Effects of a psychological and physiotherapeutic intervention on the occurrence of injuries (Efectos de una intervención psicológica y fisioterapeútica sobre la ocurrencia de lesiones)

Authors

  • Patricia Catalá
  • Cecilia Peñacoba
  • Ricardo Pocinho
  • Cristovão Margarido

DOI:

https://doi.org/10.12800/ccd.v16i48.1715

Keywords:

Soccer players, injury, psychological intervention, motivation, anxiety (futbolistas, lesión, intervención psicológica, motivación, ansiedad)

Abstract

This study aims to analyse the effects of a psychological intervention focused on motivation and anxiety, in combination with a physiotherapy program, upon the occurrence of injuries. The participants were 22 male soccer players (age = 23.31, SD = 4.24). The instruments used were injury protocol, Competitive State Anxiety Inventory 2 (CSAI-2) and Behavioral Regulation in Sport Questionnaire (BRSQ). The program lasted twelve sessions a periodicity of weeks and with duration of approximately 30-40 minutes each. A pre/post-treatment design with three modalities was used: psychological treatment and physiotherapy (combined modality), physiotherapy and control. The groups are formed randomly with the Windows Excel program. The results on the indication of injury show that the physiotherapeutic treatment and the combined treatment reduce the appearance of injury compared to the control group during the intervention. In the long term (six months after the intervention), only the combined treatment significantly reduced the injury compared to the control group. The combined program produced a reduction of de-motivation levels and external regulation, along with an increase in intrinsic motivation (accomplishment) in comparison to the group who received physiotherapy on its own. Both interventions (combined and physiotherapy alone) were efficient in decreasing anxiety levels, although the combined group was more efficient, as well as being the only one that significantly improved self-confidence levels and intrinsic motivation. Nevertheless, because of the lack of previous literature in this area and because of the methodological difficulties further studies are required.

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Este estudio tiene como objetivo analizar los efectos de una intervención psicológica centrada en la motivación y la ansiedad, en combinación con un programa de fisioterapia, sobre la aparición de lesiones. Los participantes fueron 22 jugadores de fútbol masculinos (edad = 23.31, SD = 4.24). Los instrumentos utilizados fueron el protocolo de lesiones, el Inventario de ansiedad de estado competitivo 2 (CSAI-2) y el Cuestionario de regulación del comportamiento en el deporte (BRSQ). El programa duró doce sesiones con una periodicidad semanal y con una duracion de 30-40 minutos cada una. Se utilizó un diseño pre/post tratamiento con tres modalidades: tratamiento psicológico y fisioterapia (modalidad combinada), fisioterapia y control. Los grupos se formaron aleatoriamente con el programa Excel de Windows. Los resultados sobre la indicidencia de lesión muestran que el tratamiento fisioterapéutico y el tratamiento combinado reducen la aparición de lesión respecto al grupo control durante la intervención. A largo plazo (seis meses después de la intervención) únicamente el tratamiento combinado reduce significativamente la lesión respecto el grupo control. El programa combinado produjo una reducción de los niveles de desmotivación y regulación externa, junto con un aumento de la motivación intrínseca (logro) en comparación con el grupo que recibió fisioterapia por sí solo. Ambas intervenciones (combinadas y fisioterapia sola) fueron eficientes para disminuir los niveles de ansiedad, aunque el grupo combinado fue más eficiente, además de ser el único que mejoró significativamente los niveles de autoconfianza y la motivación intrínseca. Sin embargo, debido a la falta de literatura previa en esta área y debido a las dificultades metodológicas, se requieren más estudios.

References

Al Attar, W. S. A., & Alshehri, M. A. (2019). A meta‐analysis of meta‐analyses of the effectiveness of FIFA injury prevention programs in soccer. Scandinavian Journal of Medicine & Science in Sports, 29(12), 1846–1855.

https://doi.org/10.1111/sms.13535

Andersen, M. B., & Williams, J. M. (1998). A model of stress and athletic injury: Prediction and prevention. Journal of Sport and Exercise Psychology, 10, 294–306.

Bahr, R. (2005). Understanding injury mechanisms: a key component of preventing injuries in sport. British Journal of Sports Medicine, 39(6), 324–329. https://doi.org/10.1136/bjsm.2005.018341

Boguszewski, D., Cieślik, M., Adamczyk, J., & Ochal, A. (2012). The Role of Pilates and Aquafitness Exercises in Sustaining the Health and Fitness of Elderly Women. Sport Science Review, 21(3–4), 127–138.

https://doi.org/10.2478/v10237-012-0013-7

Brewer, B. W. (2003). Developmental differences in psychological aspects of sport-injury rehabilitation. Journal of Athletic Training, 38(2), 152.

