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30 Cards in this Set

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PA injuries

understand how psychological and other variables influence the likelihood of injury in a physical activity


injury facts

approx. 25 million are treated for exercise/sports-related injuries per yr in the US


-exercise/sports injuries account for 10000 ER visits


-injuries w/sports cost 9 billion $$ due to rehabilitation costs, lost work, etc.


injury

trauma to the body that results in at least temporary reduction in or impairment of PA and/or daily activities


injury, discomfort, and pain

exercise=discomfort- acute fatigue, muscle exhaustion, burning after intense workout, mL pains with repetitive workout



injury differ from discomfort in terms of magnitude



**not all injuries result in immediate pain, immediate pain is almost associated w/ injury**

actue vs. chronic injuries

acute-- injury from a single exercise event-- gone break few to fall, sprained



chronic-- injury results from repeated bouts of exercise--strained muscles/ligaments due to chronic training, joint pain

how do we quantify exercise injuries?

medical records


athletic statistics


military records


self-report questionnaires

medical records-pros/cons

hospital, DR., ER stats on #s of injuries



pros: easy to obtain for leg #s, inexpensive



cons: not everyone who is injured goes to the hospital, certain types of injury are not recorded

athletic stats

data obtained from HS, colleges, professional athletes/departments



pros: easy to obtain leg #s, inexpensive


cons: athletes hide injuries to avoid losing time, athlete injuries least representative of regular americans

military records

armed forces records #/types of injuries, days of training, etc.


pros: easy, inexpensive, new military results may be more representative of americans vs. athletes


cons: not every military personnel who is injured goes to the hospital, certain types of injury not recorded

self report questionnaires

given to regular people about # & severity of injuries, days lost to injury



pros: most representative of americans


cons: have to be collected, subject to recall bias

factors influencing exercise injury

demographic- personal variables associate w/greater, lower injury likelihood


physical-issues pertaining to the type and amount of activity


environmental- the conditions under which the exercise is done


psychological- psychosocial variables that influence prosperity to injury

demographic factors--PA levels

people who are more active are more likely to experience an activity related injury



-relationship b/n volume of activity and injury risk depends on the activity; people who run more per week= more likely to injury vs. people


who walk


-more fit ppl= experience activity related injury in self chosen activities

demographic factors--gender

more account for larger absolute numbers of injuries


-women who are forced to exercise= greater rate of injury


-women choose to engage in certain levels of PA to sustain injury--greater injury rates than men,higher incidences

demographic factors--age

older ppl report fewer injuries than young in SELF CHOSEN activities



-when forced to exercise as in military training, older ppl more susceptible to injury than young

physical factors leading to exercise injury

exercise variables


type of activity


use/misuse of protective equipment


inexperience


fatigue

type of activity/injury

runners/sports pp; are about 50-100% more likely to be injured than walkers



-cycling associated with risk of injury/death than walk/driving



-exercise is still better 10-20 than not at all

what are some environmental factors that might cause exercise injury?

Running in heat


Greater altitude


Running in icy conditions



Temperature extremes– too hot or too cold, cold wether can predispose to injuiry—there are 1.4-2 fold more basi ctraining injuries in summer than in fall in the military and marathon injuired show a u-shaped relationships with temperature



Inclement weather– high wind, rain, snow


Beighboorhood lighitng



Uneven terrain

injury key point:

all injuries are psychological in the sense that how much, how, when , and where are active are all under our own control, and primarily reflect our judgment and cognitive/emotional appraisal of the injury task

3 psychological variables & exercise injury

stress


personality variables


risk-taking behavior

stress & exercise injury

athletes w/stress =more injuries and more days of injury than athletes with low stress



-athletes w/ low coping/perception skills more likely to be injured when stressed


-intervention experiments= teach stress/coping management

injury key point #2

athletic competition can be a form of stress and increases the likelihood of injury

injury rates in practice vs. competition

injury rates are 2-5 times greater in games


-athletes try harder in competition vs. practice


-injury rates higher in regular/post season vs. preseason

how does stress increase the likelihood of exercise injury?

Decreased attentional focus– stress narrows attentional focus, which may cause an exerciser to miss a dangerous event or consequence




Increased muscle tension– stress increases muscle tension, which can lead to increase muscle strain, reduced flexibility altered motor coordination, etc.

personality variables & exercise injry

worry- ballerinas-- experiencing stress more likely to become injured



self esteem-athletes low in this had increased injury time-loss when both (-)life change/total life change

personality variables;

have little direct association w/ injury


-moderate the effects of stress-- if a person is high in worry (low self esteem), the relationship b/n stress & injury was greater, but if stress isn't present, worry/self esteem= not predictors of injury

risk taking traits/injury

some people are much higher risk takers


-these ppl are more likely to participate in sports/rec activities with a higher risk of serious injury



*no evidence shows link b/n high risk taking & athletic injury prevalence*

excess exercise & cardiovascular system

risk of sudden death


-prolonged exercise decreased right ventricular ejection fraction, w/ longer bouts


-rants can run to exhaustion, humans cant=heart damage


-people w/ more than 7 hrs of activity a week increase asthma possibility


such thing as too much exercise? the right amount?

yes!!! studies show running 5-20 miles per week decreased mortality--> more than 20 increase mortality


psychology and rehabilitation

anecdotal evidence- athletes who have more + motivated attitude cope w/ injury better



cross sectional- patients w/ + attitude help faster



intervention exp.- athletes taught imagery/relaxation techniques experience less re-in ury

psychological methods to improve rehabiltation

self talk- encouraging + emotional responses


goal setting- setting short/long terms goals, challenging but realistic


imagery- mentally envisioning successful rehab


stress- interestingly faster, higher stress=slow healing