ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Timing of anterior cruciate ligament reconstruction and preoperative pain are important predictors for postoperative kinesiophobia.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Fear of reinjury following primary anterior cruciate ligament reconstruction: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Kinesiophobia, Knee Self-Efficacy, and Fear Avoidance Beliefs in People with ACL Injury: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- Pooled it
- Kinesiophobia could affect shoulder function after repair of rotator cuff tears.BMC musculoskeletal disorders · 2022Trial
- Fear of Reinjury Following Surgical and Nonsurgical Management of Anterior Cruciate Ligament Injury: An Exploratory Analysis of the NACOX Multicenter Longitudinal Cohort Study.Physical therapy · 2022Trial
- Association Between Functional Muscle Assessment and Psychological Factors on Return to Sport and Graft Failure After ACL Reconstruction.Orthopaedic journal of sports medicine · 2026Article
- A Summary of the Evidence for Managing Exercise Phobia in Patients After Anterior Cruciate Ligament Reconstruction Surgery.Journal of multidisciplinary healthcare · 2026Review
- Article
- Prevalence and longitudinal impact of kinesiophobia on outcomes following ACL reconstruction in adolescents and young adults.Journal of experimental orthopaedics · 2025Article
- Breaking the Cycle: How Coping and Flexibility Disrupt the Link Between Kinesiophobia and Rumination in Athletes.Behavioral sciences (Basel, Switzerland) · 2025Article
- The relationship of fear of pain, pain anxiety, and fear-avoidance beliefs with perceived stress in surgical patients with postoperative kinesiophobia.BMC psychology · 2025Article
- The effect of kinesiophobia on gastrointestinal disorders in patients with lower extremity orthopedic surgery.Frontiers in surgery · 2025Article
- Kinesiophobia in Injured Athletes: A Systematic Review.Journal of functional morphology and kinesiology · 2024Review
- Effectiveness of multimodal active physiotherapy for chronic knee pain: a 12-month randomized controlled trial follow-up study.Frontiers in physiology · 2024Article
- The posterior cruciate ligament index as a reliable indirect sign of anterior cruciate ligament rupture is associated with the course of knee joint injury.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Kinesiophobia Levels in Patients with Multiple Sclerosis: A Case-Control Investigation.Biology · 2022Article
- Kinesiophobia and its association with functional outcome and quality of life 6-8 years after total hip arthroplasty.Acta orthopaedica et traumatologica turcica · 2022Article
- Rehabilitation After Anterior Cruciate Ligament Injury: Review of Current Literature and Recommendations.Current reviews in musculoskeletal medicine · 2022Review
- Return to preinjury sports after anterior cruciate ligament reconstruction is predicted by five independent factors.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Kinesiophobia Levels in Patients with Parkinson's Disease: A Case-Control Investigation.International journal of environmental research and public health · 2021Article
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4 authors.
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Abstract
purposeFear of movement (kinesiophobia) is a major limiting factor in the return to pre-injury sport level after anterior cruciate ligament reconstruction (ACLR). The aim of this study was to gain insight into the prevalence of kinesiophobia pre-ACLR, 3 months post-ACLR and 12 months post-ACLR. Furthermore, the preoperative predictability of kinesiophobia at 3 months post-ACLR was addressed.
methodsA retrospective study with data, which were prospectively collected as part of standard care, was conducted to evaluate patients who underwent ACLR between January 2017 and December 2018 in an orthopaedic outpatient clinic. Patient characteristics (age, sex, body mass index), injury-to-surgery time, preoperative pain level (KOOS pain subscale) and preoperative knee function (IKDC-2000) were used as potential predictor variables for kinesiophobia (TSK-17) at 3 months post-ACLR in linear regression analysis.
resultsThe number of patients with a high level of kinesiophobia (TSK > 37) reduced from 92 patients (69.2%) preoperatively to 44 patients (43.1%) 3 months postoperatively and 36 patients (30.8%) 12 months postoperatively. The prediction model, based on a multivariable regression analysis, showed a positive correlation between four predictor variables (prolonged injury-to-surgery time, high preoperative pain level, male sex and low body mass index) and a high level of kinesiophobia at 3 months postoperatively (R
conclusionThe prevalence of kinesiophobia decreases during postoperative rehabilitation, but high kinesiophobia is still present in a large portion of the patients after ACLR. Timing of reconstruction seems to be the strongest predictor for high kinesiophobia 3 months post-ACLR. This study is the first step in the development of a screening tool to detect patients with kinesiophobia after ACLR. Identifying patients preoperatively opens the possibility to treat patients and thereby potentially increase the return to pre-injury sport level rate after ACLR. LEVEL OF EVIDENCE: III.
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