Brummitt, J. (2008). The Role of Massage in Sports Performance and Rehabilitation: Current Evidence and Future Direction. North American Journal of Sports Physical Therapy: NAJSPT, 3(1), 7.

Campos, A. S. (2015). Masaje deportivo post competición vs rutina de enfriamiento en miembros inferiores para prevenir contracturas en jugadores de fútbol en el período enero 2015–mayo 2015. Universidad Técnica de Ambato.

Cano, L. A. (2012). Psicología y lesiones deportivas: un análisis de factores de prevención, rehabilitación e intervención psicológica. Cultura, Ciencia y Deporte, 7(19), 70.

Choroszewicz, P., Dobosiewicz, A. M., & Badiuk, N. (2020). Sports massage as a method of preventing delayed onest muscle soreness. Pedagogy and Psychology of Sport, 6(2), 104. https://doi.org/10.12775/PPS.2020.06.02.010

Christakou, A., & Zervas, Y. (2007). The effectiveness of imagery on pain, edema, and range of motion in athletes with a grade II ankle sprain. Physical Therapy in Sport, 8(3), 130–140.

Coronado, R. A., Sterling, E. K., Fenster, D. E., Bird, M. L., Heritage, A. J., Woosley, V. L., Burston, A. M., Henry, A. L., Huston, L. J., Vanston, S. W., Cox, C. L., Sullivan, J. P., Wegener, S. T., Spindler, K. P., & Archer, K. R. (2020). Cognitive-behavioral-based physical therapy to enhance return to sport after anterior cruciate ligament reconstruction: An open pilot study. Physical Therapy in Sport, 42, 82–90. https://doi.org/10.1016/j.ptsp.2020.01.004

Davis, J. (1991). Sports injuries and stress management: An opportunity for research. Sport Psychology, 5, 175–182.

de Hoyo, M., Naranjo-Orellana, J., Carrasco, L., Sañudo, B., Jiménez-Barroca, J. J., & Domínguez-Cobo, S. (2013). Revisión sobre la lesión de la musculatura isquiotibial en el deporte: factores de riesgo y estrategias para su prevención. Revista Andaluza de Medicina Del Deporte, 6(1), 30–37. https://doi.org/10.1016/S1888-7546(13)70032-7

de la Vega Marcos, R., Barquín, R. R., Adrianzén, G. D. G., & del Valle Díaz, S. (2011). El estado de ánimo precompetitivo en un equipo de fútbol profesional: un estudio entre jugadores titulares y suplentes. Cuadernos de Psicología Del Deporte, 11(2), 107–117.

de La Vega Marcos, R., Barquín, R. R., García-Mas, A., Balagué, G., Zafra, A. O., & del Valle Díaz, S. (2008). Consistencia y fluctuación de los estados de ánimo en un equipo de fútbol profesional durante una competición de play off. Revista de Psicología Del Deporte, 17(2), 241–251.

Edvardsson, A., Ivarsson, A., & Johnson, U. (2012). Is a cognitive-behavioural biofeedback intervention useful to reduce injury risk in junior football players?. Journal of Sports Science & Medicine, 11(2), 331.

Fernandez Garcia, R., Zurita Ortega, F., Ambros Sandoval, J., Pradas de la Fuente, F., Linares Girela, D., & Linares Manrique, M. (2014). Relación entre la ansiedad estado/ rasgo, posición en el terreno de juego y ocurrencia de lesiones deportivas. Universitas Psychologica, 13(2). https://doi.org/10.11144/Javeriana.UPSY13-2.reae

Fuller, C. W., Ekstrand, J., Junge, A., Andersen, T. E., Bahr, R., Dvorak, J., H??gglund, M., McCrory, P., & Meeuwisse, W. H. (2006). Consensus Statement on Injury Definitions and Data Collection Procedures in Studies of Football (Soccer) Injuries. Clinical Journal of Sport Medicine, 16(2), 97–106. https://doi.org/10.1097/00042752-200603000-00003

Gasibat, Q., & Suwehli, W. (2017). Determining the benefits of massage mechanisms: a review of literature. Rehabilitation Sciences, 3, 58–67.

