Goal setting practices used within anterior cruciate ligament rehabilitation: An exploration of physiotherapists understanding, training and experiences.
anterior cruciate ligament rehabilitation
education
goal setting
physiotherapy
qualitative
Journal
Musculoskeletal care
ISSN: 1557-0681
Titre abrégé: Musculoskeletal Care
Pays: England
ID NLM: 101181344
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
revised:
06
12
2020
received:
03
12
2020
accepted:
08
12
2020
pubmed:
12
1
2021
medline:
29
10
2021
entrez:
11
1
2021
Statut:
ppublish
Résumé
Anterior cruciate ligament (ACL) injuries are a common injury that occurs in both the sporting and non-sporting population. Goal setting is said to be an effective psychological tool within ACL rehabilitation and is commonly used by physiotherapists. To date, literature surrounding goal setting practices is under analysed in relation to qualitative research. The central aim of this study was to explore UK physiotherapists understanding, experiences and training towards goal setting practices used in ACL rehabilitation and whether they are effective. Semi-structured interviews involving 24 participants across three specific areas including: National Health Service, elite sport and academia were conducted using an inductive approach. Data analysis included thematic analysis with triangulation and a comprehensive multi-staged analysis process to enhance trustworthiness, whilst respecting ethical considerations. Participants from all three areas of practice tended to use the same approach which was SMART goals. All participants lacked any theoretical understanding of goals but would welcome further training in the field. Participants were missing important aspects of setting goals such as not addressing expectations and underutilising feedback. These findings suggest that a call for more psychological training is clearly warranted in both the physiotherapy curriculum and within post graduate CPD training. Creating a specialist interest group (e.g. physiotherapists interested in psychology) may help share good psychological practices and overall enhance understanding in this field.
Sections du résumé
BACKGROUND
Anterior cruciate ligament (ACL) injuries are a common injury that occurs in both the sporting and non-sporting population. Goal setting is said to be an effective psychological tool within ACL rehabilitation and is commonly used by physiotherapists. To date, literature surrounding goal setting practices is under analysed in relation to qualitative research.
PURPOSE
The central aim of this study was to explore UK physiotherapists understanding, experiences and training towards goal setting practices used in ACL rehabilitation and whether they are effective.
METHOD
Semi-structured interviews involving 24 participants across three specific areas including: National Health Service, elite sport and academia were conducted using an inductive approach. Data analysis included thematic analysis with triangulation and a comprehensive multi-staged analysis process to enhance trustworthiness, whilst respecting ethical considerations.
RESULTS/DISCUSSION
Participants from all three areas of practice tended to use the same approach which was SMART goals. All participants lacked any theoretical understanding of goals but would welcome further training in the field. Participants were missing important aspects of setting goals such as not addressing expectations and underutilising feedback.
CONCLUSION
These findings suggest that a call for more psychological training is clearly warranted in both the physiotherapy curriculum and within post graduate CPD training. Creating a specialist interest group (e.g. physiotherapists interested in psychology) may help share good psychological practices and overall enhance understanding in this field.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
293-305Informations de copyright
© 2020 John Wiley & Sons Ltd.
Références
Ahlsen, B., Engebretsen, E., Nicholls, D., & Mengshoel, A. M. (2019). The singular patient in patient-centred care: Physiotherapists' accounts of treatment of patients with chronic muscle pain Medical Humanities. https://doi.org/10.1136/medhum-2018-011603
Ahlsen, B., Engebretsen, E., Nicholls, D., & Mengshoel, A. M. (2020). The singular patient in patient-centred care: Physiotherapists' accounts of treatment of patients with chronic muscle pain. Medical Humanities, 46(3), 226-233.
Alanko, T., Karhula, M., Kröger, T., Piirainen, A., & Nikander, R. (2019). Rehabilitees perspective on goal setting in rehabilitation-a phenomenological approach. Disability & Rehabilitation, 41(19), 2280-2288.
Alexanders, J., Anderson, A., & Henderson, S. (2015). Musculoskeletal physiotherapists' use of psychological interventions: A systematic review of therapists’ perceptions and practice. Physiotherapy, 101(2), 95-102.
Alexanders, J., Chesterton, P., Brooks, A., & Kaye, J. A. (2020). An exploration of UK student physiotherapists' goal setting practices within anterior cruciate ligament rehabilitation. Musculoskeletal Care. 1-8. https://doi.org/10.1002/msc.1519
Alexanders, J., Kaye, J. A., & Perry, J. (2019). Setting higher goals may make athletes feel worse: The goal setting paradox and potential Solutions. Athletic Training & Sports Health Care, 11(2), 51-52.
Baddeley, H., & Bithell, C. (1989). Psychology in the physiotherapy curriculum: A survey. Physiotherapy, 75(1), 17-21. Retrieved from http://linkinghub.elsevier.com/retrieve/pii/S0031940610629288?showall=true
Bassett, S. F., & Petrie, K. J. (1999). The effect of treatment goals on patient compliance with physiotherapy exercise programmes. Physiotherapy, 85(3), 130-137.
Beischer, S., Hamrin Senorski, E., Thomeé, C., Samuelsson, K., & Thomeé, R. (2019). How is psychological outcome related to knee function and return to sport among adolescent athletes after anterior cruciate ligament reconstruction? The American Journal of Sports Medicine, 47(7), 1567-1575. https://doi.org/10.1177/0363546519843073
Boyle, C., Pagoti, R., Eng, K. H., McMahon, S. E., & Nicholas, R. (2019). Revision ACL reconstruction with autograft: Long-term functional outcomes and influencing factors. European Journal of Orthopaedic Surgery and Traumatology, 29(1), 157-161.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Health Research, 2(3), 77-101.
