Tag: Danielle Torp

Patients May Not Feel As Good As They Look On PaperPatients May Not Feel As Good As They Look On Paper

It Is Good To Feel Better, But Better To Feel Good: Whether A Patient Finds Treatment ‘Successful’ Or Not Depends On The Questions Researchers AskRoos EM, Boyle E, Frobell RB, Lohmander LS, Ingelsrud LH. Br J Sports Med. 2019 Apr. doi:10.1136/ bjsports-2018-100260. Epub Ahead of Print https://www.ncbi.nlm.nih.gov/pubmed/31072841 Take Home Message:While patients may exceed minimal important change on patient-reported outcome scores after an ACL injury, many feel their treatment was unsuccessful. We commonly use patient-reported outcome (PRO) measures in clinical trials to determine the success or failure of a treatment regimen after a musculoskeletal injury. Several PROs are readily available to clinicians, yet these measurements often focus on a patient’s functional ability or symptoms and not their satisfaction with how they feel after treatment.  When clinicians focus on a change score from baseline to follow-up it tells them if a patient is “feeling better,” but not if a patient “feels good.” It’s important to appreciate how these different ways to interpret PROs may alter the reported benefit of a treatment. Hence, the authors applied three different criteria to determine responders and non-responders in the KANON trial, which was a high-quality randomized trial that compared (1) exercise therapy and early anterior cruciate ligament reconstruction…

Treat the Whole Patient, Not Just the InjuryTreat the Whole Patient, Not Just the Injury

Athletic Trainers’ Influence on National Collegiate Athletic Association Division I Athletes’ Basic Psychological Needs During Sport Injury RehabilitationBejar MP, Raabe J, Zakrajsek RA, Fisher LA, Clement D. J Athl Train, 2019. doi.org/10.4085/1062-6050-112-18Full Text Freely AvailableTake Home Message:An athlete’s overall motivation during rehabilitation of an athletic injury is enriched when their psychological needs of competence, autonomy, and relatedness are met. Athletic Trainers have the unique ability to foster these needs while treating an injured athlete.Many athletes will have negative thoughts and experiences during injury recovery, which may adversely affect their motivation and willingness to adhere to rehabilitation protocols. An athlete’s ability to be motivated during injury rehabilitation relies on 3 psychological needs during the recovery process: 1.  competence = “successfully performing tasks and adapting to the demands of the environment” 2.  autonomy  = “having meaningful input into decisions and acting in accordance with one’s values” 3.  relatedness = “feeling connected, valued, and accepted by important” peopleHowever, we poorly understand how an injured athlete thinks an athletic trainer (AT) can influence their motivation and psychological needs during the rehabilitation process. Therefore, the authors conducted interviews with 10 NCAA Division I athletes (7 females) who had sustained an injury (<1 year prior to interview) that resulted in…