The predictive and structural validity of a model of figure skater adherence to medical rehabilitation protocols.

摘要

This study sought to contribute to the literature on sports injury rehabilitation, specifically in the field of figure skating. The majority of the literature in the field has primarily focused on general sports injury. Brewer (2010) created the biopsychosocial model to sports injury rehabilitation that focused on the relationship between various factors and rehabilitation outcome. This project applied a similar model to figure skaters and collected data on the factors that affected their rehabilitation views and practices.;This study utilized a cross sectional design to address the research question. A model of adherence as a mediator of psychosocial factors and influence on rehabilitation outcomes was created. The model predicted that social supports, affect and elements of the Protection Motivation Theory (PMT) mediated adherence, which ultimately effected rehabilitation outcomes.;An online survey tool was used to assess the various factors of the model including rehabilitation outcome and beliefs, adherence, social supports, affect and self-efficacy. Seventy-two individuals consented to participate in the study collecting a total of 58 responses. Fifteen participants did not provide data. Participants ages ranged from 18 to 83 and included both active and non-active figure skaters.;The results suggested that the factors impacted a skater's level of adherence to rehabilitation after being injured. Individuals with higher levels of perceived susceptibility reported higher rates of overall adherence. These individuals believed their injury would worsen if they did not engage in their rehabilitation exercises. Likewise, they believed they would get better if they did engage in rehabilitation.;Individuals who were more receptive to changes from their practitioners were more likely to feel self-efficacious about themselves and the treatment. The individuals who were more receptive to changes and advice from their practitioners during the course of rehabilitation had higher self and treatment efficacy. Results also showed that the harder a person worked in rehabilitation, the more pain they experienced post-treatment.;In conclusion, results from this study do not support Brewer's (2010) original model. The main findings support that single variables, not multiple as Brewer suggested (2010), affect treatment adherence.