The relationship between injury-related fear and physical activity in people with a history of anterior cruciate ligament reconstruction

Barchek, Amy R; Dlugonski, Dee; Baez, Shelby; Hoch, Matthew C.; Hoch, Johanna M.

doi:10.1016/j.ptsp.2021.05.010

Cited by 8 publications

(18 citation statements)

References 29 publications

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“…Only one research used a pedometer to assess engagement in daily steps in individuals who underwent ACLR 43. In 1035 37–41 43–46 out of 12 investigations, MVPA per week, MVPA per day and the count of daily steps were estimated over 7 days. However, the mentioned parameters have also been evaluated during the 1336 and 28 days 42.…”

Section: Resultsmentioning

confidence: 99%

“…Studies reported that individuals with a history of ACLR spent, on average, 67 min in MVPA per day. According to the data given in eight research,35 39 41–46 individuals who were subjected to the ACLR had 8337 daily steps. Table 2 displays the results provided in each of the studies with respect to the MVPA per day, MVPA per week, and steps per day.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Objectively evaluated physical activity among individuals following anterior cruciate ligament reconstruction: a systematic review and meta-analysis

Manojlovic,

Roklicer,

Trivic

et al. 2024

BMJ Open Sport Exerc Med

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ObjectiveTo compare time spent in moderate-to-vigorous physical activity (MVPA) per week, MVPA per day, and steps per day between individuals that were subjected to the anterior cruciate ligament reconstruction (ACLR) and healthy control group.DesignSystematic review and meta-analysis of observational studies.Data sourcesWeb of Science, Scopus, and PubMed have been comprehensively searched to identify relevant investigations.Eligibility criteria for selecting studiesAn observational research that objectively evaluated physical activity among respondents with a history of ACLR.ResultsOf 302 records, a total of 12 studies fulfilled the eligibility criteria. Four hundred and forty-three participants underwent the ACLR, 153 men and 290 women. The mean time between anterior cruciate ligament (ACL) surgery and evaluation of analysed outcomes was 34.8 months. The main findings demonstrated that the ACLR group spent less time in weekly MVPA (standardised mean differences (SMD)=−0.43 (95% CI −0.66 to −0.20); mean = −55.86 min (95% CI −86.45 to −25.27); p=0.0003; τ2=0.00), in daily MVPA (SMD=−0.51 95% CI −0.76 to −0.26]; mean = −15.59 min (95% CI −22.93 to −8.25); p<0.0001; τ2=0.00), and they had fewer daily steps (SMD=−0.60 95% CI −0.90 to −0.30); mean = −1724.39 steps (95% CI −2552.27 to −896.50); p<0.0001; τ2=0.00) relative to their non-injured counterparts. Additionally, available investigations indicated that individuals with a history of ACLR participated in 316.8 min of MVPA per week, 67 min in MVPA per day, and 8337 steps per day.ConclusionLong-term after ACLR, participants undergoing ACL surgery were less physically active compared with their non-injured peers, and they did not satisfy recommendations regarding steps per day.PROSPERO registration numberCRD42023431991

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Objectively evaluated physical activity among individuals following anterior cruciate ligament reconstruction: a systematic review and meta-analysis

Manojlovic,

Roklicer,

Trivic

et al. 2024

BMJ Open Sport Exerc Med

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“…In most studies, the device was worn at the hip (n = 10) 63,91,113,117,124,129,137,148,150,151 . Other positions included wrist (n = 5) 65,111,126,132,143 , arm (n = 3) 74,144,145 , trunk (n = 2) 118,122 , and thigh (n = 1) 75 , with five studies not reporting where the device was worn 66,78,88,120,128 . Most studies that employed accelerometer-based measures used the ActiGraph (Actigraph, LLC, Pensacola, FL, USA) GT3X+ (n = 4) 120,137,150,151 , wGT3X-BT (n = 2) 138,148 or GT9X Link (n = 2) 78,132 .…”

