Keeping your head in the game: sport-specific imagery and anxiety among injured athletes
Open accessAbstract
CONTEXT: The use of sport-specific imagery during rehabilitation is sparse. Athletes who used imagery (either facilitative or debilitative) during injury rehabilitation were compared with injured athletes who did not use imagery. Return-to-practice anxiety in the groups was investigated also. OBJECTIVE: To (1) explore debilitative images used during rehabilitation, (2) examine athlete and injury characteristics in relation to variations in imagery content and return-to-practice anxiety, (3) compare the frequency of imagery use early in injury rehabilitation with that just before return to practice, and (4) examine the relationship between image use and return-to-practice anxiety. DESIGN: Observational design. SETTING: Athletic training facilities. PATIENTS OR OTHER PARTICIPANTS: Thirty-six injured National Collegiate Athletic Association Division I collegiate athletes sustaining at least an 8-day practice suspension due to injury. MAIN OUTCOME MEASURE(S): Sport Imagery Questionnaire, Sport Anxiety Scale. RESULTS: Athletes used both facilitative and debilitative images during different phases of rehabilitation. Men used more sport skill, strategy, and excitement imagery content than did women, who reported higher scores for worry and concentration disruption than did men. Athletes used fewer images related to their sport skills and strategies early in rehabilitation than just before they returned to practice. Additionally, athletes who used more arousal and less strategic imagery experienced more somatic anxiety. CONCLUSIONS: Similar to research findings on healthy athletes, sport-specific image content in injured athletes is related to return-to-practice anxiety during rehabilitation, and some of the images were perceived as debilitative. Practitioners should advise injured athletes to use sport-specific imagery, especially that related to sport skills and strategies, but they should caution athletes against using arousal imagery, because it may elevate somatic anxiety before return to practice. Image content recommendations should encompass the cognitive and motivational functions of imagery, and the practitioner should assess if any image used by the athlete is debilitative.
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The practice of imagining or visualizing an experience without physically completing the task increases the ability to mentally prepare by imagining successful completion.
“The practice of imagining or visualizing an experience without physically completing the task increases the ability to mentally prepare by imagining successful completion.53”
From Effectiveness of psychological intervention following sport injury (2012) · cites this paper as [53]
Cites
Tabachnick, B. G., & Fidell, L. S. (1983) · Cited by 79,888 · see citing works
An integrated model of response to sport injury: Psychological and sociological dynamics
Wiese‐Bjornstal, D. M., Smith, A. M., Shaffer, S. M., & Morrey, M. A. (1998) · Journal of Applied Sport Psychology · doi:10.1080/10413209808406377 · Cited by 637 · see citing works
Imagery Use in Sport: A Literature Review and Applied Model
Ginis, K. A. M., Moritz, S. E., & Hall, C. R. (1999) · The Sport Psychologist · doi:10.1123/tsp.13.3.245 · Cited by 575 · see citing works
Smith, R. E., Smoll, F. L., & Schutz, R. W. (1990) · Anxiety Research · doi:10.1080/08917779008248733 · Cited by 455 · see citing works
Cognitive and motivational functions of imagery in human performance.
Paivio, A. (1985) · PubMed · Cited by 429 · see citing works
Imagery use by athletes: development of the Sport Imagery Questionnaire.
