Experiences of a controlled early exercise intervention following a sport-related concussion: A qualitative study of rugby union student-athletes

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2024-10-05 DOI:10.1016/j.ptsp.2024.10.001

Jack Hardwicke , Dominic Malcolm , Kerry Glendon

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引用次数: 0

Abstract

Background

Early aerobic exercise is associated with improved outcomes following recovery from sport-related concussion (SRC) and is now recommended in guidance for clinicians managing athletes return-to-play.

Objectives

To explore student-athlete experiences of a novel early aerobic exercise intervention.

Design

Qualitative study using semi-structured interviews.

Setting

Loughborough University, UK.

Participants

Ten rugby union university aged student-athletes (6 men) that had been medically diagnosed with an SRC sustained playing rugby.

Results

Three themes divided into eight supporting subthemes were generated. Main findings were: 1) Experience: despite some apprehension over the novel approach, most had a positive experience, 2) Adherence: Participants suggested reasonably good overall adherence to the prescribed exercises but intrinsic and extrinsic factors for non-adherence were identified, 3) Outcomes: the intervention was perceived to help rehabilitation, improve confidence, support retention of athletic identity and, for some, influenced more cautious attitudes toward brain health.

Conclusions

The novel early exercise intervention was reasonably well received and adhered to. Unintended benefits included supporting retainment of athletic identity and encouraging precautious health behaviours. As early exercise protocols are refined, these findings will help inform the design and delivery of future interventions, particularly in relation to intensity and diversity of exercises and supporting education.

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运动相关脑震荡后早期运动干预的经验：对橄榄球联盟学生运动员的定性研究

背景早期有氧运动与运动相关脑震荡（SRC）恢复后的效果改善有关，目前在临床医生管理运动员重返赛场的指南中被推荐使用。目的探索学生运动员对一种新型早期有氧运动干预的体验。主要发现有1）体验：尽管对新方法有些担心，但大多数人都有积极的体验；2）坚持：3）结果：干预措施被认为有助于康复、提高自信心、支持运动员身份的保持，对一些人来说，干预措施还影响了他们对大脑健康更谨慎的态度。意想不到的益处包括支持保留运动员身份和鼓励谨慎的健康行为。随着早期锻炼方案的完善，这些发现将有助于为未来干预措施的设计和实施提供参考，特别是在锻炼强度和多样性以及辅助教育方面。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.