Journal of Sports and Motor Development and Learning
Scientific Journal

The Fear of Movement and Anxiety Caused by Pain in Athletes with and without Musculoskeletal Injury

Document Type : Research Paper I Open Access I Released under CC BY-NC 4.0 license

Authors

Maryam Kavyani 1
Fahime Badie 2
Ali Khatibi 3
Mohsen Dehghani 4

1 Assistance Professor, Faculty of Sport Sciences and Health , Shahid Beheshti University ,Tehran,Iran

2 Msc , Faculty of Sport Sciences and Health , Shahid Beheshti University , Tehran ,Iran

3 Postdoctoral Researcher , Center of Precision Rehabilitation for Spinal Pain(CPR Spin) , School of Sport, Exercise and Rehabiliation Sciences ,College of Life and Environmental Sciences, University of Birmingham, Birmingham

4 Assosiate Professor, Department of Psychology, Shahid Beheshti University, Tehran, Iran

https://doi.org/10.22059/jmlm.2021.325405.1585
Abstract
The aim of the present study was to compare pain related cognitions and selective attention to painful stimuli in athletes with and without a history of skeletal muscle injury.The present study was an applied and quasi-experimental research.

The population under study included 60 professional and semi-professional male athletes in different fields of sport, 30 of whom had a history of musculoskeletal injury who had been in the field for at least two months. Sports were far, far away. The sampling method was accessible and purposeful. The instruments used in this study were questionnaires of fear of movement, earache and pain anxiety. Selective attention to painful stimuli was measured using the spot exploration test designed and constructed for the present study. The data were analyzed using independent t-test.

The results showed that there was a significant difference between two groups of athletes with and without a history of injury. Also in other cognitive indices, fear of movement, consciousness, and ear-to-ear pain and anxiety-related anxiety scores were higher than those without a history of injury.

Athletes are subject to many injuries due to the nature of the exercise. It is important to pay attention to identify the important cognitive factors involved in the perception of post-traumatic pain and the existence of appropriate rehabilitation programs and therapies to improve the mental and post-traumatic mental involvement of athletes along with attention to physiological factors and physical recovery.

