تأثیر آموزش خودگویی انگیزشی بر کاهش حرکت هراسی در ورزشکاران آسیب دیده
محورهای موضوعی : مدیریت ورزش
عذرا آراسته
1
(
گروه تربیت بدنی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران
)
میرحمید صالحیان
2
(
گروه تربیت بدنی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران
)
کلید واژه: خودگویی, حرکت هراسی, آسیب ورزشی. ,
چکیده مقاله :
هدف: هدف پژوهش حاضر بررسی تأثیر آموزش خودگویی انگیزشی بر کاهش حرکت هراسی در ورزشکاران آسیب دیده ورزشی می‌باشد.
روش پژوهش: روش پژوهش حاضر، از نوع نیمه‌تجربی(پیش‌آزمون- پس‌آزمون) با استفاده از یک گروه آزمایش و یک گروه کنترل بود. جامعه آماری این تحقیق، شامل تمامی ورزشکاران آسیب دیده تمامی رشته های ورزشی شهر تبریز در سال 1401- 1402 بودند. از جامعه مورد مطالعه تعداد 30 نفر بصورت در دسترس انتخاب و سپس در 2 گروه بطور تصادفي جايگزين شدند. سپس برای گروه آزمایش اول خودگویی (8 جلسه؛ هفته‌ای 2 جلسۀ یک و نيم ساعته) عصر ها از ساعت 17-30/15 اعمال و گروه کنترل آموزشی دریافت ننمودند. براي تجزيه و تحليل داده‌ها از تحليل كواريانس استفاده شد.
یافته‌ها: قبل از شروع تمرینات و بعد از اتمام پرسشنامه مقیاس حرکت‌هراسی تمپا توسط شرکت کنندگان تکمیل شد. نتایج نشان داد که اثر گروه در سطح احتمال 99 درصد معنا‌دار می‌باشد (001/0 = p، 58/0 = مجذور اتا، 42/29 = F). یعنی پس از تعدیل نمرات پیش‌آزمون، میزان حرکت هراسی در پس‌آزمون در گروه کنترل و گروه آزمایش دارای تفاوت معناداری می‌باشد. و میزان حرکت هراسی در گروه آزمایش (82/118 = m) بطور معناداری بیشتر از گروه کنترل (60/80 = m) است.
نتیجه‌گیری: نتایج نشان داد که خودگویی بر میزان حرکت هراسی تأثیر مثبت معناداری دارد.
Objective: The purpose of this study is to investigate the effect of motivational self-talk training on reducing movement phobia in athletes with sports injuries.
Methods: The present research method was semi-experimental (pre-test-post-test) using an experimental group and a control group. The statistical population of this research included all injured athletes of all sports fields in Tabriz city in 2022-2023. From the studied population, 30 people were selected as available and then randomly replaced in 2 groups. Then, for the first experimental group, self-talk (8 sessions; 2 one-and-a-half-hour sessions per week) was applied in the evenings from 15:30-17:00, and the control group did not receive training. Analysis of covariance was used to analyze the data.
Results: Before starting the exercises and after finishing, the Tempa phobia scale questionnaire was completed by the participants. The results showed that the group effect is significant at the 99% probability level (p = 0.001, eta square = 0.58, F = 29.42). That is, after adjusting the pre-test scores, there is a significant difference in the amount of movement phobia in the post-test in the control group and the experimental group. And the amount of movement phobia in the experimental group (m = 118.82) is significantly higher than the control group (m = 80.60).
Conclusions: The results showed that self-talk has a significant positive effect on the amount of movement phobia.