Section: Resultsmentioning

confidence: 99%

Kinesiophobia and physical activity: A systematic review and meta-analysis

Goubran,

Farajzadeh,

Lahart

et al. 2023

Preprint

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ObjectivePhysical activity is known to reduce the risk of disability, disease, and mortality. However, in some patients, an excessive, irrational, and debilitating fear of movement (i.e., kinesiophobia) is thought to induce avoidance behaviors, contributing to decreased engagement in physical activity. The aim of this study was to examine whether kinesiophobia is negatively associated with physical activity and what factors influence this relationship.MethodsThree databases were searched for articles including both a measure of kinesiophobia and physical activity. Two reviewers screened articles for inclusion, assessed risk of bias, and extracted data from each study. Pearson product-moment correlations were pooled from eligible studies using the generic inverse pooling and random effects method to examine the relationship between kinesiophobia and physical activity.ResultsForty-nine articles were included in the systematic review and 41 studies (n = 4,848) in the meta-analysis. Results showed a moderate negative correlation between kinesiophobia and physical activity (r = -0.31; 95% CI: -0.42 to -0.20; I2= 1.8%; p < 0.0001). Subgroup meta-analyses revealed that the correlation was statistically significant only in patients with a cardiovascular or arthritis condition and in studies using a self-reported measure of physical activity. There was no evidence of an effect of age, gender, or pain.ConclusionsHigher levels of kinesiophobia were moderately associated with lower levels of physical activity. However, between-study heterogeneity was considerable, and results showed no evidence of this association when physical activity was assessed with accelerometers or pedometers. Additional studies using device-based measures of physical activity are required to confirm these results and to understand the factors and mechanisms influencing this potential relationship.ImpactOur results suggest that kinesiophobia could be considered as a limiting factor when developing physical activity promotion strategies for inactive patients.

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“…There was considerable variation in the postoperative assessment time, ranging from 2 weeks 24 , 25 to 5 years. 7 , 8 Four studies conducted assessments in the early to mid-stages of rehabilitation (>6 months postoperatively). 15 , 24 , 25 , 34 Two studies conducted assessments in the later stages of rehabilitation (6-12 months postoperatively).…”

Section: Resultsmentioning

confidence: 99%

“…Nineteen studies assessed the external workload of typical daily activities in an uncontrolled free-living environment. These assessment periods were either 1 day, 24,25 2 days, 15 7 days, 7,8,10,18,19,[28][29][30][32][33][34]51 13 days, 20,21 2 periods of 28 days, 31 or 231 days. 49 Workloads were also assessed during training activities such as rehabilitation, workouts, and practice 49 and competition, including elite-level rugby matches.…”

Section: Assessmentsmentioning

confidence: 99%

Monitoring External Workload With Wearable Technology After Anterior Cruciate Ligament Reconstruction: A Scoping Review

Golberg,

Pinkoski,

Beaupre

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Current sports medicine and rehabilitation trends indicate an increasing use of wearable technology. The ability of these devices to collect, transmit, and process physiological, biomechanical, bioenergy, and environmental data may aid in anterior cruciate ligament reconstruction (ACLR) workload monitoring and return-to-sport decision-making. In addition, their ease of use allows assessments to occur outside the clinical or laboratory settings and across a broader timeline. Purpose: To (1) determine how wearable technology can assess external workload deficits between limbs (involved and uninvolved) and between groups (healthy controls vs patients with ACLR) during physical activity (PA) or sport and (2) describe the types of sensors, sensor specifications, assessment protocols, outcomes of interest, and participant characteristics from the included studies. Study Design: Scoping review; Level of evidence, 4. Methods: In February 2023, a systematic search was performed in the MEDLINE, EMBASE, CINAHL, SPORTDiscus, Scopus, IEEE Xplore, Compendex, and ProQuest Dissertations and Theses Global databases. Eligible studies included assessments of PA or sports workloads via wearable technology after ACLR. Results: Twenty articles met eligibility criteria and were included. The primary activity assessed was activities of daily living, although rehabilitation, training, and competition were also represented. Accelerometers, global positioning system units, pedometers, and pressure sensor insoles were worn to collect external workload data, which was quantified as kinetic, kinematic, and temporospatial data. Daily steps (count) and moderate to vigorous PA (min/day or week) were the most common units of measurement. A limited number of studies included outcomes related to between-limb asymmetries. Conclusion: The findings of this scoping review highlight the versatility of wearable technologies to collect patients’ kinetic, kinematic, and temporospatial data and assess external workload outcomes after ACLR. In addition, some wearable technologies identified deficits in workload compared with healthy controls and between reconstructed and unaffected limbs.

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The relationship between injury-related fear and physical activity in people with a history of anterior cruciate ligament reconstruction

Cited by 8 publications

References 29 publications

Objectively evaluated physical activity among individuals following anterior cruciate ligament reconstruction: a systematic review and meta-analysis

Objectively evaluated physical activity among individuals following anterior cruciate ligament reconstruction: a systematic review and meta-analysis

Kinesiophobia and physical activity: A systematic review and meta-analysis

Monitoring External Workload With Wearable Technology After Anterior Cruciate Ligament Reconstruction: A Scoping Review

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