Transient disablement in the physically active with musculoskeletal injuries, part I: a descriptive model.
BACKGROUND
Disablement theory has been characterized as the sequence of events that occurs after an injury, but little research has been conducted to establish how disablement is experienced and described by physically active persons.


OBJECTIVE
To describe the disablement process in physically active persons with musculoskeletal injuries.


METHODS
Concurrent, embedded mixed-methods study. For the qualitative portion, interviews were conducted to create descriptive disablement themes. For the quantitative portion, frequencies analysis was used to identify common terminology.


METHODS
National Collegiate Athletic Association Division I collegiate and club sports, collegiate intramural program, large high school athletics program, and outpatient orthopaedic center.


METHODS
Thirty-one physically active volunteers (15 males, 16 females; mean age  =  21.2 years; range, 14-53 years) with a current injury (18 lower extremity injuries, 13 upper extremity injuries) participated in individual interviews. Six physically active volunteers (3 males, 3 females; mean age  =  22.2 years; range, 16-28 years) participated in the group interview to assess trustworthiness.


METHODS
We analyzed interviews through a constant-comparison method, and data were collected until saturation occurred. Common limitations were transformed into descriptive themes and were confirmed during the group interview. Disablement descriptors were identified with frequencies and fit to the themes.


RESULTS
A total of 15 overall descriptive themes emerged within the 4 disablement components, and descriptive terms were identified for each theme. Impairments were marked by 4 complaints: pain, decreased motion, decreased muscle function, and instability. Functional limitations were denoted by problems with skill performance, daily actions, maintaining positions, fitness, and changing directions. Disability consisted of problems with participation in desired activities. Lastly, problems in quality of life encompassed uncertainty and fear, stress and pressure, mood and frustration, overall energy, and altered relationships. A preliminary generic outcomes instrument was generated from the findings.


CONCLUSIONS
Our results will help clinicians understand how disablement is described by the physically active. The findings also have implications for how disablement outcomes are measured.
Texas State University-San Marcos, TX 78666, USA. Lv19@txstate.edu
Luzita I
LI
Vela
Craig
C
Denegar
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000339:Affect; D001265:Athletic Injuries / Q000523:psychology* / Q000534:rehabilitation; D003625:Data Collection; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D009043:Motor Activity / Q000502:physiology*; D009140:Musculoskeletal Diseases / Q000523:psychology* / Q000534:rehabilitation; D010146:Pain / Q000523:psychology / Q000534:rehabilitation; D011594:Psychometrics; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology; D013315:Stress, Psychological; D013334:Students / Q000523:psychology*; D013997:Time Factors; D014495:Universities; D055815:Young Adult