SynthesisSports medicine (Auckland, N.Z.)2022
Kinesiophobia, Knee Self-Efficacy, and Fear Avoidance Beliefs in People with ACL Injury: A Systematic Review and Meta-Analysis.
Synthesis in Sports medicine (Auckland, N.Z.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- Anterior Cruciate Ligament Return to Sport after Injury Scale (ACL-RSI) Scores over Time After Anterior Cruciate Ligament Reconstruction: A Systematic Review with Meta-analysis.Sports medicine - open · 2024Pooled it
- Exploring the health literacy status of people with hearing impairment: a systematic review.Archives of public health = Archives belges de sante publique · 2023Pooled it
- Effects of contralateral knee functional training on knee function, pain, kinesiophobia, plantar load distribution, and stance-phase parameters after anterior cruciate ligament reconstruction: a single-blind, randomised controlled trial.BMC musculoskeletal disorders · 2026Trial
- Blood flow restriction as an adjunct during mid-stage rehabilitation after ACL reconstruction: a randomized sham-controlled study.BMC musculoskeletal disorders · 2026Trial
- Effects of visual feedback balance training on muscle strength and balance ability in patients after anterior cruciate ligament reconstruction surgery.BMC musculoskeletal disorders · 2026Trial
- Pain Sensitivity, Pain Catastrophizing and Fear-Avoidance in Adult Runners: Injured vs. Uninjured Comparisons and Multivariable Associations.European journal of pain (London, England) · 2026Article
- Anterior cruciate ligament reconstruction is associated with increased corticospinal excitability and rate of force development.BMC sports science, medicine & rehabilitation · 2026Article
- Psycho-social-contextual landscape of return to sport after hamstring strain injuries: a scoping review.BMJ open sport & exercise medicine · 2026Article
- An Examination of the Relationship Between Fear of Reinjury and Neuromuscular, Musculoskeletal, and Biomechanical Characteristics at the Time of Return to Sport following Anterior Cruciate Ligament Reconstruction.International journal of sports physical therapy · 2026Article
- Psychological factors influencing return to sport after shoulder stabilization: assessment tools and intervention strategies-a narrative review.Annals of joint · 2026Review
- Article
- How does social media addiction make you fear exercise? The relationship between social media addiction and kinesiophobia among college students: the mediating role of social physique anxiety.Frontiers in psychology · 2026Article
- "Returning to Sport Is Not Just About the Knee": Physiotherapists' Experiences of the Management of Anterior Cruciate Ligament Injury: A Qualitative Study.Journal of clinical medicine · 2025Article
- Use of a Postoperative Brace After ACL Reconstruction in Recreational Soccer Players: Impact on Function, Strength, Pain, Kinesiophobia, Quality of Life, and Return to Sport.Orthopaedic journal of sports medicine · 2025Article
- Prevalence and longitudinal impact of kinesiophobia on outcomes following ACL reconstruction in adolescents and young adults.Journal of experimental orthopaedics · 2025Article
- Young Athletes Perceiving Greater Improvement After Return to Sport Bridge Program Sustained More Ipsilateral ACL Graft or Contralateral ACL Injuries During Their First Season Back: An Observational Study.Journal of functional morphology and kinesiology · 2025Article
- Rehabilitation Interventions for Fear-Avoidance Beliefs and Behaviors in Sudden Onset Musculoskeletal Conditions: A Scoping Review.Journal of burn care & research : official publication of the American Burn Association · 2025Article
- Impact of Biomechanical, Anthropometric, and Temporal Factors on the Return-to-Sport Rate in Recreational Athletes with ACL Reconstruction: A Cross-Sectional Observational Study.Healthcare (Basel, Switzerland) · 2025Article
- Characterization of Tiered Psychological Distress Phenotypes in an Orthopaedic Sports Population.International journal of environmental research and public health · 2025Article
- The Incidence of Sport-Related Anterior Cruciate Ligament Injuries: An Overview of Systematic Reviews Including 51 Meta-Analyses.Journal of functional morphology and kinesiology · 2025Review
Corrections and comments
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Authors and funding
14 authors at 9 institutions in 5 countries.
Funding
Abstract
backgroundTo improve the understanding of the psychological impacts of anterior cruciate ligament (ACL) injury, a systematic review synthesizing the evidence on knee self-efficacy, fear avoidance beliefs and kinesiophobia following ACL injury is needed.
objectiveThe aim of this systematic review was to investigate knee self-efficacy, fear avoidance beliefs and kinesiophobia following ACL injury, and compare these outcomes following management with rehabilitation alone, early and delayed ACL reconstruction (ACLR).
methodsSeven databases were searched from inception to April 14, 2022. Articles were included if they assessed Tampa Scale of Kinesiophobia (TSK), Knee Self-Efficacy Scale (KSES), or Fear Avoidance Beliefs Questionnaire (FABQ). Risk of bias (RoB) was assessed using domain-based RoB tools (ROBINS-1, RoB 2, RoBANS), and GRADE-assessed certainty of evidence. Random-effects meta-analyses pooled outcomes, stratified by time post-injury (pre-operative, 3-6 months, 7-12 months, > 1-2 years, > 2-5 years, > 5 years).
resultsSeventy-three studies (70% high RoB) were included (study outcomes: TSK: 55; KSES: 22; FABQ: 5). Meta-analysis demonstrated worse kinesiophobia and self-efficacy pre-operatively (pooled mean [95% CI], TSK-11: 23.8 [22.2-25.3]; KSES: 5.0 [4.4-5.5]) compared with 3-6 months following ACLR (TSK-11: 19.6 [18.7-20.6]; KSES: 19.6 [18.6-20.6]). Meta-analysis suggests similar kinesiophobia > 3-6 months following early ACLR (19.8 [4.9]) versus delayed ACLR (17.2 [5.0]). Only one study assessed outcomes comparing ACLR with rehabilitation only.
conclusionsKnee self-efficacy and kinesiophobia improved from pre-ACLR to 3-6 months following ACLR, with similar outcomes after 6 months. Since the overall evidence was weak, there is a need for high-quality observational and intervention studies focusing on psychological outcomes following ACL injury.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.