Gennarelli, S. M., Brown, S. M., & Mulcahey, M. K. (2020). Psychosocial interventions help facilitate recovery following musculoskeletal sports injuries: a systematic review. The Physician and Sportsmedicine, 1–8. https://doi.org/10.1080/00913847.2020.1744486

Gledhill, A., Forsdyke, D., & Murray, E. (2018). Psychological interventions used to reduce sports injuries: a systematic review of real-world effectiveness. British Journal of Sports Medicine, 52(15), 967–971.

https://doi.org/10.1136/bjsports-2017-097694

Griffith, J. D., Hart, C. L., Goodling, M., Kessler, J., & Whitmire, A. (2006). Responses to the sports inventory for pain among BASE jumpers. Journal of Sport Behavior, 29(3).

Hemmings, B. J. (2001). Physiological, psychological and performance effects of massage therapy in sport: a review of the literature. Physical Therapy in Sport, 2(4), 165–170. https://doi.org/10.1054/ptsp.2001.0070

Holguín-Ramírez, J., Ramos-Jiménez, A., Quezada-Chacón, J. T., Cervantes-Borunda, M. S., & Hernández-Torres, R. P. (2020). Effect of Mindfulness on the Stress–Recovery Balance in Professional Soccer Players during the Competitive Season. Sustainability, 12(17), 7091.

https://doi.org/10.3390/su12177091

Ishøi, L., Krommes, K., Husted, R. S., Juhl, C. B., & Thorborg, K. (2020). Diagnosis, prevention and treatment of common lower extremity muscle injuries in sport – grading the evidence: a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF). British Journal of Sports Medicine, 54(9), 528–537.

https://doi.org/10.1136/bjsports-2019-101228

Ivarsson, A., Johnson, U., Andersen, M. B., Fallby, J., & Altemyr, M. (2015). It Pays to Pay Attention: A Mindfulness-Based Program for Injury Prevention With Soccer Players. Journal of Applied Sport Psychology, 27(3), 319–334. https://doi.org/10.1080/10413200.2015.1008072

Ivarsson, A., Johnson, U., Andersen, M. B., Tranaeus, U., Stenling, A., & Lindwall, M. (2017). Psychosocial Factors and Sport Injuries: Meta-analyses for Prediction and Prevention. Sports Medicine, 47(2), 353–365.

https://doi.org/10.1007/s40279-016-0578-x

Johnson, U., Ekengren, J., & Andersen, M. B. (2005). Injury Prevention in Sweden: Helping Soccer Players at Risk. Journal of Sport and Exercise Psychology, 27(1), 32–38. https://doi.org/10.1123/jsep.27.1.32

Kerr, G., & Goss, J. (1996). The effects of a stress management program on injuries and stress levels. Journal of Applied Sport Psychology, 8(1), 109–117. https://doi.org/10.1080/10413209608406312

Kerr, J. H., Au, C. K. F., & Lindner, K. J. (2004). Motivation and level of risk in male and female recreational sport participation. Personality and Individual Differences, 37(6), 1245–1253. https://doi.org/10.1016/j.paid.2003.12.008

Kolt, G. S., Hume, P. A., Smith, P., & Williams, M. M. (2004). Effects of a Stress-Management Program on Injury and Stress of Competitive Gymnasts. Perceptual and Motor Skills, 99(1), 195–207.

https://doi.org/10.2466/pms.99.1.195-207

Kramar, M. (2008). The effects of mental interventions on competitive anxiety, stress resistance, cardiovascular activity and sport performance of college athlete. Northcentral University, United States. Arizona.

Krist, M. R., van Beijsterveldt, A. M. C., Backx, F. J. G., & Ardine de Wit, G. (2013). Preventive exercises reduced injury-related costs among adult male amateur soccer players: a cluster-randomised trial. Journal of Physiotherapy, 59(1), 15–23. https://doi.org/10.1016/S1836-9553(13)70142-5

Lazcano-Ponce, E., Salazar-Martínez, E., Gutiérrez-Castrellón, P., Angeles-Llerenas, A., Hernández-Garduño, A., & Viramontes, J. L. (2004). Ensayos clínicos aleatorizados: variantes, métodos de aleatorización, análisis, consideraciones éticas y regulación. Salud Pública de México, 46(6), 559–584.

Lonsdale, C., Hodge, K., & Rose, E. A. (2008). The Behavioral Regulation in Sport Questionnaire (BRSQ): Instrument Development and Initial Validity Evidence. Journal of Sport and Exercise Psychology, 30(3), 323–355. https://doi.org/10.1123/jsep.30.3.323

Marshall, E. A., & Gibson, A.-M. (2017). The Effect of an Imagery Training Intervention on Self-confidence, Anxiety and Performance in Acrobatic Gymnastics – A Pilot Study. Journal of Imagery Research in Sport and Physical Activity, 12(1). https://doi.org/10.1515/jirspa-2016-0009

Martens, R., Burton, D., Vealey, R. S., Bump, L. A., & Smith, D. E. (1990). Development and validation of the competitive state anxiety inventory-2. Competitive Anxiety in Sport, 117–190.

