Unit of Physiotherapy, Department of Health, Medicine, and Caring Science, Linköping University, Linköping, Sweden.
Stockholm Sports Trauma Research Center, Dept of Molecular Medicine & Surgery, Karolinska Institute, Stockholm, Sweden.
Phys Ther. 2022 Feb 1;102(2). doi: 10.1093/ptj/pzab272.
Athletes are defined by their ability to move and are often accustomed to pain as it relates to their sports and exercise regime. The forced movement restriction and pain associated with an acute or overuse injury has a profound effect not only on their physical abilities but also on their psychological well-being and social context. With the goal of returning to sport, the rehabilitation focus historically has been on recovery of physical attributes, but more recent research is addressing the psychological factors. This Perspective proposes that-according to the current evidence in sports medicine-the fear that affects choice of treatment, rehabilitation, and return to sports is intertwined with physical capacity and recovery of function. Past injury is also 1 of the main risk factors for a sports injury; therefore, fear of reinjury is not irrational. For an athlete, the fear related to a sports injury encompasses the fear of reinjury along with fear of not being able to return to the sport at their highest performance level-and the fear of having lifelong debilitating pain and symptoms. This Perspective reviews the evidence for the influence of fear of movement and reinjury on choice of treatment, rehabilitation, and return to sport and provides suggestions on how to address this fear during the continuum of treatment and return to sports.
运动员的定义是他们的运动能力，他们通常习惯于与运动和锻炼方式相关的疼痛。与急性或过度使用损伤相关的强制性运动限制和疼痛不仅对他们的身体能力，而且对他们的心理幸福感和社会环境都有深远的影响。为了重返运动，康复的重点历来是恢复身体属性，但最近的研究正在解决心理因素。本观点认为，根据运动医学的现有证据，影响治疗、康复和重返运动选择的恐惧与身体能力和功能恢复交织在一起。过去的损伤也是运动损伤的主要危险因素之一；因此，对再次受伤的恐惧并非不合理。对于运动员来说，与运动损伤相关的恐惧包括对再次受伤的恐惧，以及对无法以最高运动水平重返运动的恐惧，以及对终身衰弱性疼痛和症状的恐惧。本观点回顾了运动和再次受伤恐惧对治疗、康复和重返运动选择的影响的证据，并就如何在治疗和重返运动的连续过程中解决这种恐惧提供了建议。
