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Injured athletes can experience growth following injury by turning a setback into a transformative and positive experience. Dr. Carl Bescoby explores how to enable a positive experience and facilitate opportunities for athletes to experience growth following injury.
Michigan Wolverines offensive lineman Zak Zinter is carted off by medics after an injury during the second half of the NCAA football game. Mandatory Credit: Adam Cairns-USA TODAY Sports
Sport-injury-related growth (SIRG) encompasses the positive changes and development that injured athletes can experience. It represents the process of recovering physically and emerging from the injury stronger, both mentally and emotionally, turning adversity into an opportunity for growth and resilience. It is gaining recognition and importance in sports psychology and rehabilitation(1-4).
In the face of a sports injury, athletes often find themselves at a crossroads, facing challenges that extend far beyond the physical. Reframing their injury experience and focusing on the potential for growth through personal, psychological, social, and physical development offers a new perspective on injury management. Clinicians are pivotal in facilitating this transformation and providing athletes with the tools and support they need to recover from injury.
Athletes often experience negative emotions like frustration, isolation, irritation, denial, sadness, and anger after injury. From there, they may experience a range of psychological responses such as identity loss, reduced confidence, fear of reinjury, and performance concerns. These emotional and psychological concerns can be challenging to overcome throughout rehabilitation. However, athletes can undergo positive changes in various aspects of their lives and experience growth. They must reflect on their injury experience, manage their emotional responses, and identify how injury can shape their subsequent personal and sporting goals. Sport-injury-related growth is the perceived changes that propel injured athletes to a higher level of functioning than that which existed before their injury(1).
Facing adversity and injury provides the potential for positive benefits that athletes can experience following injury. Athletes experience various positive outcomes following what seem to be negative consequences due to injuries(5). This may include personal benefits, psychological-based performance enhancements, and physical/technical benefits. The role of self-disclosure and strengthened social networks during rehabilitation offers psychological and social growth opportunities(6). Thus, SIRG is categorized into personal, psychological, physical, and social dimensions.
Growth is not guaranteed after injury, but understanding the factors that contribute to it can help turn injury into a transformative experience. Injured athletes are more likely to experience SIRG if they have certain dispositional qualities, such as optimism, creativeness, and initiative during rehabilitation(8). Access to the physical spaces and equipment also improves their injury experience. Additionally, if they have previous experiences of adversity to draw upon, such as a previous injury, they may have the emotion- and problem-focused coping skills to experience growth(9). Furthermore, having a social support network that understands and meets one’s needs and having access to narratives that reinforce growth-related experiences, such as clinicians who see injury as an opportunity, will offer the potential for growth. Finally, athletes higher in hardiness tend to experience more growth as they can mobilize social support networks and evaluate their injuries more positively. Lower hardiness may result in avoiding emotional disclosure due to perceived negative consequences and not making room for growth experiences(10).
Clinicians must learn and develop the necessary tools to increase the likelihood of facilitating growth. Notably, the process is not linear, and athletes should share their experiences with coaches, clinicians, or psychologists to initiate growth opportunities. That is, SIRG depends on both internal and external resources, and clinician support is beneficial. Clinicians play a vital role in facilitating SIRG. They assist with:
Dealing with injury often introduces a cascade of stress and anxiety(10). Athletes can benefit from stress-management techniques such as mindfulness, deep breathing exercises, and visualization. These practices alleviate immediate anxieties and foster a sense of control over the recovery process. Clinicians can introduce them throughout rehabilitation and encourage athletes to explore ways to manage stress. Further, clinicians may help athletes identify and focus on their sense of purpose, which can be a powerful antidote to the psychological challenges of injury. In this way, athletes and clinicians can set meaningful goals during recovery, whether mastering a new skill, contributing to the team in a different capacity, or engaging in activities outside of sport. This sense of purpose provides motivation and shifts the focus from the setbacks to the opportunities for growth(11).
Clinicians can help change injured athletes’ narratives to encourage a shift from victim to victor. Language shapes perception, and reframing the narrative is crucial for mental resilience. Clinicians can help athletes transform their self-talk by emphasizing their ability to overcome challenges. Phrases like "I will conquer this setback" or "This is a chapter in my success story" instill a positive mindset, fostering the belief that setbacks are temporary and surmountable. Further, clinicians can help reframe setbacks by identifying opportunities for self-improvement as they offer a unique vantage point for self-reflection. Athletes can use this time to focus on aspects of their game that may have been neglected, such as mental toughness, strategic understanding, or overall fitness. By viewing the injury as an opportunity for comprehensive self-improvement, they emerge more robust and more well-rounded. This may also promote gratitude, which will enhance overall well-being during recovery.
The value of a robust support network cannot be overstated. Clinicians should encourage athletes to lean on friends, family, and teammates for emotional support, encouragement, and motivation. Sharing experiences and feelings with those who understand the challenges of injury can provide camaraderie, which is essential for maintaining mental well-being. Clinicians also play a role in acknowledging that the need for professional assistance, such as a psychologist, is a sign of strength, not weakness. Athletes facing significant psychological challenges during injury recovery should consider seeking the expertise of psychologists or counselors. These professionals can provide specialized strategies for coping with the mental and emotional aspects of the recovery process, enabling growth opportunities. Furthermore, clinicians should partner with psychologists to boost a holistic approach to rehabilitation.
The journey from sports injury to growth is a profound transformation that athletes can undergo with the right support. Sport-injury-related growth represents a holistic development encompassing personal, psychological, social, and physical dimensions. The positive outcomes include strengthened coping skills, enhanced social support networks, and a newfound sense of purpose. While growth is not guaranteed, certain factors such as dispositional qualities, access to resources, and previous experiences of adversity increase its likelihood. Clinicians play a pivotal role in facilitating growth by helping athletes cope with psychological challenges, reframing the injury experience, and encouraging the pursuit of professional assistance when needed. Embracing the concept of SIRG opens doors for athletes to emerge more robust, more resilient, and poised for greater success in their sporting endeavors and beyond.
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