Diane M. Wiese-Bjornstal
The sociocultural aspects of sport injury and recovery include the broad landscape of social beliefs, climates, processes, cultures, institutions, and societies that surround the full chronological spectrum of sport injury outcomes, ranging from risk through to rehabilitation and retirement. A social ecological view of research on this topic demonstrates that sociocultural influences affect sport injury outcomes via interrelated sport systems extending from the intrasystem (i.e., within sports persons) through the microsystem (i.e., sport relationships), mesosystem (i.e., sport organizations), exosystem (i.e., sport governing bodies), and macrosystem (i.e., sport cultures). Affected sport injury outcomes include sport injury risks and responses during rehabilitation, return to play, and retirement from sport.
Some specific examples of sociocultural themes evident in research literature include personal conformity to the cultural expectation to play hurt, social conventions of behavior when sport injuries occur, institutional character or ethics when making return to play decisions, guidelines for the care of athletes prescribed by sport governing bodies, and the economic costs to society for sport injuries. Many elements of sport injury are affected by these sociocultural influences, such as the risk of injuries, rehabilitation processes, and career terminations. Continuing debates and discussions include advocacy for sport rule changes, bans on dangerous sports, institutional responsibility, and global sport safety efforts. These form the basis for recommendations about sociocultural interventions designed to reduce sport injury risks and optimize effective injury recoveries through social and cultural best practices.