Certified Athletic Trainers (ATC) have a critical role in collegiate athletic settings and are in close contact with athletes. Psychology plays an important role in the lives of athletes, yet ATCs may not have the training to differentiate between normal stress in athletes and real psychological problems. The primary purpose of this study was to describe perceptions of ATCs regarding their qualifications to use psychological techniques when dealing with athletes, in addition to describing accessibility and incidence of referral to psychological services. Two hundred schools from two NCAA Divisions (I and II) were randomly selected and sent a questionnaire to be completed by a certified staff athletic trainer. The results indicated Division I schools have greater access and referrals to sport psychologists than do Division II schools. It was also evident that athletic trainers knew they need more education to properly implement certain psychological techniques when dealing with their athletes.

Abstract Background: Soccer includes quick turns, jumps and decelerations, which entails an increased risk of injury. Women are exposed to more long-term injuries than men. Physiotherapists who work with injury management and return to play need to take account factors from a biopsychosocial perspective. Purpose: The aim of this study is to explore physiotherapist's experiences of working with injury management and returning to play in Damallsvenskan, after common injuries in soccer. Method: A descriptive qualitative study based on five semi-structured interviews was applied. The content of the interviews was analyzed with qualitative content analysis. Results: The results show that physiotherapist´s in Damallsvenskan experience that good communication between affected parties facilitates the work with injury management. The work includes considering risks, working with mental barriers and helping the player to be physically ready for recovery by treating the damaged tissue. Physiotherapists experience that different resources affect injury management. Conclusion: The physiotherapists describe how an important part of the work is to help the player to become physically ready for recovery by treating the tissue and working with mental barriers. Good communication facilitates cooperation within the team. The pressure to get players ready for a match in a short time includes considerations of risks, which is affected by work experience. Physiotherapists in Damallsvenskan experience that resources affect injury management. Furthermore, quantitative research should focus on whether an increased presence of physiotherapists in Damallsvenskan can reduce the risk of players injuring themselves again. / Sammanfattning Bakgrund: Fotboll inkluderar snabba vändningar, hopp och inbromsningar, vilket medför en ökad risk för skador. Kvinnor utsätts för mer långvariga skador än män. Fysioterapeuter som arbetar med skadehantering och återgång till spel behöver ta hänsyn till faktorer ur ett biopsykosocialt perspektiv.  Syfte: Syftet med studien är att belysa fysioterapeuters upplevelser och erfarenheter av att arbeta med skadehantering och återgång till spel i Damallsvenskan, efter vanligt förekommande skador i fotboll. Metod: Studien är en deskriptiv kvalitativ studie baserad på fem semistrukturerade intervjuer. Innehållet i intervjuerna analyserades med kvalitativ innehållsanalys. Resultat: Resultatet visar att fysioterapeuter i Damallsvenskan upplever att en god kommunikation mellan berörda parter underlättar arbetet med skadehantering. Arbetet inkluderar övervägande av risker, arbete med mentala hinder och hjälpa spelaren att bli kroppsligt redo för återgång, genom att behandla den skadade vävnaden. Fysioterapeuterna upplever att olika resurser påverkar skadehanteringen.  Konklusion: Fysioterapeuterna beskriver hur en viktig del av arbetet är hjälpa spelaren att bli kroppsligt redo för återgång genom att behandla vävnaden och arbeta med mentala hinder. En god kommunikation underlättar samarbetet inom teamet. Pressen att få spelare matchklara på kort tid inkluderar överväganden av risker, vilket påverkas av arbetslivserfarenhet. Fysioterapeuter i Damallsvenskan upplever att resurser påverkar skadehanteringen. Vidare bör kvantitativ forskning fokusera på om en ökad närvaro av fysioterapeuter i Damallsvenskan kan minska risken för spelare att åter skada sig.

>Magister Scientiae - MSc / The study aimed at identifying the current state of injury related care for Malawi super league football players. To achieve this the study determined the average time taken by soccer players in Malawi to return to active participation following an injury, identified the type of treatment received by football players, determined the management of football injuries by team doctors in Malawi, established the responsibilities of football coaches in the management of injuries in Malawi and established the financial and medical support received by football players after sustaining an injury

