |
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| Rok vydání: | 2021 |
| Předmět: |
Positive reframing
Knee function medicine.medical_specialty biology Athletes business.industry Physical Therapy Sports Therapy and Rehabilitation Context (language use) General Medicine biology.organism_classification Return to sport Instrumental support Knee surgery Scale (social sciences) Physical therapy medicine Knee Orthopedics and Sports Medicine business |
| Zdroj: | J Athl Train |
| ISSN: | 1062-6050 |
| Popis: | Context How specific coping strategies are associated with short-term outcomes among athletes after knee surgery is unknown. Objective To determine whether (1) specific coping strategies were associated with return to sport, satisfaction, self-reported knee function, or kinesiophobia after sport-related knee surgery and (2) these associations varied by age, sex, or surgical procedure. Study Design Case series. Methods Athletes (N = 184; men: n = 104, women: n = 80; aged 40 years: n = 39) who underwent outpatient knee surgery at a single center were enrolled. Use of specific coping strategies (self-distraction, venting, acceptance, positive reframing, emotional support, and instrumental support) was assessed preoperatively with the Brief-Coping Orientation to Problems Experienced inventory. Relationships among coping strategies and postoperative satisfaction, return to sport, International Knee Documentation Committee–Subjective and Tampa Scale for Kinesiophobia scores at a median 10.7 months follow-up were determined with consideration for age, sex, and surgical procedure. Results Return to the prior level of sport was 72%, and satisfaction was 86%. Most coping strategies had age-specific utilization rates; positive reframing was used least frequently in individuals aged 40 years. No other coping strategies were associated with outcomes. The surgical procedure was not related to an association between coping strategies and outcomes. Conclusions Coping strategies had age-specific associations with outcomes after knee surgery in athletes. Positive reframing was infrequently used in younger athletes. Greater use of positive reframing in this group may improve return to sport and satisfaction and reduce fear of reinjury. |
| Databáze: | OpenAIRE |
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