Evaluation of biopsychosocial functions in athletes with ankle sprains

Abstract

Purpose: to create an evaluation model of impaired 1 functions for athletes with ankle sprains When an athlete is injured, the also suffers from impaired biopsychosocial functions. These functions are evaluated on three different levels: biological, psychological, and social level. It's extremely important to start the athlete's rehabilitation not only considering his lical injury,but also taking into account his psycological state (psycholiogical level), and his activity-participation problems (social level). On biological level, we evaluate ankle proprioreception, muscle strength and eversion-inversion balance using the following tests: isometric ankle testing in four directions (eversion, inversion, dorsiflexion, and plantarflexion), isokinetic ankle testing at the speed of 30 deg/s ir 60 deg/a in four directions (eversion, inversion, dorsiflexion, and plantarflexion). Proprioreception test: the sense of ankle position in the frontal plane - 10° of inversion, neutral position and 10ŗ of eversion, and in the sagital plane - 10° of dorsiflexion, neutral position, and 10ŗ of plantarflexion. Thus we can objectively evaluate the efficacy and process of rehabilitation. The athlete's psychological state is evaluated by taking into consideration his emotions, anxiety, self esteem, and expectations, using the following tests: Profile of Mood States (POMS), The Emotional Responses of Athletes to Injury Questionnaire, Sport Inventory for Pain (SIP), The Sports Injury Rehabilitation Beliefs Survey (SIRBS), Athletic Identity Measurement Scale (AIMS), Sports Injury Clinic Athlete Satisfaction Scale, Rosenberg Self-Esteem Inventory. The athlete's activity-participation is evaluated using the International Classification of Functioning, Disability and Health (ICF). After an ankle sprain, one of the mostly impaired functions is motion (the ability to change position of the body, ability to maintain one position for a longer time, carrying of things, walking and