The focus of this inquiry is “New Zealand small business employers’ perspectives of the important factors in return-to-work (RTW) of an employee following a musculoskeletal injury or an illness”. Whilst worldwide there is an increasing amount of attention focused on the RTW process in large organisations, there continues to be little understanding of this phenomenon in small businesses. I chose to use a social constructivist theoretical framework drawing on grounded theory methodology to construct some understanding of the employers’ perspectives of the RTW process. Eight small business employers from Auckland and Christchurch participated in this research. Data were gathered using semi-structured interviews. Constant comparative analysis, theoretical sampling and thematic analysis were used to construct two themes from the data. The findings showed that small business employers prefer informal organisational approaches, rely on close working relationships with their staff, are generally wary of bureaucracy and often must run their businesses with limited staff and financial resources. Having an employee off work for a prolonged period of time creates a sizable gap in the staff resources that keep the business running. The employer has responsibility to fill this gap while maintaining a productive business. In the absence of formal injury management practices an ad hoc approach was taken to the RTW process. A number of the employers felt undervalued by key stakeholders, such as doctors, treatment providers, Accident Compensation Corporation and in some cases RTW co-ordinators. Health and safety was a risk all employers appeared to take seriously whereas injury management information and support seemed less of a focus. This research suggests there may be little focus on injury management in small businesses by employers and, that employers perceive greater government emphasis on injury prevention. The extent and associated costs of work disability in small businesses is as yet unknown, but it is likely to be significant. How to support and encourage the uptake of injury management in small businesses in the long term warrants further investigation. Understanding that employers may well lack injury management expertise, experience and resources requires stakeholders to make specific effort with the employer, at the workplace, to facilitate the RTW process.

The focus of this inquiry is “New Zealand small business employers’ perspectives of the important factors in return-to-work (RTW) of an employee following a musculoskeletal injury or an illness”. Whilst worldwide there is an increasing amount of attention focused on the RTW process in large organisations, there continues to be little understanding of this phenomenon in small businesses. I chose to use a social constructivist theoretical framework drawing on grounded theory methodology to construct some understanding of the employers’ perspectives of the RTW process. Eight small business employers from Auckland and Christchurch participated in this research. Data were gathered using semi-structured interviews. Constant comparative analysis, theoretical sampling and thematic analysis were used to construct two themes from the data. The findings showed that small business employers prefer informal organisational approaches, rely on close working relationships with their staff, are generally wary of bureaucracy and often must run their businesses with limited staff and financial resources. Having an employee off work for a prolonged period of time creates a sizable gap in the staff resources that keep the business running. The employer has responsibility to fill this gap while maintaining a productive business. In the absence of formal injury management practices an ad hoc approach was taken to the RTW process. A number of the employers felt undervalued by key stakeholders, such as doctors, treatment providers, Accident Compensation Corporation and in some cases RTW co-ordinators. Health and safety was a risk all employers appeared to take seriously whereas injury management information and support seemed less of a focus. This research suggests there may be little focus on injury management in small businesses by employers and, that employers perceive greater government emphasis on injury prevention. The extent and associated costs of work disability in small businesses is as yet unknown, but it is likely to be significant. How to support and encourage the uptake of injury management in small businesses in the long term warrants further investigation. Understanding that employers may well lack injury management expertise, experience and resources requires stakeholders to make specific effort with the employer, at the workplace, to facilitate the RTW process.