Alhussain, B. M., Alqubaisi, A. K., Omair, A., O'hali, W. A., Abdullah, K. O., & Altamimi, A. R. (2019). Quality of life in living kidney donors: A single-center experience at the king abdulaziz medical city. Saudi Journal of Kidney Diseases and Transplantation, 30(6), 1210. https://doi.org/10.4103/1319-2442.275464
Anderson, M., Browning, W., Urband, C., Kluczynski, M., & Bisson, L. (2016). A Systematic Summary of Systematic Reviews on the Topic of the Anterior Cruciate Ligament. Orthop J Sports Med: SAGE PublicationsSage CA: Los Angeles, CA. https://doi.org/10.1177%2F2325967116634074
Ardern, C. L., Österberg, A., Sonesson, S., Gauffin, H., Webster, K. E., & Kvist, J. (2016). Satisfaction With Knee Function After Primary Anterior Cruciate Ligament Reconstruction Is Associated With Self-Efficacy, Quality of Life, and Returning to the Preinjury Physical Activity. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 32(8), 1631-1638.e1633. https://doi.org/10.1016/j.arthro.2016.01.035
Azizi, F., Azadbakht, L., & MIRMIRAN, P. (2005). Trends in overweight, obesity, and central obesity among adults residing in district 13 of Tehran: Tehran Lipid and Glucose Study. https://doi.org/10.1159/000084171
Baker, V., Bennell, K., Stillman, B., Cowan, S., & Crossley, K. (2002). Abnormal knee joint position sense in individuals with patellofemoral pain syndrome. journal of orthopaedic research, 20(2), 208-214. https://doi.org/10.1016/s0736-0266(01)00106-1
Bernardo, L.M. The effectiveness of Pilates training in healthy adults: An appraisal of the research literature. Journal of Bodywork and Movement Therapies 11, 106-110. 2007. http://dx.doi.org/10.1016/j.jbmt.2006.08.006
Bjordal, J. M., Arnøy, F., Hannestad, B., & Strand, T. (1997). Epidemiology of anterior cruciate ligament injuries in soccer. The American journal of sports medicine, 25(3), 341-345. https://doi.org/10.1177/036354659702500312
Black, J. M., Hawks, J. H., & Keene, A. M. (2001). Medical-surgical nursing: Clinical management for positive outcomes (Vol. 1): WB Saunders.
Blair, S. N., & Morris, J. N. (2009). Healthy hearts—and the universal benefits of being physically active: physical activity and health. Annals of epidemiology, 19(4), 253-256. https://doi.org/10.1016/j.annepidem.2009.01.019
Brito, R. G., Rasmussen, L. A., & Sluka, K. A. (2017). Regular physical activity prevents development of chronic muscle pain through modulation of supraspinal opioid and serotonergic mechanisms. Pain reports, 2(5). https://doi.org/10.1097%2FPR9.0000000000000618
Chroni S, Perkos S, Theodorakis Y. Function & performance of motivational & instruction self-talk for Adolescent basketball players. The journal of sport psychology. 2007; 9: 27-40.
Dansie, E. J., Turk, D. C., Martin, K. R., Van Domelen, D. R., & Patel, K. V. (2014). Association of chronic widespread pain with objectively measured physical activity in adults: findings from the National Health and Nutrition Examination survey. The Journal of Pain, 15(5), 507-515. https://doi.org/10.1016/j.jpain.2014.01.489
Dashti Rostami, K., Nabavinik, M., & Naderi, E. (2021). Relationship between Kinesiophobia and Vertical Ground Reaction Force in Anterior Cruciate Ligament Reconstructed and Deficient Patients during Landing Task. Journal of Rehabilitation Sciences & Research, 8(1), 25-30. https://doi.org/10.30476/jrsr.2021.88939.1117
Dunleavy K. Pilates fitness continuum: post-rehabilitation and prevention Pilates fitness programs. Rehab management. 2020; 23(9), 102.
Dunn, W. R., Spindler, K. P., & Consortium, M. (2010). Predictors of activity level 2 years after anterior cruciate ligament reconstruction (ACLR) A Multicenter Orthopaedic Outcomes Network (MOON) ACLR cohort study. The American journal of sports medicine, 38(10), 2040-2050. https://doi.org/10.1177/0363546510370280
Dunn, W. R., Wolf, B. R., Harrell, F. E., Jr., Reinke, E. K., Huston, L. J., & Spindler, K. P. (2015). Baseline predictors of health-related quality of life after anterior cruciate ligament reconstruction: a longitudinal analysis of a multicenter cohort at two and six years. J Bone Joint Surg Am, 97(7), 551-557. https://doi.org/10.2106%2FJBJS.N.00248
Fältström, A., Hägglund, M., & Kvist, J. (2013). Patient-reported knee function, quality of life, and activity level after bilateral anterior cruciate ligament injuries. The American journal of sports medicine, 41(12), 2805-2813. https://doi.org/10.1177/0363546513502309
Filbay, S. R., Ackerman, I. N., Russell, T. G., & Crossley, K. M. (2017). Return to sport matters—longer‐term quality of life after ACL reconstruction in people with knee difficulties. Scandinavian journal of medicine & science in sports, 27(5), 514-524. https://doi.org/10.1111/sms.12698
Filbay, S. R., Ackerman, I. N., Russell, T. G., Macri, E. M., & Crossley, K. M. (2014). Health-related quality of life after anterior cruciate ligament reconstruction: a systematic review. The American journal of sports medicine, 42(5), 1247-1255. https://doi.org/10.1177/0363546513512774
Filbay, S. R., Crossley, K. M., & Ackerman, I. N. (2016). Activity preferences, lifestyle modifications and re-injury fears influence longer-term quality of life in people with knee symptoms following anterior cruciate ligament reconstruction: a qualitative study. Journal of physiotherapy, 62(2), 103-110. https://doi.org/10.1016/j.jphys.2016.02.011
