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Responses to Musculoskeletal Injurie...

Churchill, Rachel.

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Responses to Musculoskeletal Injuries: Examining the Fear Avoidance Model in an Exercise Population.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Responses to Musculoskeletal Injuries: Examining the Fear Avoidance Model in an Exercise Population./
Author:	Churchill, Rachel.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
Description:	68 p.
Notes:	Source: Dissertations Abstracts International, Volume: 84-11, Section: B.
Contained By:	Dissertations Abstracts International84-11B.
Subject:	Psychology. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30524374
ISBN:	9798379590987

Responses to Musculoskeletal Injuries: Examining the Fear Avoidance Model in an Exercise Population.
Churchill, Rachel.

Responses to Musculoskeletal Injuries: Examining the Fear Avoidance Model in an Exercise Population. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 68 p.

Source: Dissertations Abstracts International, Volume: 84-11, Section: B.

Thesis (Ph.D.)--Rosalind Franklin University of Medicine and Science, 2023.

Disablement negatively impacts an individual's ability to return to sport, recreation, or exercise (SRE) following an injury. As rates of participation in SRE activities increase within the United States, risk for an injury becomes an increasingly greater public health concern. Recovery does not always result in return to participation or a return to pre-injury ability. The Fear Avoidance Model (FAM) could explain the development of disablement following a SRE injury. The purpose of examine whether the factors associated with the FAM are associated with disablement in an exerciser population, which is a relatively unexplored population with respect to injury research. We hypothesized that the variables associated with the FAM (pain catastrophizing, fear of movement/re-injury, and fear avoidance behaviors) would individually explain variance in disablement following a SRE injury. This study also evaluated whether injury related differences, such as injury onset, injury severity, and injury history, influence pain catastrophizing or disablement. Finally, this study explored whether individual differences, such as age, gender identity, and athletic identity were associated with pain catastrophizing and disablement. We enrolled 50 participants who sustained a joint-related SRE injury within the past 2 years, in an online survey. A hierarchical regression was used to examine the relationship between the factors associated with the FAM, with consideration of the proposed serial process, and disablement. To understand the relationship between injury-related differences and disablement and pain catastrophizing, we ran two separate forward regression analyses, one for each outcome variable. Similarly, to understand the relationship between individual differences and disablement and pain catastrophizing, we also ran two separate forward regression analyses, one for each outcome variable. We found that when all 3 FAM variables (pain catastrophizing,{A0}fear of movement/re-injury, and fear avoidance behaviors) were entered into the model, greater fear of movement/re-injury and fear avoidance behaviors were associated with greater disablement, while greater pain catastrophizing was associated with less disablement. Of the injury-related and individual difference variables, age was the only variable associated with pain catastrophizing; younger age was significantly associated with greater pain catastrophizing. Our results support the idea that psychological factors play an important role in whether exercisers experience disablement following a SRE injury. Though our results were somewhat limited due to the cross-sectional nature, the strong, positive correlation between the factors associated with the FAM and the improved model fit with the addition of both fear of movement/re-injury and avoidance behaviors indicates that the FAM, as a serial process, may hold true in an exercise population. Future research should aim to define how the factors associated with the FAM are associated throughout the recovery process from a SRE injury.{A0}

ISBN: 9798379590987Subjects--Topical Terms:

519075
Psychology.
Subjects--Index Terms:

Recovery

Responses to Musculoskeletal Injuries: Examining the Fear Avoidance Model in an Exercise Population.
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502 $a Thesis (Ph.D.)--Rosalind Franklin University of Medicine and Science, 2023.
520 $a Disablement negatively impacts an individual's ability to return to sport, recreation, or exercise (SRE) following an injury. As rates of participation in SRE activities increase within the United States, risk for an injury becomes an increasingly greater public health concern. Recovery does not always result in return to participation or a return to pre-injury ability. The Fear Avoidance Model (FAM) could explain the development of disablement following a SRE injury. The purpose of examine whether the factors associated with the FAM are associated with disablement in an exerciser population, which is a relatively unexplored population with respect to injury research. We hypothesized that the variables associated with the FAM (pain catastrophizing, fear of movement/re-injury, and fear avoidance behaviors) would individually explain variance in disablement following a SRE injury. This study also evaluated whether injury related differences, such as injury onset, injury severity, and injury history, influence pain catastrophizing or disablement. Finally, this study explored whether individual differences, such as age, gender identity, and athletic identity were associated with pain catastrophizing and disablement. We enrolled 50 participants who sustained a joint-related SRE injury within the past 2 years, in an online survey. A hierarchical regression was used to examine the relationship between the factors associated with the FAM, with consideration of the proposed serial process, and disablement. To understand the relationship between injury-related differences and disablement and pain catastrophizing, we ran two separate forward regression analyses, one for each outcome variable. Similarly, to understand the relationship between individual differences and disablement and pain catastrophizing, we also ran two separate forward regression analyses, one for each outcome variable. We found that when all 3 FAM variables (pain catastrophizing,{A0}fear of movement/re-injury, and fear avoidance behaviors) were entered into the model, greater fear of movement/re-injury and fear avoidance behaviors were associated with greater disablement, while greater pain catastrophizing was associated with less disablement. Of the injury-related and individual difference variables, age was the only variable associated with pain catastrophizing; younger age was significantly associated with greater pain catastrophizing. Our results support the idea that psychological factors play an important role in whether exercisers experience disablement following a SRE injury. Though our results were somewhat limited due to the cross-sectional nature, the strong, positive correlation between the factors associated with the FAM and the improved model fit with the addition of both fear of movement/re-injury and avoidance behaviors indicates that the FAM, as a serial process, may hold true in an exercise population. Future research should aim to define how the factors associated with the FAM are associated throughout the recovery process from a SRE injury.{A0}
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650 4 $a Behavioral psychology. $3 2122788
653 $a Recovery
653 $a Recreation
653 $a Rehabilitation
653 $a Sports medicine
653 $a Exercise population
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710 2 $a Rosalind Franklin University of Medicine and Science. $b Psychology. $3 1017870
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