Hall, C. R., Mack, D. E., Paivio, A., & Hausenblas, H. A. (1998) · International journal of sport psychology · Cited by 402 · see citing works
Psychological Consequences of Athletic Injury among High-Level Competitors
Leddy, M. H., Lambert, M. J., & Ogles, B. M. (1994) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.1994.10607639 · Cited by 273 · see citing works
A Longitudinal Investigation of Competitive Athletes' Return to Sport Following Serious Injury
Podlog, L. W., & Eklund, R. C. (2006) · Journal of Applied Sport Psychology · doi:10.1080/10413200500471319 · Cited by 231 · see citing works
The Use of Imagery by Athletes in Selected Sports
Hall, C. R., Rodgers, W. M., & Barr, K. A. (1990) · The Sport Psychologist · doi:10.1123/tsp.4.1.1 · Cited by 220 · see citing works
A Competitive Anxiety Review: Recent Directions in Sport Psychology Research
Mellalieu, S. D., Hanton, S., & Fletcher, D. (2013) · Cited by 188 · see citing works
The relationship between competitive anxiety and imagery use
Vadoa, E. A., Hall, C. R., & Moritz, S. E. (1997) · Journal of Applied Sport Psychology · doi:10.1080/10413209708406485 · Cited by 174 · see citing works
Psychological Factors Related to the Occurrence of Athletic injuries
Kerr, G. A., & Minden, H. A. (1988) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.10.2.167 · Cited by 127 · see citing works
The Effect of Emotional Factors on Football Injury Rates — A Pilot Study
Coddington, R. D., & Troxell, J. (1980) · Journal of Human Stress · doi:10.1080/0097840x.1980.9936100 · Cited by 108 · see citing works
The uses of mental imagery in athletics: An overview
Jones, L., & Stuth, G. (1997) · Applied and Preventive Psychology · doi:10.1016/s0962-1849(05)80016-2 · Cited by 105 · see citing works
The Relationship Between the Use and Effectiveness of Imagery: An Exploratory Investigation
Weinberg, R. S., Butt, J., Knight, B., Burke, K. L., & Jackson, A. (2003) · Journal of Applied Sport Psychology · doi:10.1080/10413200305398 · Cited by 94 · see citing works
Tripp, D. A., Stanish, W. D., Reardon, G., Coady, C. M., & Sullivan, M. J. L. (2003) · PubMed Central · Cited by 76 · see citing works
Self-Efficacy, Imagery Use, and Adherence to Rehabilitation by Injured Athletes
Milne, M. I., Hall, C. R., & Forwell, L. A. (2005) · Journal of Sport Rehabilitation · doi:10.1123/jsr.14.2.150 · Cited by 75 · see citing works
Imagery Use During Rehabilitation from Injury
Evans, L., Hare, R., & Mullen, R. (2006) · Journal of Imagery Research in Sport and Physical Activity · doi:10.2202/1932-0191.1000 · Cited by 66 · see citing works
The Use of Imagery in the Rehabilitation of Injured Athletes
Green, L. B. (1992) · The Sport Psychologist · doi:10.1123/tsp.6.4.416 · Cited by 60 · see citing works
Maynard, I. W., Smith, M. J., & Warwick-Evans, L. (1995) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.17.4.428 · Cited by 52 · see citing works
The Relationship between Imagery and Competitive Anxiety in Ballet Auditions
Monsma, E. V., & Overby, L. Y. (2004) · Journal of Dance Medicine & Science · doi:10.1177/1089313x0400800102 · Cited by 50 · see citing works
Self-citationIs What You See Really What You Get? Athletes’ Perceptions of Imagery’s Functions
Short, S. E., Monsma, E. V., & Short, M. W. (2004) · The Sport Psychologist · doi:10.1123/tsp.18.3.341 · Cited by 47 · see citing works
Self-citationOnwards with the Evolution of Imagery Research in Sport Psychology
Short, S. E., Ross-Stewart, L., & Monsma, E. V. (2006) · Athletic insight: online journal of sport psychology · Cited by 30 · see citing works
Self-citationTherapeutic imagery and athletic injuries.
Richardson, P. A., & Latuda, L. M. (1995) · PubMed · Cited by 18 · see citing works
Injury rehabilitation and imagery
Walsh, M. (2005) · Victoria University Research Repository (Victoria University) · Cited by 10 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Effectiveness of psychological intervention following sport injury
Schwab Reese, L. M., Pittsinger, R., & Yang, J. (2012) · Journal of Sport and Health Science · doi:10.1016/j.jshs.2012.06.003 · Cited by 131 · see citing works
“The practice of imagining or visualizing an experience without physically completing the task increases the ability to mentally prepare by imagining successful completion.(53) During an imagery intervention, injured athletes are asked to image a scenario directly or indirectly related to injury recovery.”