Mercado, S., Crismark, L., & Suárez Dávila, Z. A. (2015). Percepción del Deportista lesionado de futbol, Primera división UNAN-Managua, para su reincorporación al entrenamiento físico Agosto-Diciembre 2015. Universidad Nacional Autónoma de Nicaragua, Managua.

Meurer, M. C., Silva, M. F., & Baroni, B. M. (2017). Strategies for injury prevention in Brazilian football: Perceptions of physiotherapists and practices of premier league teams. Physical Therapy in Sport, 28, 1–8. https://doi.org/10.1016/j.ptsp.2017.07.004

Moreno-Murcia, J. A., Marzo, J. C., Martínez-Galindo, C., & Conte, L. (2011). Validación de la Escala de “Satisfacción de las Necesidades Psicológicas Básicas” y del Cuestionario de la “Regulación Conductual en el Deporte” al contexto español. (Validation of Psychological Need Satisfaction in Exercise Scale and the Behavioural Regu. RICYDE. Revista Internacional de Ciencias Del Deporte, 7(26), 355–369. https://doi.org/10.5232/ricyde2011.02602

Moyer, C. A., Rounds, J., & Hannum, J. W. (2004). A Meta-Analysis of Massage Therapy Research. Psychological Bulletin, 130(1), 3–18. https://doi.org/10.1037/0033-2909.130.1.3

Munroe-Chandler, K. J., & Hall, C. R. (2004). Enhancing the Collective Efficacy of a Soccer Team through Motivational General-Mastery Imagery. Imagination, Cognition and Personality, 24(1), 51–67. https://doi.org/10.2190/UM7Q-1V15-CJNM-LMP4

Munroe-Chandler, K. J., Hall, C. R., Fishburne, G. J., & Shannon, V. (2005). Using cognitive general imagery to improve soccer strategies. European Journal of Sport Science, 5(1), 41–49. https://doi.org/10.1080/17461390500076592

Noh, Y.-E., Morris, T., & Andersen, M. B. (2007). Psychological Intervention Programs for Reduction of Injury in Ballet Dancers. Research in Sports Medicine, 15(1), 13–32. https://doi.org/10.1080/15438620600987064

Nomikos, N. N., Nomikos, G. N., & Kores, D. S. (2010). The use of deep friction massage with olive oil as a means of prevention and treatment of sports injuries in ancient times. Archives of Medical Science, 5, 642–645. https://doi.org/10.5114/aoms.2010.17074

Noya, J., & Sillero, M. (2012). Incidencia lesional en el fútbol profesional español a lo largo de una temporada: días de baja por lesión. Apunts. Medicina de l’Esport, 47(176), 115–123. https://doi.org/10.1016/j.apunts.2011.10.001

Olmedilla-Zafra, A., Rubio, V. J., Ortega, E., & García-Mas, A. (2017). Effectiveness of a stress management pilot program aimed at reducing the incidence of sports injuries in young football (soccer) players. Physical Therapy in Sport, 24, 53–59. https://doi.org/10.1016/j.ptsp.2016.09.003

Olmedilla, A., & García-Mas, A. (2009). El Modelo global psicológico de las lesiones deportivas. Acción Psicologica, 6(2), 77–91.

Olmedilla, A., Ortega, E., & Gómez, J. M. (2014). Influencia de la lesión deportiva en los cambios del estado de ánimo y de la ansiedad precompetitiva en futbolistas. Cuadernos de Psicología Del Deporte, 14(1), 55–62.

Olmedilla Zafra, A., Álvarez, A., Ortín Montero, F. J., & Blas Redondo, A. (2009). Trait anxiety, sucess perception and injuries: a search in football players. Revista Internacional de Medicina y Ciencias de La Actividad Física y El Deporte, 9(33), 51–66.

Ortega, F. Z., Fernández, S. R., Extremera, M. O., Sánchez, M. C., Cuberos, R. C., & González, M. C. (2018). Análisis de la resiliência, ansiedad y lesión deportiva en fútbol según el nivel competitivo. Cultura, Ciencia y Deporte, 12(35), 135–142.

