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  • Bullock, Garrett S.Wake Forest Sch Med, NC 28202 USA; Univ Oxford, England (författare)

Kinesiophobia, Knee Self-Efficacy, and Fear Avoidance Beliefs in People with ACL Injury: A Systematic Review and Meta-Analysis

  • Artikel/kapitelEngelska2022

Förlag, utgivningsår, omfång ...

  • 2022-08-13
  • ADIS INT LTD,2022
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:liu-187866
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-187866URI
  • https://doi.org/10.1007/s40279-022-01739-3DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:150431740URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:for swepub-publicationtype

Anmärkningar

  • Funding Agencies|NIHR Biomedical Research Centre, Oxford; Cancer Research UK [C49297/A27294]; National Health and Medical Research Council (NHMRC) Investigator Grant [1194428]
  • Background To improve the understanding of the psychological impacts of anterior cruciate ligament (ACL) injury, a systematic review synthesizing the evidence on knee self-efficacy, fear avoidance beliefs and kinesiophobia following ACL injury is needed. Objective The aim of this systematic review was to investigate knee self-efficacy, fear avoidance beliefs and kinesiophobia following ACL injury, and compare these outcomes following management with rehabilitation alone, early and delayed ACL reconstruction (ACLR). Methods Seven databases were searched from inception to April 14, 2022. Articles were included if they assessed Tampa Scale of Kinesiophobia (TSK), Knee Self-Efficacy Scale (KSES), or Fear Avoidance Beliefs Questionnaire (FABQ). Risk of bias (RoB) was assessed using domain-based RoB tools (ROBINS-1, RoB 2, RoBANS), and GRADE-assessed certainty of evidence. Random-effects meta-analyses pooled outcomes, stratified by time post-injury (pre-operative, 3-6 months, 7-12 months, > 1-2 years, > 2-5 years, > 5 years). Results Seventy-three studies (70% high RoB) were included (study outcomes: TSK: 55; KSES: 22; FABQ: 5). Meta-analysis demonstrated worse kinesiophobia and self-efficacy pre-operatively (pooled mean [95% CI], TSK-11: 23.8 [22.2-25.3]; KSES: 5.0 [4.4-5.5]) compared with 3-6 months following ACLR (TSK-11: 19.6 [18.7-20.6]; KSES: 19.6 [18.6-20.6]). Meta-analysis suggests similar kinesiophobia > 3-6 months following early ACLR (19.8 [4.9]) versus delayed ACLR (17.2 [5.0]). Only one study assessed outcomes comparing ACLR with rehabilitation only. Conclusions Knee self-efficacy and kinesiophobia improved from pre-ACLR to 3-6 months following ACLR, with similar outcomes after 6 months. Since the overall evidence was weak, there is a need for high-quality observational and intervention studies focusing on psychological outcomes following ACL injury.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Sell, Timothy C.Atrium Hlth, NC USA (författare)
  • Zarega, RyanAtrium Hlth, NC USA (författare)
  • Reiter, Charles (författare)
  • King, VictoriaAtrium Hlth, NC USA (författare)
  • Wrona, HaileyAtrium Hlth, NC USA (författare)
  • Mills, NilaniAtrium Hlth, NC USA; Univ New South Wales, Australia (författare)
  • Ganderton, CharlotteSwinborne Univ Technol, Australia (författare)
  • Duhig, StevenGriffith Univ, Australia (författare)
  • Raisasen, AnuWestern Univ Hlth Sci, OR USA; Univ Calgary, Canada (författare)
  • Ledbetter, LeilaDuke Sch Med, NC USA (författare)
  • Collins, Gary S.Univ Oxford, England; Oxford Univ Hosp NHS Fdn Trust, England (författare)
  • Kvist, Joanna,1967-Karolinska Institutet,Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Karolinska Inst, Sweden(Swepub:liu)joakv97 (författare)
  • Filbay, Stephanie R.Univ Melbourne, Australia (författare)
  • Wake Forest Sch Med, NC 28202 USA; Univ Oxford, EnglandAtrium Hlth, NC USA (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Sports Medicine: ADIS INT LTD52, s. 3001-30190112-16421179-2035

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