Bull, S. J., Shambrook, C. J., James, W., & Brooks, J. E. (2005). Towards an understanding of mental toughness in elite English cricketers. Journal of Applied Sport Psychology, 17(3), 209-227.
Cosgrove, J., & Hebron, C. (2020). ‘Getting them on board’: Musculoskeletal physiotherapists conceptions of management of persons with low back pain. Musculoskeletal Care. https://doi.org/10.1002/msc.1524
Davies, L., Cook, J., Leal, J., Areia, C. M., Shirkey, B., Jackson, W., … Beard, D. (2020). Comparison of the clinical and cost effectiveness of two management strategies (rehabilitation versus surgical reconstruction) for non-acute anterior cruciate ligament (ACL) injury: Study protocol for the ACL SNNAP randomised controlled trial. Trials, 21(1), 405. https://doi.org/10.1186/s13063-020-04298-y
Dung, T. T., Du, H. G., Long, N. H., Thanh, D. X., Son, D. N., Tuyen, N. T., … Thanh, M. N. (2019). Arthroscopic fixation of ACL avulsion fracture in the saint pault hospital: A review of treatment outcomes: Cohort study. Annals of Medicine and Surgery, 48, 91-94.
Frith, H., & Gleeson, K. (2004). Clothing and embodiment: Men managing body image and appearance. Psychology of Men and Masculinity, 5(1), 40-48.
Gennarelli, S. M., Brown, S. M., & Mulcahey, M. K. (2020). Psychosocial interventions help facilitate recovery following musculoskeletal sports injuries: A systematic review. The Physician and Sportsmedicine, 1-8.
Hartley, S. E., & Stockley, R. C. (2016). Collaborative goal setting with adults attending physiotherapy at a specialist neuromuscular centre: Is it always appropriate? A cross-sectional survey. Physiotherapy, 102(4), 320-326. https://doi.org/10.1016/j.physio.2015.10.014
Heaney, C., Green, A., Rostron, C., & Walker, N. (2012). A qualitative and quantitative investigation of the psychology content of UK physiotherapy education. Journal, Physical Therapy Education, 26(3), 1-26.
Holopainen, R., Simpson, P., Piirainen, A., Karppinen, J., Schütze, R., Smith, A., & Kent, P. (2020). Physiotherapists' perceptions of learning and implementing a biopsychosocial intervention to treat musculoskeletal pain conditions: A systematic review and metasynthesis of qualitative studies. Pain, 161(6), 1150-1168.
Kaye, J. A., & Alexanders, J. (2019). Rehabbing the mind within anterior cruciate ligament rehabilitation: Are we addressing patients' expectations? Athletic Training & Sports Health Care, 11(3), 99-100.
Keays, S., Newcombe, P., & Keays, A. (2019). Return to sport after anterior cruciate ligament (ACL) injury: Surgery versus no surgery. A long-term follow-up study. Journal of Science and Medicine in Sport, 22, S59.
Kidd, M. O., Bond, C. H., & Bell, M. L. (2011). Patients’ perspectives of patient-centredness as important in musculoskeletal physiotherapy interactions: A qualitative study. Physiotherapy, 97(2), 154-162. http://dx.doi.org/10.1016/j.physio.2010.08.002
Lipscomb, M. (2020). Critical realism and realist pragmatism in mixed methods: Problematics of event identity and abductive inference (evolving paradigms in mixed methods research). Paper kindly presented on Dr Lipscomb's behalf.
Locke, E., & Latham, G. (1984). Goal setting: A motivational technique that works!. Englewood Cliff: Prentice Hall.
Locke, E. A., & Latham, G. P. (2019). The development of goal setting theory: A half century retrospective. Motivation Science, 5(2), 93.
Manhas, K. P., Olson, K., Churchill, K., Faris, P., Vohra, S., & Wasylak, T. (2020). Measuring shared decision-making and collaborative goal setting in community rehabilitation: A focused ethnography using cross-sectional surveys in Canada. BMJ Open, 10(8), e034745.
Moatshe, G., & Engebretsen, L. (2020). ACL injury: Where are we now? Is prevention the key for all sports? In: ESSKA Instructional Course Lecture Book. Berlin, Heidelberg: Springer, 133-138.
Moore, E. W. G., Quartiroli, A., Zakrajsek, R., & Eckenrod, M. (2019). Increasing collegiate strength and conditioning coaches' communication of training performance and process goals with athletes. Strength and Conditioning Journal, 41(2), 18-24.
Murdoch, J., Salter, C., Ford, J., Lenaghan, E., Shiner, A., & Steel, N. (2020). The ‘unknown territory’ of goal-setting: Negotiating a novel interactional activity within primary care doctor-patient consultations for patients with multiple chronic conditions. Social Science & Medicine, 256, 113040. https://doi.org/10.1016/j.socscimed.2020.113040
Nyland, J., Doral, M. N., & Caborn, D. N. (2020). Anterior cruciate ligament surgery and rehabilitation: Does anybody really know what time it is? Springer.
O'Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine, 89(9), 1245-1251. https://doi.org/10.1097/acm.0000000000000388
Robinson, J. L. (2019). Psychological recovery components for college athletes with anterior cruciate ligament (ACL) injuries: A Delphi study Ashford University.
Webster, K. E., & Feller, J. A. (2019). A research update on the state of play for return to sport after anterior cruciate ligament reconstruction. Journal of Orthopaedics and Traumatology, 20(1), 1-7.