Search tips
Search criteria 


Logo of jathtrainLink to Publisher's site
J Athl Train. 1994 December; 29(4): 352–355.
PMCID: PMC1317812

Rehabilitation Compliance in an Athletic Training Environment

Paula N Byerly, MS, ATC, SPT
Paula N Byerly is Staff Physical Therapist at Community Hospital of Indianapolis.
Teddy Worrell, EdD, PT, ATC
Teddy Worrell is Assistant Professor and Director of Research at University of Indianapolis, 1400 E. Hanna, Indianapolis, IN 46227.
Julie Gahimer, MS, PT, HSD
Julie Gahimer is Assistant Professor at University of Indianapolis, 1400 E. Hanna, Indianapolis, IN 46227.


The purpose of this study was to determine the relationship between the rehabilitation adherence of athletes and their self-reported assessment of six variables that might influence rehabilitation adherence: pain, support from others, exertion, scheduling, motivation, and environment. Each of 44 Division II athletes sustained a musculoskeletal injury and was placed on a rehabilitation program. Adherence to the program was measured by attendance at and participation in scheduled rehabilitation sessions. Each athlete was classified as adherent (n = 27) or nonadherent (n = 17). Pain and support were significantly correlated to adherence. Pain and support from others were significantly different between the adherent and nonadherent groups. Principal components analysis was also performed and confirmed the t-test results that pain and support are the only subscales strongly associated with adherence scores. We conclude that controlling pain and providing emotional support is associated with sport rehabilitation adherence.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (771K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Andrew GM, Parker JO. Factors related to dropout of post myocardial infarction patients from exercise programs. Med Sci Sports. 1979 Winter;11(4):376–378. [PubMed]
  • Fisher AC. Adherence to sports injury rehabilitation programmes. Sports Med. 1990 Mar;9(3):151–158. [PubMed]
  • Fisher AC, Hoisington LL. Injured athletes' attitudes and judgments toward rehabilitation adherence. J Athl Train. 1993 Spring;28(1):48–54. [PMC free article] [PubMed]
  • Fisher AC, Mullins SA, Frye PA. Athletic trainers' attitudes and judgments of injured athletes' rehabilitation adherence. J Athl Train. 1993 Spring;28(1):43–47. [PMC free article] [PubMed]
  • Fisher AC, Scriber KC, Matheny ML, Alderman MH, Bitting LA. Enhancing athletic injury rehabilitation adherence. J Athl Train. 1993 Winter;28(4):312–318. [PMC free article] [PubMed]
  • Ice R. Long-term compliance. Phys Ther. 1985 Dec;65(12):1832–1839. [PubMed]
  • Levy RL. Social support and compliance: a selective review and critique of treatment integrity and outcome measurement. Soc Sci Med. 1983;17(18):1329–1338. [PubMed]
  • Martin JE, Dubbert PM. Adherence to exercise. Exerc Sport Sci Rev. 1985;13:137–167. [PubMed]
  • Oldridge NB. Compliance of post myocardial infarction patients to exercise programs. Med Sci Sports. 1979 Winter;11(4):373–375. [PubMed]

Articles from Journal of Athletic Training are provided here courtesy of National Athletic Trainers Association