Injury-Related Acute Pain in Elite Sport: A Model of Athletes' Pain Management Strategies

IF 2.2 3区工程技术 Q3 ENGINEERING, MANUFACTURING

Human Factors and Ergonomics in Manufacturing & Service Industries Pub Date : 2025-05-25 DOI:10.1002/hfm.70013

Anne-Claire Macquet, Marion Trousselard

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Abstract

Acute pain from injury is a major concern in sport and public health. Athletes are known to have higher pain tolerance than the general population, suggesting that they may manage pain differently. This study aims to elicit the “how” and “why” of acute pain management strategies when coping with sport injuries. A thematic analysis of qualitative data involved 12 injured elite athletes (EAs) to ascertain their drug and nondrug acute pain management strategies. Results showed 14 strategies relating to two functions: problem-focused and emotion-focused. Six problem-focused strategies aimed to change the relationship between an individual and his/her environment: (a) modulating activity; (b) seeking instrumental support; (c) goal setting; (d) encouraging oneself; (e) taking painkillers; and (f) reframing the perception of pain. Eight emotion-focused strategies aimed to manage emotional distress: (a) diverting attention; (b) acceptance; (c) relativising pain; (d) repeating negative thoughts; (e) ignoring pain; (f) seeking emotional support; (g) hoping and praying; and (h) self-blame. EAs were shown to favor three strategies: modulating activity, diverting attention, and seeking instrumental support. Results showed a repertoire of acute pain management strategies and the function each strategy served. The variety of pain management strategies reinforces the coping functions (Lazarus and Folkman 1984) and suggests newly-identified flexibility in coping with acute pain extending beyond previous results on chronic pain. Results enriched the pain management approach concerning nondrug-strategies for patients in acute pain. They could offer new perspectives on human factors in health to improve acute pain management in the general population.

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精英运动损伤相关急性疼痛：运动员疼痛管理策略模型

损伤引起的急性疼痛是体育和公共卫生中的一个主要问题。众所周知，运动员比一般人有更高的疼痛耐受力，这表明他们可能以不同的方式处理疼痛。本研究旨在引出“如何”和“为什么”急性疼痛管理策略时，应对运动损伤。对12名受伤的优秀运动员（EAs）进行定性数据的专题分析，以确定他们的药物和非药物急性疼痛管理策略。结果显示14种策略与两种功能有关：问题聚焦和情绪聚焦。旨在改变个人与其环境之间关系的六项以问题为重点的战略：(a)调节活动；(b)寻求工具支持；(c)目标设定；(d)鼓励自己；(e)服用止痛药；(f)重塑对疼痛的感知。旨在管理情绪困扰的八种以情绪为中心的策略：(a)转移注意力；(b)验收;(c)相对疼痛；(d)重复消极思想；(e)忽视疼痛；(f)寻求情感支持；(g)希望和祈祷；(h)自责。结果表明，ea倾向于三种策略：调节活动、转移注意力和寻求工具支持。结果显示了一系列急性疼痛管理策略和每种策略所服务的功能。疼痛管理策略的多样性加强了应对功能（Lazarus和Folkman 1984），并提出了新发现的应对急性疼痛的灵活性，超出了以前对慢性疼痛的研究结果。结果丰富了急性疼痛患者非药物策略的疼痛管理方法。它们可以为健康中的人为因素提供新的视角，以改善普通人群的急性疼痛管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Human Factors and Ergonomics in Manufacturing & Service Industries 管理科学-工程：制造

CiteScore

5.20

自引率

8.30%

发文量

审稿时长

6.0 months

期刊介绍： The purpose of Human Factors and Ergonomics in Manufacturing & Service Industries is to facilitate discovery, integration, and application of scientific knowledge about human aspects of manufacturing, and to provide a forum for worldwide dissemination of such knowledge for its application and benefit to manufacturing industries. The journal covers a broad spectrum of ergonomics and human factors issues with a focus on the design, operation and management of contemporary manufacturing systems, both in the shop floor and office environments, in the quest for manufacturing agility, i.e. enhancement and integration of human skills with hardware performance for improved market competitiveness, management of change, product and process quality, and human-system reliability. The inter- and cross-disciplinary nature of the journal allows for a wide scope of issues relevant to manufacturing system design and engineering, human resource management, social, organizational, safety, and health issues. Examples of specific subject areas of interest include: implementation of advanced manufacturing technology, human aspects of computer-aided design and engineering, work design, compensation and appraisal, selection training and education, labor-management relations, agile manufacturing and virtual companies, human factors in total quality management, prevention of work-related musculoskeletal disorders, ergonomics of workplace, equipment and tool design, ergonomics programs, guides and standards for industry, automation safety and robot systems, human skills development and knowledge enhancing technologies, reliability, and safety and worker health issues.