BackgroundJanelle, C. M., Fawver, B. J., & Beatty, G. F. (2020) · Wiley eBooks · doi:10.1002/9781119568124.ch13 · Cited by 51 · see citing works
Dawson, M. A., Hamson-Utley, J. J., Hansen, R. A., & Olpin, M. (2014) · Journal of Athletic Training · doi:10.4085/1062-6050-49.1.09 · Cited by 48 · see citing works
Psychometric Properties of the Revised Movement Imagery Questionnaire (MIQ-R)
Monsma, E. V., Short, S. E., Hall, C. R., Gregg, M. J., & Sullivan, P. (2009) · Journal of Imagery Research in Sport and Physical Activity · doi:10.2202/1932-0191.1027 · Cited by 45 · see citing works
Self-citationZakrajsek, R. A., Martin, S. B., & Wrisberg, C. A. (2016) · Journal of Athletic Training · doi:10.4085/1062-6050-51.5.13 · Cited by 24 · see citing works
Contreras, D. W., Granquist, M. D., & Martin, L. A. (2023) · Journal of Athletic Training · doi:10.4085/1062-6050-0527.22 · Cited by 22 · see citing works
Shortway, K. M., Wolanin, A. T., Block‐Lerner, J., & Marks, D. R. (2018) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2017-0033 · Cited by 22 · see citing works
Latinjak, A. T. (2025) · Performance Enhancement & Health · doi:10.1016/j.peh.2025.100350 · Cited by 25 · see citing works
Björkstrand, S., & Jern, P. (2013) · Nordic Psychology · doi:10.1080/19012276.2013.851444 · Cited by 21 · see citing works
Kamphoff, C. S., Hamson-Utley, J. J., Antoine, B., Knutson, R., Thomae, J., & Hoenig, C. (2010) · Athletic Training Education Journal · doi:10.4085/1947-380x-5.3.109 · Cited by 14 · see citing works
Mental Imagery: rehabilitation through simulation
Nuovo, S. D., Cruz, V. M. D. L., Conti, D., Buono, S., & Nuovo, A. G. D. (2014) · Cited by 13 · see citing works
Chesterton, P., Alexanders, J., & Rutter, L. K. (2020) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2020.06.010 · Cited by 11 · see citing works
Aspectos psicosomáticos implicados en las lesiones deportivas
Ortega, F. Z., García, R. F., Zagalaz, J. C., Girela, D. L., & Cortés, A. J. P. (2014) · Cuadernos de Psicología del Deporte · doi:10.4321/s1578-84232014000200009 · Cited by 10 · see citing works
The Cognitive and Motivational Functions of Imagery Among Athletic Trainers
Monsma, E. V., Trier, C., Perreault, M. E., Seiler, B. D., Torres-McGehee, T. M., Steinberg, J. A., & Short, S. E. (2011) · Journal of Imagery Research in Sport and Physical Activity · doi:10.2202/1932-0191.1064 · Cited by 9 · see citing works
Self-citationInfluence of motor imagery training on hip abductor muscle strength and bilateral transfer effect
Alenezi, M. M., Hayes, A. E., Lawrence, G. P., & Kubis, H. (2023) · Frontiers in Physiology · doi:10.3389/fphys.2023.1188658 · Cited by 6 · see citing works
Zhang, X. R., Zhao, S., Ng, S., Liu, Y., Liang, T., Lao, C. I., & Ning, Z. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1618617 · Cited by 5 · see citing works
Coping with the Stress of Athletic Injury: How Coaches Can Help
Gilbert, J. N., Lyon, H., & Wahl, M.-T. (2015) · Strategies · doi:10.1080/08924562.2015.1044147 · Cited by 5 · see citing works
Mental simulation and its influence on finger-based numerical representations
Kreilinger, I. L., Moeller, K., & Pixner, S. (2021) · Trends in Neuroscience and Education · doi:10.1016/j.tine.2021.100167 · Cited by 3 · see citing works
Preditores psicológicos, reações e o processo de intervenção psicológica em atletas lesionados
Ribeiro, V. B., de Oliveira, S. R. G., & da Silva, F. G. (2013) · Ciências & Cognição · Cited by 3 · see citing works
