ArticleJournal of experimental orthopaedics2025
Prevalence and longitudinal impact of kinesiophobia on outcomes following ACL reconstruction in adolescents and young adults.
Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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- Prevalence and longitudinal impact of kinesiophobia on outcomes following ACL reconstruction in adolescents and young adults.Journal of experimental orthopaedics · 2025Article
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6 authors.
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Abstract
Purpose: The aim of this study was to longitudinally investigate the prevalence and impact of high-level kinesiophobia in adolescents and young adults undergoing anterior cruciate ligament (ACL) reconstruction. Methods: In this retrospective cohort study conducted January 2018-January 2022, patients aged 16-21 undergoing ACL reconstruction were assessed before, and at 3 and 12 months postoperatively. Baseline characteristics were extracted from medical records. Kinesiophobia (Tampa Scale for Kinesiophobia, TSK-17), subjective knee function (International Knee Documentation Committee, IKDC), readiness to return to sport (RTS) (ACL-return to sport after injury, ACL-RSI), and activity level (Tegner activity scale) were collected via an online questionnaire. Patients were categorized into high or low level kinesiophobia using a 37-point cut-off. Change in prevalence of kinesiophobia was analysed using the Results: Data of 98 patients were available. Preoperatively, the prevalence of high kinesiophobia was 63.3%, decreasing to 37.8% at 3 months and to 26.7% at 12 months. Preoperative kinesiophobia was the only significant predictor of postoperative kinesiophobia ( Conclusions: High kinesiophobia is common in adolescents and young adults undergoing ACL reconstruction. Kinesiophobia decreased the most in the first three months after reconstruction. In the group with high kinesiophobia, the knee function and readiness to RTS were significantly lower. This significant difference persists over time, despite a significant improvement in both groups. This study emphasizes the need to understand and address psychological characteristics in ACL rehabilitation. Level of Evidence: Level III.
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