Gymnastik- och idrottshögskolan, GIH

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Psychosocial factors associated with lower extremity re-injury risk in soccer players: Contribution of self-confidence, functional attention, and re-injury anxiety.
School of Sport Sciences, Shahrood University of Technology. Shahrood, Semnan, Iran.
Faculty of Sport Sciences, Shahid Rajaee Teacher Training University, Tehran, Iran.
Department of Sport Science, Islamic Azad University, Science and Research Branch, Tehran, Iran.
Swedish School of Sport and Health Sciences, GIH, Department of Physiology, Nutrition and Biomechanics. Unit of Intervention and Implementation for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. (Sport Performance & Exercise Research & Innovation Center - Stockholm, SPERIC-S)ORCID iD: 0000-0002-2102-6352
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2024 (English)In: Journal of athletic training, ISSN 1062-6050, E-ISSN 1938-162X, Vol. 59, no 10, p. 1035-1041Article in journal (Refereed) Published
Abstract [en]

CONTEXT: Despite the availability of specialized assessment tools, psychological readiness is usually not considered when deciding to return to sport (RTS) after sport injury. Re-injury anxiety, self-confidence, and functional attention may be associated with sport re-injury, making it important to evaluate these factors before RTS.

OBJECTIVE: This study aimed to predict lower extremity re-injury in soccer players using self- confidence, functional attention, and re-injury anxiety as predictive variables.

DESIGN: Prospective cohort study.

SETTING: Laboratory.

PATIENTS OR OTHER PARTICIPANTS: Sixty-two male soccer players, who were older than 18 years of age, suffered from lower extremity injuries, had completed the rehabilitation program, and were ready to RTS.

MAIN OUTCOME MEASURES: Prior to returning to the sport, participants completed a pre-season questionnaire on their previous injuries, self-confidence, re-injury anxiety, and level of functional attention. The primary outcome measured was the risk of re-injury during the upcoming competitive season, and logistic regression was utilized to calculate odds ratios (OR) with 95% confidence intervals to determine the association between each risk factor and re- injury.

RESULTS: Overall re-injury rate was 5.56 injuries per 1000 hours of play. Self-confidence scores ≤ 47 increased the risk of re-injury by 2.26 times (relative risk, 2.26; 95% CI, 1.31-3.91; OR, 5.00; 95% CI, 1.56-16.04) and each unit increase in self-confidence score reduced the risk of re-injury by 10% (OR:0.90; CI: 0.82-0.99, p=0.03). Regarding re-injury anxiety, a score >22 was associated with 2.43 times the risk of re-injury (relative risk, 2.43; 95% CI, 1.44-4.13; OR, 6.46; 95% CI, 1.93-21.69) and each unit increase in re-injury anxiety score increased the risk of injury by 45% (OR:1.45; CI: 1.13-0.87, p=0.004).

CONCLUSIONS: Increased re-injury anxiety and decreased self-confidence are associated with higher odds of lower extremity re-injury in male soccer players. To reduce the risk of re-injury, athletic trainers and sport psychologists should take these psychological factors into account when evaluating the psychological readiness of soccer players with a history of lower extremity injury to RTS.

Place, publisher, year, edition, pages
Allen Press , 2024. Vol. 59, no 10, p. 1035-1041
Keywords [en]
fear of re-injury, injury rehabilitation, psychological skills, return to sport, soccer.
National Category
Sport and Fitness Sciences Applied Psychology
Research subject
Social Sciences/Humanities
Identifiers
URN: urn:nbn:se:gih:diva-8166DOI: 10.4085/1062-6050-0434.23PubMedID: 38446640OAI: oai:DiVA.org:gih-8166DiVA, id: diva2:1846222
Available from: 2024-03-21 Created: 2024-03-21 Last updated: 2025-02-11

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Tranaeus, Ulrika

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