Background: The management, prevention, and recognition of injuries forms an integral part of coaches training. It is imperative that coaches are equipped with a sound understanding of specialised coaching to teach developing athletes correct performance techniques, promote strategies to reduce the risk of injury, and be able to determine the need for medical attention in the event of an injury (9). The South African Department of Cultural Affairs and Sport (DCAS) has created opportunities for young people living in low socio-economic settings to participate in various sports within the Mass participation, Opportunity and Development and growth (MOD) programme (10). Athletes showing potential for competing at a provincial or national level are selected into the specialised Talent Development Programmes (TDP). The MOD and TDP also provides an employment opportunity for coaches. At present, very little is known about the knowledge and practices of coaches working with young athletes in low socio-economic settings within South Africa. Aim and Objectives: The aim of the present study was to investigate the knowledge and practices of youth athletics coaches employed by the Western Cape (WC) TDP branch of the MOD within the under 12–14 year age group. The specific objectives were to: 1) describe the coaches qualifications and experience, using an online Demographic and Coaching Practices (D&CP) questionnaire; 2) assess coaches' knowledge regarding athlete development, injuries, and the management of injuries using an online Multiple Choice Quiz (MCQ); 3) describe coaches practices regarding injury prevention techniques using the D&CP questionnaire and 4) assess the relationship between the coaches a) experience and their MCQ scores, b) qualification and MCQ score, and c) qualification in first aid and the MCQ subsection score relating to injury and injury management. Method: A descriptive cross-sectional design was used. Inclusion criteria were: 1) coaches associated with the TDP for Athletics in the WC, 2) coaches with > one year's experience coaching U12-14 athletics, and 3) access to internet. Exclusion criteria were: 1) coaches < one season coaching experience. Ethics approval was granted by the University of Cape Town Human Research Ethics Committee (HREC REF 554/2019). The online MCQ consisted of 40 questions covering topics relating to coaches' knowledge and understanding of methods used to reduce the risk of injury and management of acute injuries. The D&CP questionnaire included questions related to the practices used by coaches to reduce injury risk and management protocols used during pre-season, training, or in competition. Results: Twenty-six coaches consented to participate; five coaches exercised their right to withdraw after having only completed the online MCQ component. Profile of coaches: 16 of the 21 coaches (76.19%) reported having a coaching qualification. Most coaches were certified by Athletics South Africa (n = 12; 57.14%). Most coaches (n = 17; 81%) held a first aid qualifications ranging from level one to three. Participants' experience ranged from less than five years to 15 years (median = 7 years; IQR = 10.5 years). Performance on the MCQ: The median score achieved by the coaches (n = 26) for the MCQ was 14 out of 40 points (35%; IQR = 4) and only two coaches achieved a score greater than 50%. Coaching Practices: Most coaches (71%) used 30-minute warm-up sessions which included various exercise techniques. During warm-ups, a few of the coaches (n = 11) included static stretching, while the majority (n = 19) included dynamic stretching techniques. During competition season, most coaches encouraged athletes to complete a cool-down following each event (n = 17; 80.95%). Most coaches (90%) incorporated a pre-season conditioning programme, lasting an average of 7.5 weeks (range = 2-16 weeks). Injury Management: 19% of coaches relied on the first aider present at each training session. Sixteen of the 21 coaches depended on medical professionals to make the final decision regarding to returning the athlete to training and competing, and 38.5% (n = 26) of coaches believed it was the coach or parents' decision. Relationship between MCQ Performance and Coaching profile: A moderate correlation between coaches' years of experience and MCQ score was found, however this was not significant (r = 0.43; p = 0.054), and weak non-significant correlations were found between MCQ scores were not significantly for groups of coaches who held or did not possesses a coaching qualification (u = 37; z = 0.21; p = 0.84). There was no difference between coaches who had a first aid qualification and those who did not on the MCQ test scores (u = 22; z = 1.03; p = 0.32). Discussion and Conclusion: Coaches' knowledge regarding injuries, practices used to reduce the risk of injuries, and the acute medical management of injuries is less than optimal. Several coaches performed poorly on the MCQ, and some practices used by the coaches in our sample were questionable. Despite the majority having qualifications in both coaching and first aid, their understanding relating to injuries and the practices used did not always reflect the latest guidelines for coaching youth athletes. The findings of the present study are similar to the findings of others studies (11). This may be as a result of insufficient coaching development throughout their careers. The present findings indicated that 42.3% of TDP coaches still use outdated warm-up techniques (i.e., static stretches). Coaches are generally aware of the importance of strength and conditioning programmes. The moderate correlation between years of experience and MCQ score suggests that coaches do gain implicit knowledge through their experience. As health professionals working in the field of sport, physiotherapists are key allies for sharing knowledge with coaches. Empowering coaches with the knowledge and skills required to reduce the risk of injury development and manage injuries appropriately may, in turn, provide developing athletes with the support they require.

Psychological factors specific to overuse injury pain in physical activity contexts were explored within a social identity theoretical framework. Study 1 involved development of a method for designating overuse injury pain occurrence of hikers (N = 751), along with exploration of relationships between psychological measures, overuse injury pain occurrence, and effort levels. The findings of this cross-sectional, mixed-methods investigation revealed that social identification, social identity content, and mental toughness differentiated hikers who incurred overuse injury pain or selected a higher-effort behaviour from those who did not. From qualitative analysis, several social identity constructs (i.e., group member's presence, in-group status, social creativity, additional social identity content) emerged as contributors to overuse injury occurrence. The focus of Study 2 was a prospective examination of the aforementioned psychological factors in relation to overuse injury severity of hikers (N = 283). Additionally, the Test of Intentions to Reduce Effort (TIRE) was developed to identify individuals with susceptibility to higher overuse injury severity. Results provided evidence of factorial, construct, and predictive validity of TIRE factor scores. TIRE factors and social identity content significantly predicted higher severity of hikers' overuse injury pain. Mental toughness scores moderated the relationship between social identification and overuse injury severity. Study 3 consisted of a qualitative examination of social identity mechanisms of overuse injury pain in a physical activity context, CrossFit®, involving the presence of group leaders, and in which group members view each other. Findings revealed mechanisms pertaining to social identity content, in-group status, and social threats. Overall, the findings support a new means for assessing overuse injury occurrence and susceptibility to higher overuse injury severity, whilst demonstrating the potential applicability of social identity theory to the study of overuse injury. Knowledge gained may ultimately aid development of interventions to reduce overuse injury occurrence and severity of physical activity participants.