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Participants 5–12 months postoperative were grouped by Tampa Scale of Kinesiophobia-11 scores and completed activity and patient-reported outcome measures, with anxiety assessed using GAD-7. Semi-structured interviews were analyzed inductively, and between-group differences were tested using Mann–Whitney.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/knee-related-function-and-psychological-aspects-after-acl-reconstruction-among-individuals-with-and-without-kinesiophobia-mixed-methods-study/417425/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/knee-related-function-and-psychological-aspects-after-acl-reconstruction-among-individuals-with-and-without-kinesiophobia-mixed-methods-study/417425.png","ImageObject",300,407,{"name":42,"@type":43},"dabgoudw","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How did the study categorize participants after ACL reconstruction?","Question",{"text":63,"@type":64},"Participants with primary ACLR 5–12 months postoperative were grouped into high and low kinesiophobia based on Tampa Scale of Kinesiophobia-11 scores.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Which measures were used to evaluate outcomes?",{"text":68,"@type":64},"Participants completed activity scales and knee-related patient-reported outcomes, including Tegner activity scale, Marx activity scale, KOOS, and other ACL return-to-sport measures, plus the GAD-7 for anxiety.",{"name":70,"@type":61,"acceptedAnswer":71},"What were the key findings related to kinesiophobia?",{"text":72,"@type":64},"Participants with high kinesiophobia reported themes including fear of re-injury, activity avoidance, interlimb asymmetry, and coping mechanisms. Quality of life differed significantly by group, while other outcome measures showed no statistical differences.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},417425,1791149181,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},3985747860484,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Original Research  \nKnee-Related Function and Psychological Aspects After ACL Reconstruction Among Individuals With and Without Kinesiophobia: A Mixed-Methods Study  \nMandeep Kaur, PT, PhD1a, Luzita Vela, PhD2, Teres Chmielewski, PT, PhD3, Susan Saliba, PT, PhD4, Ethan Callanan, PT5, Joe Hart, PhD6  \n1 Department of Physical Therapy and Rehabilitation Sciences, The University of Texas Medical Branch at Galveston, 2 Health, Human Performance, & Recreation, University of Arkansas, 3 TRIA Orthopaedic Center, 4 School of Education and Human Health, University of Virginia, 5 Physical Therapy and athletic training, Northern Arizona University, 6 Department of Orthopedics, Department of North Carolina at Chapel Hill  \nKeywords: Return to sports, Fear of re-injury, Psychological effects, Sports injury, Rehabilitation  \n[https://doi.org/10.26603/001c.153963](https://doi.org/10.26603/001c.153963)  \n\n| International Journal of Sports Physical Therapy\u003Cbr>Vol. 21, Issue 1, 2026 |\n| --- |\n| Background\u003Cbr>Kinesiophobia is known to lead to a poor rate of return to sports despite following a rigorous rehabilitation protocol following anterior cruciate ligament reconstruction (ACLR) .\u003Cbr>Purpose\u003Cbr>This study aimed to describe the perspectives on rehabilitation and recovery in patients with ACLR categorized as having high or low kinesiophobia in relation to activity, function, and psychological status.\u003Cbr>Study Design\u003Cbr>Mixed methods\u003Cbr>Methods\u003Cbr>Participants with primary ACLR (5-12 months postoperative) were recruited and divided into high and low kinesiophobia groups based on the Tampa Scale of Kinesiophobia-11 scores. Participants completed the Tegner activity scale, Marx activity scale, International Knee Documentation Committee, the Knee Injury and Osteoarthritis Outcome Scale (KOOS), the Anterior Cruciate Ligament Return to Sports after Injury scale, and the Generalized Anxiety Disorder-7; and participated in individual\u003Cbr>semi-structured interviews. Interview data were qualitatively analyzed using the general inductive approach. . Differences in outcomes of the PROs were analyzed using the Mann-Whitney test (p\u003C0.05) .\u003Cbr>Results\u003Cbr>Nine participants with high kinesiophobia (age= 22.2 (3.1) years), five women) and low kinesiophobia groups (n = 6, age=25.5 (3.4) years, four women) were recruited. Participants in both the high and low kinesiophobia groups reported behaviors related to these themes: fear of re-injury, activity avoidance and interlimb asymmetry, and coping mechanisms. Significant differences were found between KOOS quality of life scores between groups (High kinesiophobia group= 56.3 [37.5-81.3], low kinesiophobia group= |\n\na Corresponding Author: Mandeep Kaur  \nDepartment of Physical Therapy and Rehabilitaiton Sciences School of Health Professions  \n301 University Blvd. Galveston TX 77555-1144  \nContact [Email:](Email: masandhu@utmb.edu)[ ](Email: masandhu@utmb.edu)[masandhu@utmb.edu](Email: masandhu@utmb.edu)  \n71.9 [62.5-75.0] p= 0.012) . No statistical differences were found in any other outcome measures.  \nConclusions  \nPatients with primary ACLR report psychological, biomechanical, and other behavioral changes that may negatively impact recovery. Significantly lower quality of life scores among participants with high kinesiophobia suggest that fear of movement may have a particularly detrimental impact on perceived recovery outcomes. These findings highlight the importance of assessing psychological factors alongside physical recovery measures in patients following ACLR, which may inform more comprehensive rehabilitation approaches.  \nLevel of Evidence  \nLevel 3b; Qualitative= NA INTRODUCTION  \nInjury to the anterior cruciate ligament (ACL) is common in sports, with an estimated 68.6 ACL injuries per 100,000 person-years in the USA.1 Surgical reconstruction of the torn ligament is the preferred management method for isolated ACL tears.2 Anterior cruciate ligament reconstruction (ACLR) is followed by extensive rehabili","cbCaisgbXsqijPYb","https://ap.wps.com/l/cbCaisgbXsqijPYb","pdf",427021,15,"English","# Background\n# Purpose\n# Study Design\n# Methods\n# Results\n# Conclusions\n# Level of Evidence\n# Introduction","[{\"question\":\"How did the study categorize participants after ACL reconstruction?\",\"answer\":\"Participants with primary ACLR 5–12 months postoperative were grouped into high and low kinesiophobia based on Tampa Scale of Kinesiophobia-11 scores.\"},{\"question\":\"Which measures were used to evaluate outcomes?\",\"answer\":\"Participants completed activity scales and knee-related patient-reported outcomes, including Tegner activity scale, Marx activity scale, KOOS, and other ACL return-to-sport measures, plus the GAD-7 for anxiety.\"},{\"question\":\"What were the key findings related to kinesiophobia?\",\"answer\":\"Participants with high kinesiophobia reported themes including fear of re-injury, activity avoidance, interlimb asymmetry, and coping mechanisms. Quality of life differed significantly by group, while other outcome measures showed no statistical differences.\"}]","Knee-Related Function and Psychological Aspects After ACL Reconstruction Among Individuals With and Without Kinesiophobia - Mixed-Methods Study | PDF",1790609131,38]