1. Sports Therapy & Rehabilitation Student Conference 6 th May 2016 A Qualitative Study on the Influences and prescriptions of proprioceptive training within the rehabilitation of lateral ankle ligament injuries in elite soccer Ashley Jones 1, David Rhodes 2, Matthew Greig 3, Adam Gledhill 1 1 School of Clinical and Applied Sciences, Leeds Beckett University, Leeds, United Kingdom. 2 School of Health Sciences, University of Central Lancashire, Preston, United Kingdom 3 Department of Sport and Physical Activity, Edge Hill University, Lancashire, United Kingdom.

2. Introduction No studies previously considered how and why medical practitioners select specific proprioceptive training prescriptions Re-injury rates 70- 80% (Walden et al. 2005) Effective for successful ligament rehab (Mohammadi. 2007)

3. Aims and Objectives The aim of the study was discover what influences medical professionals clinical use of proprioceptive training within the rehabilitation of lateral ankle ligament injuries in professional soccer, with the intention of creating some soccer-specific philosophies as to how it is currently introduced and utilised.

4. Methods Recruitment via stratified sampling Target number of 6 (2 from each profession for comparison) Inclusion Criteria: BSc (hons) Full time soccer (1 season) Currently practice Participants: 2 Physiotherapists 2 Sports Therapists 2 Sports Rehabilitators 7-15 years qualified 1-7 years working in full time soccer

5. Methods Semi-structured telephone interviews Linked to clinical vignette Recorded using ‘AudioNote notepad and voice recorder’ V 3.4.5 application Interview transcripts were analysed using thematic analysis (Braun & Clarke. 2006) FamiliarisationDecipher Interpret Record Themes Name ThemesReport

6. Results 9 Themes Emerged: Advocating for use of Proprioception Types of Proprioceptive Training Frequency & Intensity of Proprioceptive Training Football Club Environment Combination Training Introduction of Proprioception Patient Feelings and Thoughts Patient Involvement Advocating for use of Proprioception Influences to Clinical Practice Decisions

7. Discussion Participants advocated the use of proprioceptive training, in line with previous studies (Fu & Hui-Chan. 2005, Peterson et al. 2013) Previous experience showed to be an influential factor for both introduction and prescription – Evidence based Practice vs Practice based Evidence (Case et al. 2000) Regular patient access showed to be a determining factor progressions, in line with previous suggestions Kaminski et al. (2013) Patient education was cited as important for successful outcomes as suggested by Hall et al. 2010. Participants suggested proprioceptive training prescribed by time as oppose to reps/sets, a popular training design throughout the literature (Evangelos et al. 2012)

8. Clinical Implications Patient education strategies to improve adherence to rehabilitation may be considered Strategies to improve clinical case study experience for inexperienced therapists, particularly in soccer, may be presented Strategies to increase patient access could be improved in order to closely monitor/alter prescriptions of proprioceptive training

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