Influence of the physical and psychological variables on physical injuries in football
Fernández, R., Zurita, F., Cepero, M., Molina, V. A., VILCHES, J. M. P., & Sandoval, J. C. A. (2015) · Journal of Human Sport and Exercise · doi:10.14198/jhse.2015.103.04 · Cited by 3 · see citing works
Association Between Athlete Burnout and Athletic Injury
Hughes, P. B. (2019) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/ymb8-gp39 · Cited by 3 · see citing works
Storm, V., & Utesch, T. (2019) · Journal of Imagery Research in Sport and Physical Activity · doi:10.1515/jirspa-2019-0009 · Cited by 2 · see citing works
Estepp, M. K. (2013) · Cited by 2 · see citing works
Daigle, B. (2016) · Open PRAIRIE (South Dakota State University) · Cited by 1 · see citing works
Pfeifer, C., Moore, E. M., Seiler, B. D., Thomason, C., & Monsma, E. V. (2019) · Journal of Sports Medicine and Allied Health Sciences Official Journal of the Ohio Athletic Trainers Association · doi:10.25035/jsmahs.04.03.02 · Cited by 1 · see citing works
Self-citationEffects of Imagery Training on Imagery Ability and Performance
Aikawa, S., & Takai, H. (2022) · Japanese Journal of Sport Psychology · doi:10.4146/jjspopsy.2022-2017 · Cited by 1 · see citing works
Rehabilitation after Injuries of the Musculoskeletal System Sustained During Fitness Training
Lang, C. (2023) · Physikalische Medizin Rehabilitationsmedizin Kurortmedizin · doi:10.1055/a-2092-8485 · Cited by 1 · see citing works
Ortega, F. Z., García, R. F., Zagalaz, J. C., & Girela, D. L. (2014) · Cited by 1 · see citing works
SAMANBURÐUR Á HUGRÆNNI FÆRNI OG ÁRANGRI ÍSLENSKRA KNATTSPYRNUKVENNA Á ÁRUNUM 2007-2012
Magnúsdóttir, M. (2013)
Mental träning: Tänka sig! en litteraturstudie.
Nysti, M., & Enochsson, E. (2010) · Lund University Publications Student Papers (Lund University)
Female Athlete Triad: Rehabilitation and Psychological Implications
Ginsburg, R. D., & Herget, L. (2014) · Springer eBooks · doi:10.1007/978-1-4899-7525-6_9
Socio-psychological aspects of athletes' recovery after injury reviews of modern research
Iva, M., & Canak, N. (2012) · TIMS Acta · doi:10.5937/timsact1202090m
Ortega, F. Z., García, R. F., Zagalaz, J. C., & Girela, D. L. (2014)
Patil, B., Goyal, S., Salwan, A., & SINGH, R. K. (2024) · Cureus · doi:10.7759/cureus.70333
Martin, E. (2025) · Journal of Pediatric Advance Research · doi:10.46889/jsrp.2025.6111
Ronkainen, H., Kenttä, G., Lundgren, T., Ihalainen, J. K., Valtonen, M., & Lappalainen, R. I. (2026) · The Sport Psychologist · doi:10.1123/tsp.2025-0108
- Authors
- Monsma, E., Mensch, J., & Farroll, J.
- Affiliations
- University of South Carolina (US)
- Corresponding author
- Mensch, James
- ORCID
- Monsma, Eva
- Venue
- Journal of Athletic Training
- Published
- 2009-07
- Volume
- 44
- Issue
- 4
- Pages
- 410-417
- ISSN
- 1062-6050 (ISSN-L)
- PMC
- PMC2707070
- OpenAlex
- W2078659408
- Cited by
- 39
- References
- 25
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 1 · 2016: 3 · 2015: 2 · 2014: 7 · 2013: 4 · 2012: 2
- FWCI
- 3.51
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Athletic Training (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- mental imagery, injury rehabilitation, somatic anxiety, collegiate athletes, sex differences
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Anxiety, Athletic Injuries, Attention, Female, Humans, Male, Psychometrics, Surveys and Questionnaires, Sports Medicine, Stress, Psychological, Imagery, Psychotherapy, Young Adult
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