Effects of Balance Training on Unstable Grounds in Kinesiophobia After ACL Injury


Abstract views: 25 / PDF downloads: 11

Authors

DOI:

https://doi.org/10.70736/2958.8332.kosalb.43

Keywords:

Anterior Cruciate Ligament , Exercise , Unstable Grounds, Kinesiophobia

Abstract

Study aim(s): It has been observed that post-injury pain following an ACL injury leads to a decline in functional status and leads to kinesiophobia, which limits movements and activity. Our study aimed to examine the effects of an anterior cruciate ligament injury on kinesophobia in athletes recovering from an ACL injury.

Methods: A total of 191 athletes participated in the study. They were divided into two groups: an exercising (97 people) and a non-exercising (94 people) group. The Tampa Kinesophobia Scale (TSK) was used to determine the athletes’ kinesophobia levels. For data analysis, a T-test, one-way ANOVA, and Tukey test for post-hoc analysis were used. The data were analyzed using the licensed SPSS 26 program.

Results: The study found a significant difference in kinesophobia levels between the exercising group (37.34±5.73) and the non-exercising group (39.29±5.51) following ACL injury (p < 0.05). However, no significant differences in kinesophobia were observed concerning gender, age, sports history (except within the exercise group, p < 0.05), ACL surgery, or the injured knee (except within the exercise group, p < 0.05) (p > 0.05).

Conclusion: The findings suggest that engaging in exercise after an ACL injury may help reduce kinesophobia levels. However, factors such as gender, age, sports history, ACL surgery, and the injured knee do not seem to significantly affect kinesophobia, except within the exercise group. This highlights the potential importance of exercise in recovery, regardless of demographic or injury-related variables.

References

Lundberg MKE, Styf J, Carlsson SG. A psychometric evaluation of the Tampa Scale for Kinesiophobia-from a physiotherapeutic perspective. Physiother Theory Pract. 2004; 20:121-133.

Luque-Suarez A, Martinez-Calderon J, Falla D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. Br J Sports Med. 2019;53(9):554-559.

Simsek S, Yagci N, Gedik E. The effect of back school program on fear avoidance behavior, disability and pain in chronic mechanic low back pain. J Clin Anal Med. 2015; 6:389-393.

Wong JJ, Tricco AC, Côté P, Liang CY, Lewis JA, Bouck Z, Rosella LC. Association between depressive symptoms or depression and health outcomes for low back pain: a systematic review and meta-analysis. J Gen Intern Med. 2021:1-14.

Lundberg M, Styf J, Jansson B. On what patients does the Tampa Scale for Kinesiophobia fit? Physiother Theory Pract. 2009; 25:495-506.

Miller RP, Kori SH, Todd DD. The Tampa Scale: a measure of kinesiophobia. Clin J Pain. 1991; 7:51.

Ulug N, Yakut Y, Alemdaroglu I, et al. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. J Phys Ther Sci. 2016; 28:665-670.

Vincent HK, Omli MR, Day T, et al. Fear of movement, quality of life, and self-reported disability in obese patients with chronic lumbar pain. Pain Med. 2011; 12:154-164.

Veehof MM, Oskam MJ, Schreurs KM, et al. Acceptance-based interventions for the treatment of chronic pain: a systematic review and meta-analysis. Pain. 2011; 152:533-542.

Antunes RS, Macedo BG, Amaral TS, et al. Pain, kinesiophobia and quality of life in chronic low back pain and depression. Acta Ortop Bras. 2013; 21:27-29.

Forsdyke D, Madigan D, Gledhill A, Smith A. Perceived social support, reinjury anxiety, and psychological readiness to return to sport in soccer players. J Sport Rehabil. 2022; 1:1.

Mason VL, Mathias B, Skevington SM. Accepting low back pain: is it related to a good quality of life? Clin J Pain. 2008; 24:22-29.

Mayalı FT, Oz B, Gulpek D, et al. The effect of depressive emotional state on the efficacy of physical therapy in patients with low back pain. MBSJHS. 2016; 2:6-13.

Singh H, Chan K, Cheung L, Hitzig SL, Musselman KE. The impact of falls and fear of falling on participation, autonomy, and life satisfaction among individuals with spinal cord injury: a brief report. J Spinal Cord Med. 2021;44: S234-S239.

Schmitt LC, Paterno MV, Hewett TE. The impact of quadriceps femoris strength asymmetry on functional performance at return to sport following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2012; 42:750-759.

Nessler T, Denney L, Sampley J. ACL injury prevention: what does research tell us? Curr Rev Musculoskelet Med. 2017; 10:281-288.