Pa, W. A. M. W., Salamuddin, N., Zin, N. M., & Lian, D. K. C. (2020). Sports Massage Therapy Towards Pre-Competition Anxiety Among Malaysian High Performance Tennis Players. Proceedings of the 1st Progress in Social Science, Humanities and Education Research Symposium (PSSHERS 2019). https://doi.org/10.2991/assehr.k.200824.235

Pfirrmann, D., Herbst, M., Ingelfinger, P., Simon, P., & Tug, S. (2016). Analysis of Injury Incidences in Male Professional Adult and Elite Youth Soccer Players: A Systematic Review. Journal of Athletic Training, 51(5), 410–424.

https://doi.org/10.4085/1062-6050-51.6.03

Ramsey, R., Cumming, J., Edwards, M. G., Williams, S., & Brunning, C. (2010). Examining the emotion aspect of PETTLEP-based imagery with penalty taking in soccer. Ournal of Sport Behavior, 33(3), 295.

Reeves, C. W., Nicholls, A. R., & McKenna, J. (2011). Longitudinal analyses of stressors, perceived control, coping, and coping effectiveness among early and middle adolescent soccer players. International Journal of Sport Psychology, 42(2), 186–203.

Robertson, A., Watt, J. M., & Galloway, S. D. R. (2004). Effects of leg massage on recovery from high intensity cycling exercise. British Journal of Sports Medicine, 38(2), 173–176. https://doi.org/10.1136/bjsm.2002.003186

Rojas-Inda, S. (2018). Análisis de carga interna y externa de futbolistas jóvenes en juegos reducidos // analysis of internal and external load in small games in young football players. Revista Internacional de Medicina y Ciencias de La Actividad Física y Del Deporte, 18(71), 463–477. https://doi.org/10.15366/rimcafd2018.71.004

Rubio, V. J., Pujals, C., de la Vega, R., Aguado, D., & Hernández, J. M. (2014). Autoeficiacia y lesiones deportivas:¿ factor protector o de riesgo? Revista de Psicología Del Deporte, 23(2), 439–444.

Rusciano, A., Corradini, G., & Stoianov, I. (2017). Neuroplus biofeedback improves attention, resilience, and injury prevention in elite soccer players. Psychophysiology, 54(6), 916–926.

https://doi.org/10.1111/psyp.12847

Shivachev, Y., & Bogomilova, S. (2020). Prevention tools in the area of the knee complex - treatment and prophylaxis. Journal of IMAB - Annual Proceeding (Scientific Papers), 26(2), 3160–3162.

https://doi.org/10.5272/jimab.2020262.3160

Suarez, C. F., & Moreno, D. F. (2014). Efectos del masaje deportivo en la fatiga muscular, de los deportistas de la selección de futbol sub 16 de la Federación Deportiva de Chimborazo, periodo noviembre 2012 a mayo 2013. Universidad Nacional del Chimborazo.

Thacker, S. B., Gilchrist, J., Stroup, D. F., & Kimsey Jr, C. D. (2004). The impact of stretching on sports injury risk: a systematic review of the literature. Medicine & Science in Sports & Exercise, 36(3), 371–378.

Tranaeus, U., Ivarsson, A., & Johnson, U. (2015). Evaluation of the Effects of psychological prevention interventions on sport injuries: A meta-analysis. Sports Medicine, 30(6), 305–313.

Tranaeus, U., Johnson, U., Ivarsson, A., Engström, B., Skillgate, E., & Werner, S. (2015). Sports injury prevention in Swedish elite floorball players: evaluation of two consecutive floorball seasons. Knee Surgery, Sports Traumatology, Arthroscopy, 23(3), 899–905.

Weerapong, P., Hume, P., & Kolt, G. (2005). The Mechanisms of Massage and Effects on Performance, Muscle Recovery and Injury Prevention. Medicina Deportiva, 35(3), 235–256.

Yoon, I., & Yoon, Y. (2014). Effect of psychological skill training as a psychological intervention for a successful rehabilitation of a professional soccer player: single case study. Journal of Exercise Rehabilitation, 10(5), 295–301. https://doi.org/10.12965/jer.14014

Published

2021-05-31

How to Cite

Catalá, P., Peñacoba, C., Pocinho, R., & Margarido, C. (2021). Effects of a psychological and physiotherapeutic intervention on the occurrence of injuries (Efectos de una intervención psicológica y fisioterapeútica sobre la ocurrencia de lesiones). Cultura, Ciencia Y Deporte, 16(48), 225–234. https://doi.org/10.12800/ccd.v16i48.1715

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