J Sport Rehabil. 2019 Oct 18;29(4):413-419. doi: 10.1123/jsr.2018-0258. Print 2020 May 1.
Participating in Gaelic football provides a wealth of benefits, but a risk of musculoskeletal injury also exists. Injury is associated with physical consequences, including pain, discomfort, loss of function, time absent from school/sport, and considerable medical expenses, along with placing undue pressure on emergency services and hospital staff. Concurrent psychological consequences, such as fear avoidance, can also occur, causing psychological distress. There is a current dearth of available research examining the psychology of injury in male adolescent Gaelic footballers.
To examine fear avoidance postinjury in male adolescent Gaelic footballers, the effect of pain, time loss, injury severity, and previous injury on the extent of fear avoidance, and the usefulness of a modified Athlete Fear Avoidance Questionnaire (AFAQ) as a screening tool for predicting injury.
Prospective cohort study.
Recreational clubs.
A total of 97 male adolescent club Gaelic footballers (13.4 [1.1] y).
Musculoskeletal injuries sustained during participation in Gaelic football, defined as any injury sustained during training or competition causing restricted performance or time lost from play, were assessed and recorded weekly by a certified athletic and rehabilitation therapist. Injuries requiring time loss from participation were classed as time-loss injuries. Injury characteristics that included type, nature, location, severity, and pain were recorded.
Injured players completed the AFAQ, a measure of injury-related fear avoidance following injury assessment (AFAQ1). With time-loss injuries, the AFAQ was completed again (AFAQ2) prior to return to play. Modified AFAQ was completed at baseline.
Twenty-two injuries were recorded during the season with fear avoidance evident postinjury that significantly decreased before returning to play. Fear avoidance postinjury was higher in those with greater pain but time loss, injury severity, and previous injury did not significantly affect the extent of fear avoidance. Baseline fear avoidance did not predict injury.
Psychological rehabilitation is recommended for managing postinjury psychological distress in male adolescent Gaelic footballers.
参与盖尔式足球运动有很多好处，但也存在肌肉骨骼损伤的风险。受伤会带来身体上的后果，包括疼痛、不适、功能丧失、缺课/缺赛，以及大量的医疗费用，同时给急救服务和医院工作人员带来额外的压力。同时还会出现恐惧回避等心理后果，导致心理困扰。目前，关于男性青少年盖尔式足球运动员受伤后的心理学研究还很少。
检查男性青少年盖尔式足球运动员受伤后的恐惧回避程度，疼痛、时间损失、损伤严重程度和既往损伤对恐惧回避程度的影响，以及改良的运动员恐惧回避问卷（AFAQ）作为预测损伤的筛查工具的有用性。
前瞻性队列研究。
娱乐俱乐部。
共有 97 名男性青少年盖尔式足球俱乐部运动员（13.4[1.1]岁）。
在盖尔式足球比赛中受伤，定义为任何在训练或比赛中导致表现受限或缺赛的损伤，由一名经过认证的运动和康复治疗师每周评估和记录。需要缺赛的损伤被归类为缺赛损伤。记录损伤的特征，包括类型、性质、部位、严重程度和疼痛。
受伤运动员在损伤评估后完成运动员恐惧回避问卷（AFAQ1），这是一种与损伤相关的恐惧回避的测量方法。对于时间损失性损伤，在重返赛场前再次完成 AFAQ（AFAQ2）。在基线时完成改良的 AFAQ。
该赛季共记录了 22 起损伤，受伤后出现明显的恐惧回避，但在重返赛场前明显下降。疼痛程度较大但时间损失、损伤严重程度和既往损伤对恐惧回避程度没有显著影响。基线恐惧回避不能预测损伤。
建议对男性青少年盖尔式足球运动员进行心理康复，以管理受伤后的心理困扰。
