Changes in Fear Avoidance Belief, Psychological Readiness, and Sleep Quality Following a Concussion Injury in a Male Lacrosse Player: A Clinical Case Report

Location

Hopwood Auditorium

Access Type

Campus Access Only

Entry Number

66

Start Date

4-5-2023 2:30 PM

End Date

4-5-2023 2:45 PM

College

College of Health Sciences

Department

Exercise Physiology

Keywords

return to play, college athletes, sleep efficacy, sleep onset

Abstract

INTRODUCTION: Injuries in collegiate athletics impart a physical and psychological toll from a loss of sport participation. There is a lack of research on the mental aspect of injured athletes. There is also a lack of research done on NCAA division III athletes in general, even though they are the largest population of NCAA athletes.

PURPOSE: This case study aims to determine if there is a change in psychological readiness, fear avoidance belief, and sleep at time of injury and after injury on a varsity male lacrosse player.

METHODS: This case study administered two surveys (onset of injury and after injury) to evaluate sleep quality, fear avoidance belief, and psychological readiness to a male varsity lacrosse athlete that incurred a concussive head injury during in season play that required abstinence from play for 23 days. Data was collected within 72 hours after the injury and within 72 hours after medical clearance for return to unrestricted play.

RESULTS: Athlete fear avoidance questionnaire: onset of injury 17, after injury 20. Injury psychological readiness to return to sport: onset of injury 45%, after injury 87%. Sleep onset at onset of injury 20 minutes, after injury 30 minutes. Sleep efficiency (sleep time hours/time in bed hours) onset of injury 90%, after injury 80%.

CONCLUSION: A varsity male lacrosse player exhibited an increase in fear avoidance belief after concussion injury (pre 17, post 20), and saw an increase in psychological readiness post injury (pre 45%, post 87%). Further, the male athlete saw a change in sleep efficiency following injury (pre 90%, post 80%), and an increase in sleep onset post injury (pre 20 minutes, post 30 minutes). Sleep quality decreased and fear avoidance belief increased as the player returned to full participation, despite demonstrating that he was psychologically ready to return to play.

Faculty Mentor(s)

Dr. Jeffrey Herrick
Dr. Nicki Favero
Dr. Thomas Bowman

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Apr 5th, 2:30 PM Apr 5th, 2:45 PM

Changes in Fear Avoidance Belief, Psychological Readiness, and Sleep Quality Following a Concussion Injury in a Male Lacrosse Player: A Clinical Case Report

Hopwood Auditorium

INTRODUCTION: Injuries in collegiate athletics impart a physical and psychological toll from a loss of sport participation. There is a lack of research on the mental aspect of injured athletes. There is also a lack of research done on NCAA division III athletes in general, even though they are the largest population of NCAA athletes.

PURPOSE: This case study aims to determine if there is a change in psychological readiness, fear avoidance belief, and sleep at time of injury and after injury on a varsity male lacrosse player.

METHODS: This case study administered two surveys (onset of injury and after injury) to evaluate sleep quality, fear avoidance belief, and psychological readiness to a male varsity lacrosse athlete that incurred a concussive head injury during in season play that required abstinence from play for 23 days. Data was collected within 72 hours after the injury and within 72 hours after medical clearance for return to unrestricted play.

RESULTS: Athlete fear avoidance questionnaire: onset of injury 17, after injury 20. Injury psychological readiness to return to sport: onset of injury 45%, after injury 87%. Sleep onset at onset of injury 20 minutes, after injury 30 minutes. Sleep efficiency (sleep time hours/time in bed hours) onset of injury 90%, after injury 80%.

CONCLUSION: A varsity male lacrosse player exhibited an increase in fear avoidance belief after concussion injury (pre 17, post 20), and saw an increase in psychological readiness post injury (pre 45%, post 87%). Further, the male athlete saw a change in sleep efficiency following injury (pre 90%, post 80%), and an increase in sleep onset post injury (pre 20 minutes, post 30 minutes). Sleep quality decreased and fear avoidance belief increased as the player returned to full participation, despite demonstrating that he was psychologically ready to return to play.