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Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction
Abstract
Unrestricted participation in sports activities and return to the pre‐injury level is often reported as an indicator of the success of ACL reconstruction. The athletes’ choice not to return to their pre‐injury level may depend on the knee function, but some times, social reasons or psychological hindrances such as fear of re‐injury may influence their return to sports. The aim of this study was to investigate whether fear of re‐injury due to movement is of significance for returning to previous level of activity in patients who have undergone anterior cruciate ligament reconstruction. The Tampa Scale of Kinesiophobia (TSK), the Knee Injury and Osteoarthritis Outcome Score (KOOS) and some general questions were mailed to 87 patients who underwent ACL reconstruction 3–4 years before the study was conducted. Sixty‐two patients (74%) answered the questionnaires (34 men and 28 women). Fifty‐three percent of the patients returned to their pre‐injury activity level. The patients who did not return to their pre‐injury activity level had more fear of re‐injury, which was reflected in the TSK. In addition, high fear of re‐injury was correlated with low knee‐related quality of life. Fear of re‐injury must be considered in the rehabilitation and evaluation of the effects of an ACL reconstruction.
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Females cite fear of re-injury as a reason for not returning to their prior level of sport participation more frequently than males after ACL reconstruction.
“Sex based differences in kinesiophobia after ACLR have also been reported with females citing fear of re-injury as a reason for not returning to their prior level of sport participation more frequently than males (Kvist et al., 2005).”
From The relationship between psychological readiness to return to sport and kinesiophobia in teens and young adults after anterior cruciate ligament reconstruction (2025) · cites this paper as Kvist et al., 2005
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Cites
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“musculoskeletal pain [8, 14, 15] its validity for the ACL-”
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Metadata
- Authors
- Kvist, J., Ek, A., Sporrstedt, K., & Good, L.
- Affiliations
- Linköping University (SE)
- Corresponding author
- Kvist, Joanna
- ORCID
- Kvist, Joanna
- Venue
- Knee Surgery, Sports Traumatology, Arthroscopy
- Publisher
- Wiley
- Published
- 2005-02-10
- Volume
- 13
- Issue
- 5
- Pages
- 393-397
- ISSN
- 0942-2056 (ISSN-L)
- 1433-7347
- OpenAlex
- W2045012206
- Cited by
- 778
- References
- 2
- Citations by year
- 2026: 34 · 2025: 58 · 2024: 66 · 2023: 45 · 2022: 42 · 2021: 52 · 2020: 64 · 2019: 50 · 2018: 45 · 2017: 33 · 2016: 43 · 2015: 46 · 2014: 39 · 2013: 25 · 2012: 35
- FWCI
- 11.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Knee Surgery Sports Traumatology Arthroscopy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Foot and Ankle Surgery
- Keywords
- anterior cruciate ligament reconstruction, fear of reinjury, return to sport, kinesiophobia, Tampa Scale for Kinesiophobia, knee-related quality of life, KOOS, knee rehabilitation
- MeSH terms
- Anterior Cruciate Ligament Injuries, Adolescent, Adult, Athletic Injuries, Fear, Female, Follow-Up Studies, Health Surveys, Humans, Knee Injuries, Health Knowledge, Attitudes, Practice, Male, Pain, Quality of Life, Recurrence, Anterior Cruciate Ligament, Orthopedic Procedures, Recovery of Function
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