Abstract
Purpose:
Evaluate the effect of kinesiophobia on functional outcomes following anterior cruciate ligament reconstruction (ACLR).
Materials and Methods:
A three-phase, integrated mixed-methods review of observational and qualitative studies was undertaken. (1) Systematic search of studies with participants over 12 years old, following ACLR and focusing on kinesiophobia, using the Tampa Scale of Kinesiophobia (TSK) for observational studies. Exclusion criteria included ipsilateral knee surgery and involvement of elite athletes. (2) Critical appraisal for both design types was undertaken. (3) Synthesis occurred in five stages. Results were reported as a relationship between the TSK and other functional outcome measures. Finally, qualitative results were integrated to explain results.
Results:
Twenty-four studies (1174 participants) were included with no exclusion based on quality appraisal.
Six themes were identified: (1) return to sport (RTS); (2) activities of daily living; (3) knee-related quality of life; (4) gait; (5) reinjury; and (6) knee disability and physical function.
The highest strength of evidence was the negative association between increased TSK scores and both decreased activity levels and RTS.
Conclusions:
Kinesiophobia affects a range of functional outcomes. Further research is required to identify screening tools and interventions for patients with kinesiophobia.
Evaluate the effect of kinesiophobia on functional outcomes following anterior cruciate ligament reconstruction (ACLR).
Materials and Methods:
A three-phase, integrated mixed-methods review of observational and qualitative studies was undertaken. (1) Systematic search of studies with participants over 12 years old, following ACLR and focusing on kinesiophobia, using the Tampa Scale of Kinesiophobia (TSK) for observational studies. Exclusion criteria included ipsilateral knee surgery and involvement of elite athletes. (2) Critical appraisal for both design types was undertaken. (3) Synthesis occurred in five stages. Results were reported as a relationship between the TSK and other functional outcome measures. Finally, qualitative results were integrated to explain results.
Results:
Twenty-four studies (1174 participants) were included with no exclusion based on quality appraisal.
Six themes were identified: (1) return to sport (RTS); (2) activities of daily living; (3) knee-related quality of life; (4) gait; (5) reinjury; and (6) knee disability and physical function.
The highest strength of evidence was the negative association between increased TSK scores and both decreased activity levels and RTS.
Conclusions:
Kinesiophobia affects a range of functional outcomes. Further research is required to identify screening tools and interventions for patients with kinesiophobia.
| Original language | English |
|---|---|
| Number of pages | 48 |
| Journal | Disability and Rehabilitation |
| Early online date | 25 Nov 2021 |
| DOIs | |
| Publication status | E-pub ahead of print - 25 Nov 2021 |
Keywords
- Fear
- anterior cruciate ligament reconstruction surgery
- review