This document discusses factors related to rehabilitation adherence following a sports injury. It finds that approximately 65% of patients are non-adherent to some degree, and 13% of athletes are non-adherent to home exercise programs following a sports injury. Non-adherence can lead to higher rates of re-injury and negatively impact treatment outcomes, recovery time, and ability to return to play. Rehabilitation adherence is related to psychological factors like beliefs about rehabilitation, self-efficacy, and perceptions of benefits and barriers. Perceived benefits predict greater adherence, while perceived barriers predict lower adherence. Higher self-efficacy also predicts better rehabilitation adherence.

2.  Approximately 65 % of patients to be non-
adherence to some degree.
(sluijs et al., 1993)
 13 % of sport injury non adherence rate to
home exercise.
(Almekinders & Almekinders, 1994)
High chance of re-injury
(Brown, 2005; Macchi & Crossman, 1995)
Outcome
Treatment result ?
Non adherence Complication ?
By : Saisamorn Deachkong No return to play
Cost
Mood disturbance

3. By : Saisamorn Deachkong
 Rehabilitation and recovery from injuries
affected the performance when return to play.
(Macchi & Crossman, 1995)
 Adherence behavior has related with outcome.
(Emerly et al., 2004; Kolt & Brewer, 2007; Mendonza, Patel & Bassett, 2007)
 High level of adherence have been linked to
positive beliefs about the value of the
rehabilitation.
(sluijs et al., 1993)

4. By : Saisamorn Deachkong
(Belief, mood and else)
(Adherence of rehabilitation)
(function performance, strength and else)
Integrated model of psychosocial response to the sport
injury and rehabilitation process (Wiese-Bjornstal, Smith, Shaffer &
Morrey, 1998)

5. ACL tears
pre-op. 95 participants
post-op. 93 participants
Approximately 6 months
63 participants
self-motivation predict home exercise
 athletic identity, psychological distress predict
attendance at rehabilitation sessions and knee laxity
home cryotherapy completion predict functional
ability.
rehabilitation adherence did not mediate the
relationship between psychological factors and
rehabilitation outcome
Brewer et al (2000). Psychological Factors, Rehabilitation adherence and rehabilitation outcome after
anterior cruciate ligament reconstruction.

6. By : Saisamorn Deachkong
Variables related to adherence
Decrease stiffness Movement ability
 Perceived benefits predicted
adherence in Decrease pain Independence
Social
 Injured athlete
(Wadey, Evan & Mitchell, 2011)
 RA
(Wilcox et al., 2006)
Perceived barriers predicted
adherence in
 RA
No motivation
(Wilcox et al., 2006; Rizvi et al., 2010) Pain
 HD ( Johnson & Heller, 2005) Fear
No enjoy Fatigue
 HT( 2551)
Wilcox et al (2006)

7. ” I know you can do It feel fine
this and I and I think
know you are ready I could do
for it!” this!”
 Perceived self-efficacy
predicted adherence in
 ACL reconstruction
(Thomee et al., 2007)
 RA
(Makelainen et al., 2008)
 Overused tendinitis
(Levy, Polman & Clough, 2008)
from: Thomee (2007)

8. By : Saisamorn Deachkong