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Injury-related fear in athletes returning to sports after anterior cruciate ligament reconstruction - A quantitative content analysis of an open-ended questionnaire
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Psychological readiness may serve as a more reliable indicator of successful return-to-activity compared to functional performance.
“Yet psychological readiness may serve as a more reliable indicator of successful return-to-activity compared to functional performance.26,39,63”
From Biopsychosocial profiles following ACL reconstruction: A latent class analysis of barriers to return-to-activity (2025) · cites this paper as [39]
The Introduction (page unavailable) describes fear of movement and re-injury as psychological factors inhibiting return to sport, and reports greater fear among athletes who did not return at their previous performance level. But the paper does not compare psychological readiness with functional performance as indicators of successful return; its fear questionnaire was administered after participants had returned to sport. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThese constructs-alongside physical function measures like strength and hop performance-offer complementary but distinct insights into the barriers patients face during rehabilitation.
“These constructs—alongside physical function measures like strength and hop performance—offer complementary but distinct insights into the barriers patients face during rehabilitation.39”
From Biopsychosocial profiles following ACL reconstruction: A latent class analysis of barriers to return-to-activity (2025) · cites this paper as [39]
The Clinical implication section says that assessing six injury-related fear concepts may help plan rehabilitation, and the Surgical technique and postoperative rehabilitation section uses strength and single-leg hop measures as criteria for partial sport participation. The paper does not assess whether the fear concepts and physical measures provide complementary but distinct insights into patients’ barriers. (LLM, conf=0.83)
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Research works printed but not linked: 18
- Koga, 2010, Mechanisms for noncontact anterior cruciate ligament injuries: knee joint kinematics in 10 injury situations from female team handball and basketball, Am J Sports Med, 38, 2218, 10.1177/0363546510373570 · DOI
- Montalvo, 2019, Anterior cruciate ligament injury risk in sport: a systematic review and meta-analysis of injury incidence by sex and sport classification, J Athl Train, 54, 472, 10.4085/1062-6050-407-16 · DOI
- Feucht, 2016, Patient expectations of primary and revision anterior cruciate ligament reconstruction, Knee Surg Sports Traumatol Arthrosc, 24, 201, 10.1007/s00167-014-3364-z · DOI
- Ardern, 2011, Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play, Br J Sports Med, 45, 596, 10.1136/bjsm.2010.076364 · DOI · Paper page
- Nwachukwu, 2019, How much do psychological factors affect lack of return to play after anterior cruciate ligament reconstruction? A systematic review, Orthop J Sports Med., 7, 10.1177/2325967119845313 · DOI · Paper page
- Ardern, 2014, The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction, Br J Sports Med, 48, 1613, 10.1136/bjsports-2014-093842 · DOI · Paper page
- Lentz, 2012, Return to preinjury sports participation following anterior cruciate ligament reconstruction: contributions of demographic, knee impairment, and self-report measures, J Orthop Sports Phys Ther, 42, 893, 10.2519/jospt.2012.4077 · DOI
- Kvist, 2005, Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction, Knee Surg Sports Traumatol Arthrosc, 13, 393, 10.1007/s00167-004-0591-8 · DOI · Paper page
- Meierbachtol, 2020, Injury-related fears during the return-to-sport phase of ACL reconstruction rehabilitation, Orthop J Sports Med., 8, 10.1177/2325967120909385 · DOI
- Fältström, 2013, Patient-reported knee function, quality of life, and activity level after bilateral anterior cruciate ligament injuries, Am J Sports Med, 41, 2805, 10.1177/0363546513502309 · DOI
- Sturgill, 2009, Interrater reliability of a clinical scale to assess knee joint effusion, J Orthop Sports Phys Ther, 39, 845, 10.2519/jospt.2009.3143 · DOI
- Ohji, 2020, The gap between subjective return to sports and subjective athletic performance intensity after anterior cruciate ligament reconstruction, Orthop. J. Sports Med., 8, 10.1177/2325967120947402 · DOI
- Higuchi, 2016, A two-step approach to quantitative content analysis: KH Coder tutorial using Anne of Green Gables (Part I), Ritsumeikan Soc. Sci. Rev., 52, 77
- Mihata, 2006, Comparing the incidence of anterior cruciate ligament injury in collegiate lacrosse, soccer, and basketball players: implications for anterior cruciate ligament mechanism and prevention, Am J Sports Med, 34, 899, 10.1177/0363546505285582 · DOI
- Kimura, 2010, Mechanisms for anterior cruciate ligament injuries in badminton, Br J Sports Med, 44, 1124, 10.1136/bjsm.2010.074153 · DOI
- Waldén, 2015, Three distinct mechanisms predominate in non-contact anterior cruciate ligament injuries in male professional football players: a systematic video analysis of 39 cases, Br J Sports Med, 49, 1452, 10.1136/bjsports-2014-094573 · DOI
- Takahashi, 2019, A retrospective study of mechanisms of anterior cruciate ligament injuries in high school basketball, handball, judo, soccer, and volleyball, Medicine (Baltimore), 98, 10.1097/MD.0000000000016030 · DOI
- Burland, 2020, What are our patients really telling us? Psychological constructs associated with patient-reported outcomes after anterior cruciate ligament reconstruction, J Athl Train, 55, 707, 10.4085/1062-6050-120-19 · DOI
Cited by
Sorted by citations
Petushek, E., Harkey, M. S., Santiago, K., Stamm, A., Baez, S., Diekfuss, J. A., Myer, G. D., & Kuenze, C. (2025) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2025.08.004 · Cited by 5
Metadata
- Authors
- Ohji, S., Aizawa, J., Hirohata, K., Ohmi, T., Mitomo, S., Koga, H., & Yagishita, K.
- Venue
- Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
- Publisher
- Elsevier BV
- Published
- 2021-07
- Volume
- 25
- Pages
- 1-7
- ISSN
- 2214-6873
- PMC
- PMC8058518
- Cited by
- 14
- References
- 0
- Language
- en
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