Scholarlink

Background <p>Adolescent athletes who sustain a musculoskeletal sports injury are at high re-injury risk. Fear avoidance (FA) during return to sport (RTS) rehabilitation may be concerning either when “too high” (excessive fear) or “too low” (excessive confidence). Research suggests that adolescent athletes with an athletic identity (AI)  ≤ 25th percentile (“low” AI”) are 1.5 × more likely to sustain an initial injury, while those scoring  &gt;25th percentile (“higher” AI) are 2.3 × more likely to sustain subsequent injury. This study evaluated adolescent athlete AI and FA relationships during RTS rehabilitation.</p> Materials and methods <p>From 159 consecutive patients, 60 (32 females, 28 males) adolescent athletes (mean = 16.9 ± 3&#xa0;years of age) completed the 7-item Athletic Identity Measurement Scale, the 10-item Athletic Fear Avoidance Questionnaire (AFAQ), and the AFAQ with two additional movement-related fear and pain questions (AFAQ +). Comparisons were made between low AI (≤ 25th percentile) and higher AI (&gt; 25th percentile) groups and between low FA (≤ 50th percentile) and higher FA (&gt; 50th percentile) groups.</p> Results <p>Athletes with “low” AI had greater FA than those with “higher” AI (AFAQ + scores of 30.2 ± 10 vs. 24.8 ± 7, p = 0.02; AFAQ scores of 24.4 ± 8 vs. 20.2 ± 6, <i>p</i> = 0.03). Athletes scoring &gt; 50th percentile on the AFAQ (high FA) had lower AI social identity (18.2 ± 3 vs. 19.5 ± 3, <i>p</i> = 0.04) and exclusivity (8 ± 4 vs. 9.8 ± 4, <i>p</i> = 0.03) subscale scores compared to athletes scoring ≤ 50th percentile. Athletes scoring &gt; 50th percentile on the AFAQ + (higher FA) also had lower AI social identity (18 ± 3 vs. 19.5 ± 3, <i>p</i> = 0.02) and exclusivity (7.6 ± 4 vs. 10.1 ± 4, <i>p</i> = 0.005) subscale scores than athletes scoring ≤ 50th percentile.</p> Conclusion <p>Adolescent athletes with “low” AI had higher FA, while those with “higher” AI had lower FA. Athletes with higher FA also had lower AI social identity and exclusivity subscale scores. Identification of an effective AI and FA balance may help better determine safe RTS timing, however further research is needed.</p> Level of Evidence: <p>II, Prospective cohort study.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Athletic identity—fear avoidance relationships of high musculoskeletal injury risk adolescent athletes during return to sport rehabilitation: a pilot study

  • 期刊论文

  • 发表日期：

    2025年7月25日

查看全文
  • John Nyland,
  • Basha Ferman,
  • Roman Elliott,
  • Jonathon Lewis,
  • Jarod Richards,
  • Ryan Krupp

摘要

Background

Adolescent athletes who sustain a musculoskeletal sports injury are at high re-injury risk. Fear avoidance (FA) during return to sport (RTS) rehabilitation may be concerning either when “too high” (excessive fear) or “too low” (excessive confidence). Research suggests that adolescent athletes with an athletic identity (AI)  ≤ 25th percentile (“low” AI”) are 1.5 × more likely to sustain an initial injury, while those scoring  >25th percentile (“higher” AI) are 2.3 × more likely to sustain subsequent injury. This study evaluated adolescent athlete AI and FA relationships during RTS rehabilitation.

Materials and methods

From 159 consecutive patients, 60 (32 females, 28 males) adolescent athletes (mean = 16.9 ± 3 years of age) completed the 7-item Athletic Identity Measurement Scale, the 10-item Athletic Fear Avoidance Questionnaire (AFAQ), and the AFAQ with two additional movement-related fear and pain questions (AFAQ +). Comparisons were made between low AI (≤ 25th percentile) and higher AI (> 25th percentile) groups and between low FA (≤ 50th percentile) and higher FA (> 50th percentile) groups.

Results

Athletes with “low” AI had greater FA than those with “higher” AI (AFAQ + scores of 30.2 ± 10 vs. 24.8 ± 7, p = 0.02; AFAQ scores of 24.4 ± 8 vs. 20.2 ± 6, p = 0.03). Athletes scoring > 50th percentile on the AFAQ (high FA) had lower AI social identity (18.2 ± 3 vs. 19.5 ± 3, p = 0.04) and exclusivity (8 ± 4 vs. 9.8 ± 4, p = 0.03) subscale scores compared to athletes scoring ≤ 50th percentile. Athletes scoring > 50th percentile on the AFAQ + (higher FA) also had lower AI social identity (18 ± 3 vs. 19.5 ± 3, p = 0.02) and exclusivity (7.6 ± 4 vs. 10.1 ± 4, p = 0.005) subscale scores than athletes scoring ≤ 50th percentile.

Conclusion

Adolescent athletes with “low” AI had higher FA, while those with “higher” AI had lower FA. Athletes with higher FA also had lower AI social identity and exclusivity subscale scores. Identification of an effective AI and FA balance may help better determine safe RTS timing, however further research is needed.

Level of Evidence:

II, Prospective cohort study.