Flanigan, D. C., Everhart, J. S., & Glassman, A. H. (2015). Psychological factors affecting rehabilitation and outcomes following elective orthopaedic surgery. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 23(9), 563-570. https://doi.org/10.5435/jaaos-d-14-00225
Flanigan, D. C., Everhart, J. S., Pedroza, A., Smith, T., & Kaeding, C. C. (2013). Fear of reinjury (kinesiophobia) and persistent knee symptoms are common factors for lack of return to sport after anterior cruciate ligament reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 29(8), 1322-1329. https://doi.org/10.1016/j.arthro.2013.05.015
Gifstad, T., Drogset, J. O., Viset, A., Grøntvedt, T., & Hortemo, G. S. (2013). Inferior results after revision ACL reconstructions: a comparison with primary ACL reconstructions. Knee Surgery, Sports Traumatology, Arthroscopy, 21(9), 2011-2018. https://doi.org/10.1007/s00167-012-2336-4
Halfaker, D. A., Akeson, S. T., Hathcock, D. R., Mattson, C., & Wunderlich, T. L. (2011). Psychological aspects of pain Pain procedures in clinical practice (pp. 13-22): Elsevier. http://dx.doi.org/10.1016/B978-1-4160-3779-8.10003-X
Harvey, D., Van Raalte, J., Brewer, B. (2002). Relationship between self-talk and golf performance. International Sports Journal, 6(1), 84-91.
Hatzigeorgiadis A, Theodorakis Y, Zourbanos N. Self-talk in the swimming pool: The effects of self-talk on thought content and performance on water-polo tasks. Journal of Applied Sport Psychology. 2014; 16: 138-150. http://dx.doi.org/10.1080/10413200490437886
Hettrich, C. M., Dunn, W. R., Reinke, E. K., Group, M., & Spindler, K. P. (2013). The rate of subsequent surgery and predictors after anterior cruciate ligament reconstruction: two-and 6-year follow-up results from a multicenter cohort. The American journal of sports medicine, 41(7), 1534-1540. https://doi.org/10.1177/0363546513490277
Hsu C-J, Meierbachtol A, George SZ, Chmielewski TL. (2017 0. Fear of reinjury in athletes: implications for rehabilitation. Sports health. 9(2):162-7. https://doi.org/10.1177/1941738116666813
Kievit, A. J., Jonkers, F. J., Barentsz, J. H., & Blankevoort, L. (2013). A cross-sectional study comparing the rates of osteoarthritis, laxity, and quality of life in primary and revision anterior cruciate ligament reconstructions. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 29(5), 898-905. https://doi.org/10.1016/j.arthro.2013.01.020
LaMott, E. E. (1994). The anterior cruciate ligament injured athlete: The psychological process: University of Minnesota.
Lang PJ. The cognitive psychophysiology of emotion: Fear and anxiety. Anxiety and the anxiety disorders: Routledge; 2019. p. 131-70.
Lee, D. Y., Karim, S. A., & Chang, H. C. (2008). Return to sports after anterior cruciate ligament reconstruction-a review of patients with minimum 5-year follow-up. Annals Academy of Medicine Singapore, 37(4), 273.
Lentz, T. A., Zeppieri Jr, G., Tillman, S. M., Indelicato, P. A., Moser, M. W., George, S. Z., & Chmielewski, T. L. (2012). Return to preinjury sports participation following anterior cruciate ligament reconstruction: contributions of demographic, knee impairment, and self-report measures. journal of orthopaedic & sports physical therapy, 42(11), 893-901. https://doi.org/10.2519/jospt.2012.4077
Markström, J. L., Grinberg, A., & Häger, C. K. (2022). Fear of reinjury following anterior cruciate ligament reconstruction is manifested in muscle activation patterns of single-leg side-hop landings. Physical therapy, 102(2), pzab218. https://doi.org/10.1093/ptj/pzab218
Meierbachtol, A., Obermeier, M., Yungtum, W., Bottoms, J., Paur, E., Nelson, B. J., . . . Chmielewski, T. L. (2020). Injury-related fears during the return-to-sport phase of ACL reconstruction rehabilitation. Orthopaedic Journal of Sports Medicine, 8(3), 2325967120909385. https://doi.org/10.1177/2325967120909385
Mikkelsen, C., Werner, S., & Eriksson, E. (2000). Closed kinetic chain alone compared to combined open and closed kinetic chain exercises for quadriceps strengthening after anterior cruciate ligament reconstruction with respect to return to sports: a prospective matched follow-up study. Knee Surgery, Sports Traumatology, Arthroscopy, 8(6), 337-342. https://doi.org/10.1007/s001670000143
Mohammadi Dinani, Zohreh, Nezakatolhossaini, Maryam, Esfarjani, Fahimeh, Etemadifar, Massoud.(2014). The effect of 8-week Pilates training on motor function and depression in subjects with Multiple Sclerosis (MS). 9 (2):317-08 http://dx.doi.org/10.22122/jrrs.v9i2.669
Morrey, M. A., Stuart, M. J., Smith, A. M., & Wiese-Bjornstal, D. M. (1999). A longitudinal examination of athletes' emotional and cognitive responses to anterior cruciate ligament injury. Clinical Journal of Sport Medicine, 9(2), 63-69. https://doi.org/10.1097/00042752-199904000-00004
Paterno, M. V., Flynn, K., Thomas, S., & Schmitt, L. C. (2018). Self-reported fear predicts functional performance and second ACL injury after ACL reconstruction and return to sport: a pilot study. Sports Health, 10(3), 228-233. https://doi.org/10.1177/1941738117745806
Peggy A. (2005). Therapeutic exersice for muscule-skeletal injuries, human kinetic, 349-351.
