EXPLORING THE MENTAL SIDE OF HOCKEY INJURY REHABILITATION. Justin anderson, Psy.D., LP

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1 EXPLORING THE MENTAL SIDE OF HOCKEY INJURY REHABILITATION Justin anderson, Psy.D., LP

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3 PSYCHOLOGICAL IMPACTS OF INJURY Ø Ø Ø Ø 74.41% of athletic trainers agree that athletes are psychologically affected by injury (Clement et al., 2013) 99.7% of sport PTs believe that all athletes are affected by their injuries psychologically (Arvinen-Barrow et al., 2007) 27% of athletes will display clinical levels of emotional disturbance. (Brewer et al., 1999) Most cited psychological impacts: Ø stress/anxiety Ø anger Ø adherence issues Ø loss of confidence Ø increased fear of re-injury Ø loss of ID Ø isolated from team

4 ATHLETES USE OF MENTAL SKILLS U.S. Athletes Who Taught Them SMP 27.7% Coach 33.4% Themselves 15.0% Family 2.9% 7.5% 8.1% Sport Psychologist Arvinen-Barrow, et al. 2015

5 WHICH MENTAL SKILLS ARE USED Mental Training During Rehabilita1on Percent of Athletes Goal Setting Positive Self-Talk Imagery Relaxation Other Mental Skills Arvinen-Barrow, et al. 2015

6 DOES IT WORK? Ø 72% of athletes that use mental skills tools (imagery/self-talk) perceive it as enhancing their recovery time (Arvinen-Barrow, et al. 2015) Ø Psychological interventions help reduce the prevalence of injury Ø Imagery, relaxation, and goal-setting have a statistically significant (p <.003) effect on athletes post-injury rehabilitation adherence and efficacy (Reese, Pittsinger, and Yang, 2012) Ø Adherence levels are less than 40% (Clement et al., 2013)

7 WHY IS IT NOT BEING USED MORE? Ø ATs are not specifically trained in mental skills Ø Clement, barrow ATs are not comfortable with some mental skills Find exact study This one? Clement, D., & Arvinen- Barrow, M. (2013). Sport medicine team influences in psychological rehabilitation: A multidisciplinary approach Ø Sport psychologists have the training and can work with both athletes and SMPs

8 INTERDISCIPLINARY, ATHLETE- CENTERED APPROACH Biomechanist Athletic Coaches Physician/ Orthopedic Surgeon Teammates Podiatrist Strength and Conditioning Coach Physiotherapist/ Athletic Trainer Injured Athlete Friends Parents/ Family Sport Nutritionist Sport Psychologist Spouse Direct Relationship Indirect Relationship Clinical/ Counseling Psychologist Clement & Arvinen-Barrow, 2013

9 HOW AND WHEN TO REFER Signs/Symptoms: Ø Multidisciplinary team Ø PT/AT appropriate goal setting, imagery Ø Monitor for more severe mental health symptoms WEEKEND WARRIOR HIGH SCHOOL STAND-OUT COLLEGIATE ALL-AMERICAN CRISIS ATHLETE Weekend Warrior: 35YO male, has a 9-5 job, plays in a Wednesday night hockey league, and participates in 1-2 outdoor tournaments/year. Coming to PT after dislocating his shoulder in his most recent game for the second time.

10 HOW AND WHEN TO REFER High School Stand Out: 17YO male, 3-sport stand out athlete. Has a hockey scholarship and D1 commitment, identifies as an athlete. Coming to PT after dislocating his shoulder in his most recent game for the second time. Nervous of re-injury, dedicated to the process committed to therapy. WEEKEND WARRIOR HIGH SCHOOL STAND-OUT COLLEGIATE ALL-AMERICAN CRISIS ATHLETE Signs/Symptoms: Ø Anger and/or Irritability Ø What will I do? Ø Emotional symptoms impacting life functioning/ rehab

11 HOW AND WHEN TO REFER Signs/Symptoms: Ø Significant loss of motivation Ø Excessive worrying, anxious, and/or perfectionistic Ø Intense fear of returning to play Ø Isolating self Ø Continuing physical symptoms after being cleared WEEKEND WARRIOR HIGH SCHOOL STAND-OUT COLLEGIATE ALL-AMERICAN CRISIS ATHLETE Collegiate All- American: 21YO male, D1 hockey player. Coming to PT after dislocating his shoulder in his most recent game for the second time. Fearful coach won t play him after another injury, feels isolated from his team, anxious over thoughts of having to retire early.

12 HOW AND WHEN TO REFER WEEKEND WARRIOR HIGH SCHOOL STAND-OUT Crisis Athlete: 27YO male, mentions during rehab thoughts of suicide or self-harm. Coming to PT after dislocating his shoulder in his most recent game for the second time. COLLEGIATE ALL-AMERICAN CRISIS ATHLETE Signs/Symptoms: Ø Hopeless Ø Suicidal ideation Ø Severe depression

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14 THANK YOU. questions? Justin Anderson, Psy.D., LP

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