Sigward SM, Lin P, Pratt K. Knee loading asymmetries during gait and running in early rehabilitation following anterior cruciate ligament reconstruction: a longitudinal study. Clin Biomech. 2016; 32:249-254.

Augustsson J. Documentation of strength training for research purposes after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2013; 21:1849-1855.

Fransen M, McConnell S, Harmer AR, Van der Esch M, Simic M, Bennell KL. Exercise for osteoarthritis of the knee: a Cochrane systematic review. Br J Sports Med. 2015;49(24):1554-1557.

Hall M, Dobson F, Van Ginckel A, Nelligan RK, Collins NJ, Smith MD, Bennell KL. Comparative effectiveness of exercise programs for psychological well-being in knee osteoarthritis: a systematic review and network meta-analysis. Semin Arthritis Rheum. 2021;51(5):1023-1032.

Daley D, Payne LP, Galper J, Cheung A, Deal L, Despres M, Escorpizo R. Clinical guidance to optimize work participation after injury or illness: the role of physical therapists: clinical practice guidelines linked to the International Classification of Functioning, Disability and Health from the Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2021;51(8): CPG1-CPG102.

Tonga E, Daşkapan A, Düger T, et al. Effects of different low back health trainings on fear avoidance beliefs and activity performance in chronic low back pain. Physiother Rehabil. 2012; 23:17-25.

Buyukozturk S, Kilic Çakmak E, Akgun OE, et al. Scientific research methods. Ankara: Pegem Academic; 2012.

Vlaeyen JW, Kole-Snijders AM, Boeren RG, Van Eek H. Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance. Pain. 1995;62(3):363-372.

Tunca Yilmaz O, Yakut Y, Uygur F, et al. Turkish version and test-retest reliability of the Tampa Kinesiophobia Scale. Physiother Rehabil. 2011;22:44-49.

Tabachnick BG, Fidell LS. Using multivariate statistics. 6th ed. Northridge, CA: California State University; 2013.

Ardern CL, Taylor NF, Feller JA, et al. Fifty-five percent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med. 2014; 48:1543-1552.

Piussi R, Berghdal T, Sundemo D, et al. Self-reported symptoms of depression and anxiety after ACL injury: a systematic review. Orthop J Sports Med. 2022;10(1).

Demirkapi EB, Ercan S, Baskurt F, et al. Investigation of fear of movement and activity in patients undergoing anterior cruciate ligament reconstruction. Med J SDU. 2015; 22:39-44.

Tengman E, Brax Olofsson L, Nilsson KG, et al. Anterior cruciate ligament injury after more than 20 years: I. Physical activity level and knee function. Scand J Med Sci Sports. 2014; 24:491-500.

Harput G, Özer H, Baltacı G, et al. Self-reported outcomes are associated with knee strength and functional symmetry in individuals who have undergone anterior cruciate ligament reconstruction with hamstring tendon autograft. Knee. 2018; 25:757-764.

Gregg CD, McIntosh G, Hall H, et al. The relationship between the Tampa Scale of Kinesiophobia and low back pain rehabilitation outcomes. Spine J. 2015; 15:2466-2471.

Tichonova A, Rimdeikienė I, Petruševičienė D, et al. The relationship between pain catastrophizing, kinesiophobia and subjective knee function during rehabilitation following anterior cruciate ligament reconstruction and meniscectomy: a pilot study. Medicina. 2016; 52:229-237.

Gledhill A. The downside of sports injury: poor mental health in injured athletes. In: The Psychology of Sports Injury. Routledge; 2021:63-75.

Haugen E. Athlete mental health and psychological impact of sport injury. Oper Tech Sports Med. 2022;30(1).

Faleide AGH, Magnussen LH, Strand T, et al. The role of psychological readiness in return to sport assessment after anterior cruciate ligament reconstruction. Am J Sports Med. 2021;49(5):1236-1243.

Wiese-Bjornstal DM. Personal and situational factors affecting psychological response to sport injuries. In: The Psychology of Sports Injury. Routledge; 2021:33-62.

Helme M, Tee J, Emmonds S, Low C. Does lower-limb asymmetry increase injury risk in sport? A systematic review. Phys Ther Sport. 2021;4.

Downloads

Published

2024-12-20

How to Cite

Kurt, A., Çağlayan, A., Coşkun, E. Şevval, & Kayhan, R. F. (2024). Effects of Balance Training on Unstable Grounds in Kinesiophobia After ACL Injury. KOSALB International Journal of Human Movements Science, 3(2), 61–71. https://doi.org/10.70736/2958.8332.kosalb.43

Issue

Section

Articles