1. Kinesiophobia Relates to Decreased Sports Capability Perceptions, and Altered Gait Following ACL Reconstruction.
- Author
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Goh, M. R., Lee, Y. H. D., Teo, C. C. R., and Nyland, J.
- Subjects
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PHOBIAS , *NEUROLOGICAL disorders , *GAIT disorders , *BODY movement , *ANTERIOR cruciate ligament surgery , *KINEMATICS - Abstract
Introduction. Kinesiophobia can negatively influence perceived knee function after anterior cruciate ligament reconstruction (ACLR). Less is known about its influence on perceived sports capability, and gait kinematics. Methods. At 3 months after ACLR, 34 male patients completed the Tampa Scale of Kinesiophobia (TSK). Raw and grouped scores (group 1 = high kinesiophobia; group 2 = low kinesiophobia) were compared with perceived sports capability and gait kinematics over the initial 9 months after ACLR. The Tegner Activity Level Scale (TALS) was completed pre-injury, before ACLR, and at 6 and 9 months after ACLR. The Lysholm Knee Scoring Scale was completed pre-surgery, and at 6 and 9 months after ACLR. Walking and running gait analysis was performed at 3 and 6 months; and 6 months after ACLR, respectively (P ≤ 0.05). Results. Group TALS scores were similar pre-injury, however, Group 1 had lower TALS scores pre-surgery, and at 6 and 9 months after ACLR. Inverse relationships were observed for the 3 month TSK score and TALS scores before ACLR, and at 6 and 9 months afterwards. By 9 months following ACLR, kinesiophobia remained related to sports capability. Kinesiophobia had a stronger influence on side-to-side gait asymmetries than surgical side for hip adduction and mid-stance knee flexion when walking at 3 months after ACLR, for mid-stance knee flexion and terminal stance knee extension when walking at 6 months after ACLR, and for terminal stance knee extension when running at 6 months after ACLR. Conclusions. High kinesiophobia following ACLR was related to walking and running gait kinematic characteristics and sports capability perceptions. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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