Evidence map›Paper›PMID 37973676›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023

Psychosocial interventions seem redact kinesiophobia after anterior cruciate ligament reconstruction but higher level of evidence is needed: a systematic review and meta-analysis.

Aynollah Naderi, Mohammad Fallah Mohammadi, Azizallah Dehghan, Julien S Baker

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Aynollah NaderiCorrective Exercise and Sport Rehabilitation Lab, School of Sport Science, Shahrood University of Technology, Shahrood, Semnan, Iran. ay.naderi@shahroodut.ac.ir.ORCID http://orcid.org/0000-0003-4765-8953
Mohammad Fallah MohammadiDepartment of Sports Sciences, Faculty of Humanities, Higher Education Institute of Shafagh, Tonekabon, Iran.ORCID http://orcid.org/0000-0003-0758-5841
Azizallah DehghanNoncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.ORCID http://orcid.org/0000-0002-7345-0796
Julien S BakerResearch Centre for Population Health and Medical Informatics, Department of Sport and Physical Education, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China.ORCID http://orcid.org/0000-0002-9093-7897
Fasa University of Medical Sciences · IRHong Kong Baptist University · HKTabaran Institute of Higher Education · IRUniversity of Shahrood · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePsychosocial interventions have shown potential in reducing the fear of re-injury after anterior cruciate ligament reconstruction (ACLR), but this has not been systematically reviewed. The aim of this study was to assess the available evidence on the effect of psychosocial interventions on kinesiophobia after ACLR.

methodsTwo independent researchers conducted a systematic search in the electronic databases including Scopus, PubMed, Web of Science (WOS), SPORTDiscus, PsycINFO, and CINAHL from their inception until May 2022. They included studies that utilised a randomised controlled study design with a control group, and measured kinesiophobia using the Tampa Scale for kinesiophobia in patients who underwent primary ACLR. The outcome of interest was the mean and standard deviation of kinesiophobia. Extracted data were analysed using Comprehensive Meta-Analysis software, version 3.0 (CMA.V2), employing a random-effects model to calculate the overall effect estimates of psychosocial interventions on Kinesiophobia. The standardised mean difference with 95% confidence intervals (CIs) was computed based on the mean and standard deviation in each group.

resultsThis systematic review and meta-analysis included 5 randomised controlled trials with a total of 213 patients who underwent ACLR. The results of the meta-analysis showed that psychosocial intervention was more effective than non-psychosocial comparators in reducing kinesiophobia among patients who underwent a primary ACLR (5 trials, MD 0.56, 95% CI 0.28-0.83, p < 0.001). The heterogeneity score was zero (I

conclusionsPsychosocial interventions can alleviate kinesiophobia in patients with primary ACLR. Although the limited number of reviewed studies and their methodological limitations precludes drawing a definitive conclusion regarding the effectiveness of psychosocial interventions on kinesiophobia, these promising findings can serve as a basis for developing psychological strategies to manage kinesiophobia in patients with primary ACLR and can also guide future research this issue. LEVEL OF EVIDENCE: II.

trial registrationThis trial is registered in PROSPERO on December 2021 (CRD42021282413).

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionHumansKinesiophobiaPsychosocial InterventionRandomized Controlled Trials as TopicAnterior cruciate ligament reconstructionPsychologyTampa Scale for Kinesiophobia

Identifiers

PMID37973676
OpenAlexW4388725692

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.