Keywords

Anxiety
Professional Athletes
Musculoskeletal Injury
Pain Perception
Fear
  1. Johnston LH, Carroll D. The context of emotional responses to athletic injury: a qualitative analysis. Journal of Sport Rehabilitation. 1998;7(3):206-20.
  2. Hsu C-J, Meierbachtol A, George SZ, Chmielewski TL. Fear of reinjury in athletes: implications for rehabilitation. Sports health. 2017;9(2):162-7.
  3. 3. Kunnen M, Dionigi RA, Litchfield C, Moreland A. ‘My desire to play was stronger than my fear of re-injury’: athlete perspectives of psychological readiness to return to soccer following anterior cruciate ligament reconstruction surgery. Annals of Leisure Research. 2020;23(3):447-61.
  4. 4. Lang PJ. The cognitive psychophysiology of emotion: Fear and anxiety. Anxiety and the anxiety disorders: Routledge; 2019. p. 131-70.
  5. 5. Brewer BW. Review and critique of models of psychological adjustment to athletic injury. Journal of applied sport psychology. 1994;6(1):87-100.
  6. 6. Albinson CB, Petrie TA. Cognitive appraisals, stress, and coping: Preinjury and postinjury factors influencing psychological adjustment to sport injury. Journal of Sport Rehabilitation. 2003;12(4):306-22.
  7. 7. Kvist J, Ek A, Sporrstedt K, Good L. Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction. Knee surgery, sports traumatology, arthroscopy. 2005;13(5):393-7.
  8. 8. Short SE, Reuter J, Brandt J, Short MW, Kontos AP. The relationships among three components of perceived risk of injury, previous injuries and gender in contact sport athletes. Athletic Insight. 2004;6(3):78-85.
  9. 9. Apkarian AV, Bushnell MC, Treede R-D, Zubieta J-K. Human brain mechanisms of pain perception and regulation in health and disease. European journal of pain. 2005;9(4):463-84.
  10. 10. Cervero F. Understanding pain: exploring the perception of pain: Mit Press; 2012.
  11. 11. Khatibi A, Dehghani M, Sharpe L, Asmundson GJ, Pouretemad H. Selective attention towards painful faces among chronic pain patients: evidence from a modified version of the dot-probe. Pain. 2009;142(1-2):42-7.
  12. 12. Bardel M-H, Woodman T, Perreaut-Pierre E, Barizien N. The role of athletes' pain-related anxiety in pain-related attentional processes. Anxiety, Stress & Coping. 2013;26(5):573-83.
  13. 13. Sharma P, Sandhu JS, Shenoy S. Variation in the Response to Pain Between Athletes and Non-Athletes. Ibnosina Journal of Medicine & Biomedical Sciences. 2011;3(5).
  14. 14. Tesarz J, Schuster AK, Hartmann M, Gerhardt A, Eich W. Pain perception in athletes compared to normally active controls: a systematic review with meta-analysis. Pain. 2012;153(6):1253-62.
  15. 15. Ghazaie M, Tajikzadeh F, Sadeghi R, Ramezan Saatchi L. The comparison of pain perception, coping strategies with pain and self-efficacy of pain in athlete and non-athlete women. Journal of Fundamentals of Mental Health. 2015;17(4):159-63.
  16. 16. Haghsenas R, Marandi M, Molavi H, Khayambashi K. Comparison of some psychological features Athlete students injured And non-damaged. Olampic. 2006;4(36):10.
  17. 17. Bartiss KL. The Multifaceted Interaction of Pain Perception in Collegiate Athletes. 2015.
  18. 18. Lethem J, Slade PD, Troup JD, Bentley G. Outline of a Fear-Avoidance Model of exaggerated pain perception--I. Behaviour research and therapy. 1983;21(4):401-8.
  19. 19. McCracken LM. A contextual analysis of attention to chronic pain: what the patient does with their pain might be more important than their awareness or vigilance alone. The Journal of Pain. 2007;8(3):230-6.
  20. 20. Lee DY, Karim SA, Chang HC. Return to sports after anterior cruciate ligament reconstruction-a review of patients with minimum 5-year follow-up. Annals Academy of Medicine Singapore. 2008;37(4):273.
  21. 21. Ardern CL, Taylor NF, Feller JA, Webster KE. Return-to-sport outcomes at 2 to 7 years after anterior cruciate ligament reconstruction surgery. The American journal of sports medicine. 2012;40(1):41-8.
  22. 22. Kori S. Kinisophobia:a new view of chronic pain behavior. Pain Manage. 1990:35-43.
  23. 23. Philips H. Avoidance behaviour and its role in sustaining chronic pain. Behaviour research and therapy. 1987;25(4):273-9.
  24. 24. Vlaeyen JW, Crombez G, Linton SJ. The fear-avoidance model of pain. Pain. 2016;157(8):1588-9.
  25. 25. Vlaeyen JW, Haazen IW, Schuerman JA, Kole‐Snijders AM, van Eek H. Behavioural rehabilitation of chronic low back pain: Comparison of an operant treatment, an operant‐cognitive treatment and an operant‐respondent treatment. British Journal of Clinical Psychology. 1995;34(1):95-118.
  26. 26. Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85(3):317-32.
  27. 27. McCracken LM, Dhingra L. A short version of the Pain Anxiety Symptoms Scale (PASS-20): preliminary development and validity. Pain Research and Management. 2002;7.
