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Which psychosocial factors are associated with return to sport following concussion? A systematic review

journal of Sport and Health Science 2022年第4期11卷 438-449页

作者： j.cqueline van ierssel Kaleigh Ferdinand Pennock Margaret Sampson Roger Zemek jeffrey G.Caron Children’s Hospital of Eastern Ontario Research Institute OttawaON K1H 8L1Canada Faculty of Kinesiology and Physical Education University of TorontoTorontoON M5S 2W6Canada Department of Pediatrics Faculty of MedicineUniversity of OttawaOttawaON K1H 8M5Canada Faculty of Medicine University of MontrealMontrealQC H3T 1J4Canada Center for Interdisciplinary Research in Rehabilitation MontrealQC H3S 1M9Canada

Background:Psycho social factors predict recurrent inj ury and return to preinjury level of performance following orthopedic injury but are poorly understood following *** management protocols prioritize physical measures of ***,the objective of this study was to describe the psychosocial factors associated with return to sport(RTS) and how they are measured in athletes who sustained a ***:MEDLINE,Embase,APA PsycINFO,CINAHL,and SPORTDiscus were searched through February 2,*** studies included original peer-reviewed publications describing psychosocial factors associated with RTS following a diagnosed *** primary outcome was scales or measures employed and/or key thematic ***:Of the 3615 studies identified,10 quantitative cohort studies(Oxford Centre for Evidence-Based Medicine Level-3) representing 2032 athletes(85% male;high-school and collegiate collision/contact athletes) and 4 qualitative studies representing 66 athletes(74% male;70% American football;aged 9-28 years) were *** identified 3 overarching themes and 10 outcome measures related to psychosocial factors associated with RTS following concussion:(a) fear(e.g,of recurrent concussion,of RTS,of losing playing status);(b) emotional factors(e.g,depression,anxiety,perceived stress,mental health,disturbance mood);and(c) contextual factors(e.g,social support,pressure,sense of identity).Conclusion:Although current medical clearance decisions prioritize physical measures of recovery,evidence suggests diverse psychosocial factors influence RTS following *** remains unclear which psychosocial factors contribute to a successful RTS,including the influence of sex/gender and *** studies should evaluate the association of psychological readiness with physical measures of recovery at medical clearance,preinjury level of performance,and risk of recurrent concussion to support RTS clinical decision-making.

关键词： Concussion Recovery Rehabilitation Sport psychology Sporting injuries

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