Piussi, R., Beischer, S., Thomeé, R., & Hamrin Senorski, E. (2020). Superior knee self-efficacy and quality of life throughout the first year in patients who recover symmetrical muscle function after ACL reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 28(2), 555-567. https://doi.org/10.1007%2Fs00167-019-05703-z
Podlog, L., & Eklund, R. C. (2007). The psychosocial aspects of a return to sport following serious injury: a review of the literature from a self-determination perspective. Psychology of Sport and Exercise, 8(4), 535-566. http://dx.doi.org/10.1016/j.psychsport.2006.07.008
Podlog, L., & Eklund, R. C. (2010). Returning to competition after a serious injury: the role of self-determination. Journal of Sports Sciences, 28(8), 819-831. https://doi.org/10.1080/02640411003792729
Rushall BS, (1984). The content of competition thinking. In W.F. Straub & J.M. Williams (Eds). Cogn Sport Psychol. Sport Science Associates. 51-62
Seminary J, Doucett A. (2013). Pilates adapted for parkinson's disease and multiple sclerosis.
Shah, R. C., Ghagare, J., Shyam, A., & Sancheti, P. (2017). Prevalence of kinesiophobia in young adults post ACL re-construction. IJPR, 5(1), 1798-1801. http://dx.doi.org/10.16965/ijpr.2016.172
Shah, S. R., Doshi, H., & Shah, C. (2022). Effectiveness of pelvic proprioceptive neuromuscular facilitation on trunk stability and gait parameter in stroke patients: A systemic review. https://doi.org/10.7759/cureus.30630
Sherri R. Betz, PT, Modifying PIL Ates, (2005). For Cli Ents with Osteoporosis, Fitness Journal.
Skinner, H., Wyatt, M., Hodgdon, J., Conard, D., & Barrack, R. (1986). Effect of fatigue on joint position sense of the knee. journal of orthopaedic research, 4(1), 112-118. https://doi.org/10.1002/jor.1100040115
Tagesson, S., & Kvist, J. (2016). Greater fear of re-injury and increased tibial translation in patients who later sustain an ACL graft rupture or a contralateral ACL rupture: a pilot study. Journal of Sports Sciences, 34(2), 125-132. https://doi.org/10.1080/02640414.2015.1035668
Tajdini, H., Letafatkar, A., Brewer, B. W., & Hosseinzadeh, M. (2021). Association between kinesiophobia and gait asymmetry after ACL reconstruction: Implications for prevention of reinjury. International Journal of Environmental Research and Public Health, 18(6), 3264. https://doi.org/10.3390/ijerph18063264
Trigsted, S. M., Cook, D. B., Pickett, K. A., Cadmus-Bertram, L., Dunn, W. R., & Bell, D. R. (2018). Greater fear of reinjury is related to stiffened jump-landing biomechanics and muscle activation in women after ACL reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 26(12), 3682-3689. https://doi.org/10.1007/s00167-018-4950-2
Vairo, G. L., Myers, J. B., Sell, T. C., Fu, F. H., Harner, C. D., & Lephart, S. M. (2008). Neuromuscular and biomechanical landing performance subsequent to ipsilateral semitendinosus and gracilis autograft anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 16(1), 2-14. https://doi.org/10.1007/s00167-007-0427-4
Van den Berg-Emons, R. J., Schasfoort, F. C., de Vos, L. A., Bussmann, J. B., & Stam, H. J. (2007). Impact of chronic pain on everyday physical activity. European journal of pain, 11(5), 587-593. https://doi.org/10.1016/j.ejpain.2006.09.003