  28. 28. Sciascia A, Waldecker J, Jacobs C. Pain Catastrophizing in College Athletes. Journal of sport rehabilitation. 2020;29(2):168-73.
  29. 29. Everhart JS, Chafitz AJ, Harris KM, Schiele SE, Emery CF, Flanigan DC. Pain perception and coping strategies influence early outcomes following knee surgery in athletes. Journal of science and medicine in sport. 2020;23(1):100-4.
  30. 30. Kvist J, Ek A, Sporrstedt K, Good L. Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2005;13(5):393-7.
  31. 31. Khatibi A, Dehghani M, Alizade K. The role of fear of movement in chronicity of pain in patients with. Journal of Research in Behavioural Sciences. 2008;6(2):0-.
  32. 32. Nazari S, Kamali M, Akbari M, Jamshidi AA, Razi M, Nazari AA, et al. Measurement of Fear of Movement/Re-injury: Before and After Functional Tests in Anterior Cruciate Ligament Deficient Patients. 2017.
  33. 33. Taheri M, Mirmoezzi M, Sabaghi M. Effects of aquatic on balance and preventing of fall among healthy elderly men. J Saf Promot Inj Prev. 2018;6:144-51.
  34. 34. Taheri M, Irandoust K, Seghatoleslami A, Rezaei The effect of yoga practice based on biorhythms theory on balance and selective attention of the elderly women. Iranian Journal of Ageing. 2018;13(3):312-23.
  35. 35. Andersen MB, Williams JM. A model of stress and athletic injury: Prediction and prevention. Journal of sport and exercise psychology. 1988;10(3):294-306.
  36. 36. Andersen MB, Williams JM. Athletic injury, psychosocial factors and perceptual changes during stress. Journal of sports sciences. 1999;17(9):735-41.
  37. 37. Rice SM, Gwyther K, Santesteban-Echarri O, Baron D, Gorczynski P, Gouttebarge V, et al. Determinants of anxiety in elite athletes: a systematic review and meta-analysis. British journal of sports medicine. 2019;53(11):722-30.
  38. 38. Podlog L, Dimmock J, Miller J. A review of return to sport concerns following injury rehabilitation: practitioner strategies for enhancing recovery outcomes. Phys Ther Sport. 2011;12(1):36-42.
  39. 39. Heird EB, Steinfeldt JA. An interpersonal psychotherapy approach to counseling student athletes: Clinical implications of athletic identity. Journal of College Counseling. 2013;16(2):143-57.
  40. 40. Narjes Rahmati, Mohammad Ali Asghari Moghadam, Mohammad Reza Shairi, Mohsen Paknejad, Zahra Rahmati, Maryam Ghassami, et al. Psychometric properties of the Tampa Scale for Kinesiophobia amongst Iranian patients with chronic persistent pain. Health Monitor Journal of the Iranian Institute for Health Sciences Research. 2014;13(2):197-210.
  41. 41. Paknejad M, Asghari A, Rahiminezhad A, Rostami R, Taheri Factorial structure and psychometric properties of The Pain Anxiety Symptoms Scale (PASS-20). Journal of Applied Psychological Research. 2014;5(3):71-94.
  42. 42. Fischerauer SF, Talaei-Khoei M, Bexkens R, Ring DC, Oh LS, Vranceanu AM. What Is the Relationship of Fear Avoidance to Physical Function and Pain Intensity in Injured Athletes? Clinical orthopaedics and related research. 2018;476(4):754-63.
  43. 43. Leddy MH, Lambert MJ, Ogles BM. Psychological consequences of athletic injury among high-level competitors. Research quarterly for exercise and sport. 1994;65(4):347-54.
  44. 44. Brewer BW, Cornelius AE, Stephan Y, Van Raalte J. Self-protective changes in athletic identity following anterior cruciate ligament reconstruction. Psychology of sport and exercise. 2010;11(1):1-5.
  45. 45. Bianco T. Social support and recovery from sport injury: Elite skiers share their experiences. Research quarterly for exercise and sport. 2001;72(4):376-88.
  46. 46. McCracken LM, Gross RT, Sorg P, Edmands TA. Prediction of pain in patients with chronic low back pain: effects of inaccurate prediction and pain-related anxiety. Behaviour research and therapy. 1993;31(7):647-52.
  47. 47. Gray R. Attending to the Execution of a Complex Sensorimotor Skill: Expertise Differences, Choking, and Slumps. Journal of Experimental Psychology: Applied. 2004;10(1):42-54.
  48. 48. Chmielewski TL, Jones D, Day T, Tillman SM, Lentz TA, George SZ. The association of pain and fear of movement/reinjury with function during anterior cruciate ligament reconstruction rehabilitation. journal of orthopaedic & sports physical therapy. 2008;38(12):746-53.
  49. 49. Clement D, Arvinen-Barrow M, Fetty T. Psychosocial responses during different phases of sport-injury rehabilitation: a qualitative study. Journal of athletic training. 2015;50(1):95-104.
  50. 50. Crossman J, Gluck L, Jamieson J. The emotional responses of injured athletes. New Zealand Journal of Sports Medicine. 1995;23:1.
Journal of Sports and Motor Development and Learning
Volume 13, Issue 3
Autumn 2021
Pages 313-331

  • Receive Date 25 August 2021
  • Revise Date 13 November 2021
  • Accept Date 30 October 2021

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