关键词: Adolescent experiences Concussion experience Qualitative synthesis Sports injury meta aggregation

Mesh : Humans Athletic Injuries / psychology Adolescent Qualitative Research Motivation Adaptation, Psychological Return to Sport Fear Pain / psychology Reinjuries Social Isolation Knee Injuries / psychology

来  源:   DOI:10.1016/j.ptsp.2024.05.003

Abstract:
OBJECTIVE: The aim of this review is to synthesise qualitative studies examining adolescents\' experience with pain and injury arising from sports participation.
METHODS: This review was registered on Open Science Framework prior to data extraction. A systematic search of PubMed, Embase, and SPORTDiscus was conducted. Studies were appraised using the CASP (critical appraisal skills programme) checklist. Data was synthesised using a meta aggregation.
METHODS: Inclusion criteria included studies related to adolescents aged 14-19yrs with sports related pain/injury, employed a qualitative design, full text publications in English.
RESULTS: Sixteen studies of 216 participants were included. Studies investigated severe knee injuries, concussion, or other musculoskeletal injuries. Synthesised findings show that, regardless of injury type, adolescents experience a mix of positive (motivation to rehab and return to sport, optimism) and negative emotions (fear of re-injury, isolation, depressive responses) throughout recovery. Common coping strategies were to ignore symptoms, modify activity levels, or seek support.
CONCLUSIONS: Sports-related pain and injury has a multifaceted effect on the adolescent athlete. There is a pervasive fear of re-injury and social isolation, but the desire to return to sports is facilitated through motivation and support. Peer motivation effects the willingness of the adolescent to persist with rehabilitation.
摘要:
目的:本综述的目的是综合定性研究,考察青少年参与运动引起的疼痛和损伤的经历。
方法:本综述在数据提取之前在开放科学框架上注册。对PubMed的系统搜索,Embase,进行了SPORTDiscus。使用CASP(关键评估技能计划)清单对研究进行了评估。使用元聚合来合成数据。
方法:纳入标准包括与运动相关疼痛/损伤的14-19岁青少年相关的研究,采用定性设计,英文全文出版物。
结果:纳入了216名参与者的16项研究。研究调查了严重的膝盖受伤,脑震荡,或其他肌肉骨骼损伤。综合发现表明,不管损伤类型,青少年经历了积极的混合(康复和重返运动的动机,乐观)和负面情绪(害怕再次受伤,隔离,抑郁反应)在整个恢复过程中。常见的应对策略是忽略症状,修改活动级别,或寻求支持。
结论:运动相关的疼痛和损伤对青少年运动员有多方面的影响。人们普遍担心再次受伤和社会孤立,但是通过激励和支持促进了重返体育运动的愿望。同伴动机会影响青少年坚持康复的意愿。
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