The association between kinesiophobia and proprioception, postural stability, activity level, knee function, and quality of life following anterior cruciate ligament reconstruction
Abstract
Purpose: The purpose of the present study was to determine the relationship between kinesiophobia and proprioception, postural stability, activity level, knee function, and quality of life after anterior cruciate ligament reconstruction.
Methods: Thirty-five sedentary men who underwent unilateral arthroscopic anterior cruciate ligament reconstruction with hamstring tendon graft participated in the present study. Medical history, age, gender, height, weight, and body mass index were recorded. Kinesiophobia, proprioception, postural stability, activity level, knee function, and quality of life were measured using with Tampa Scale of Kinesiophobia, Biodex System 4 Pro dynamometer, Pedalo® Sensamove Balance System, Tegner Activity Score, Lysholm Knee Scoring Scale, Anterior Cruciate Ligament Quality of Life, respectively.
Results: There was a significant correlation between kinesiophobia degree and activity level (p=0.027). No significant correlation was found between kinesiophobia degree and proprioception (p=0.095) and postural stability (p=0.518). In addition, it was found that kinesiophobia degree was not correlated with knee function (p=0.364), and quality of life scores (p=0.058).
Conclusion: According to our results, kinesiophobia degree was correlated with activity level after anterior cruciate ligament reconstruction. It is recommended that targeting to treat kinesiophobia may be beneficial for the patients those who are physically inactive.
Supporting Institution
Marmara University, Scientific Research Projects Committee ; TUBİTAK, The Scientific and Technological Research Council of Turkey
Project Number
SAG-C-DRP-200716-0374; 115E351 – 2170530
References
- 1. Van Grinsven S, van Cingel RE, Holla CJ, et al. Evidence-based rehabilitation following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2010;18:1128-1144.
- 2. Hasegawa A1, Otsuki S, Pauli C, et al. Anterior cruciate ligament changes in the human knee joint in aging and osteoarthritis. Arthritis Rheum. 2012;64:696-704.
- 3. Gao B, Zheng NN. Alterations in three-dimensional joint kinematics of anterior cruciate ligament-deficient and -reconstructed knees during walking. Clin Biomech (Bristol, Avon). 2010;25:222-229.
- 4. Kaeding CC, Léger-St-Jean B, Magnussen RA. Epidemiology and diagnosis of anterior cruciate ligament injuries. Clin Sports Med. 2017;36:1-8.
- 5. Hart JM, Ko JW, Konold T, et al. Sagittal plane knee joint moments following anterior cruciate ligament injury and reconstruction: a systematic review. Clin Biomech (Bristol, Avon). 2010;25:277-283.
- 6. Frobell RB, Roos HP, Roos EM, et al. Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial. BMJ. 2013;346:f232.
- 7. Oiestad BE, Holm I, Aune AK, et al. Knee function and prevalence of knee osteoarthritis after anterior cruciate ligament reconstruction: a prospective study with 10 to 15 years of follow-up. Am J Sports Med. 2010;38:2201-2210.
- 8. Cozzi AL, Dunn KL, Harding JL, et al. Kinesiophobia after anterior cruciate ligament reconstruction in physically active individuals. J Sport Rehabil. 2015;24:434-439.
- 9. Yılmaz ÖT, Yakut Y, Uygur F, et al. Tampa Kinezyofobi Ölçegi’nin Türkçe versiyonu ve test-tekrar test güvenirligi. Fizyoter Rehabil. 2011;22:44-49.
- 10. Lee DH, Lee JH, Ahn SE. Effect of time after anterior cruciate ligament tears on proprioception and postural stability. PLoS One. 2015;10:e0139038.
- 11. Sadeghi H, Hakim MN, Hamid TA, et al. The effect of exergaming on knee proprioception in older men: A randomized controlled trial. Arch Gerontol Geriatr. 2017;69:144-150.
- 12. https://www.pedalo.de/english/pedalo/balance-coordination/balance-test-software/pedalo-sensamove-balancetest-pro1786.html.
- 13. Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res. 1985;198:43‐49.
- 14. Celik D, Coşkunsu D, Kiliçoğlu O. Translation and cultural adaptation of the Turkish Lysholm knee scale: ease of use, validity, and reliability. Clin Orthop Relat Res. 2013;471:2602-2610.
- 15. Kinikli GI, Celik D, Yuksel I, et al. Turkish version of the Anterior Cruciate Ligament Quality of Life questionnaire. Knee Surg Sports Traumatol Arthrosc. 2015;23:2367-2375.
- 16. Pallant, J. SPSS kullanma kılavuzu: SPSS ile adım adım veri analizi. (Çev., Balcı S, Ahi B.). Ankara: Anı Yayıncılık; 2017.
- 17. Flanigan DC, Everhart JS, Pedroza A, et al. Fear of reinjury (kinesiophobia) and persistent knee symptoms are common factors for lack of return to sport after anterior cruciate ligament reconstruction. Arthroscopy. 2013;29:1322-1329.
- 18. Ithurburn MP, Longfellow MA, Thomas S, et al. Knee function, strength, and resumption of preinjury sports participation in young athletes following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2019;49:145-153.
- 19. Kvist J, Ek A, Sporrstedt K, et al. Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2005;13:393-397.
- 20. Gunn AH, Schwartz TA, Arbeeva LS. Fear of movement and associated factors among adults with symptomatic knee osteoarthritis. Arthritis Care Res (Hoboken). 2017;69:1826-1833.
- 21. Trigsted SM, Cook DB, Pickett KA, et al. Greater fear of reinjury is related to stiffened jump-landing biomechanics and muscle activation in women after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2018;26:3682-3689.
- 22. Comachio J, Magalhães MO, Campos Carvalho E Silva APM, et al. A cross-sectional study of associations between kinesiophobia, pain, disability, and quality of life in patients with chronic low back pain. Adv Rheumatol. 2018;58:8.
- 23. Uluğ N, Yakut Y, Alemdaroğlu İ. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. J Phys Ther Sci. 2016;28:665-670.
- 24. 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;53:554-559.
- 25. Oskay D, Tuna Z, Düzgün İ, et al. Relationship between kinesiophobia and pain, quality of life, functional status, disease activity, mobility, and depression in patients with ankylosing spondylitis. Turk J Med Sci. 2017;47:1340-1347.
Ön Çapraz Bağ Rekonstrüksiyonu Sonrası Kinezyofobi ile Propriosepsiyon, Postürel Stabilite, Aktivite Düzeyi, Diz Fonksiyonu ve Yaşam Kalitesi Arasındaki Ilişki
Abstract
Amaç: Bu çalışmanın amacı, ön çapraz bağ rekonstrüksiyonu sonrasında kinezyofobi ve propriosepsiyon, postürel stabilite, aktivite düzeyi, diz fonksiyonu ve yaşam kalitesi arasındaki ilişkiyi belirlemekti.
Yöntem: Bu çalışmaya hamstring tendon grefti ile tek taraflı artroskopik ön çapraz bağ rekonstrüksiyonu yapılan otuz beş sedanter erkek katıldı. Hastaların tıbbi öykü, yaş, cinsiyet, boy, kilo ve vücut kitle indeksi değerleri kaydedildi. Hastaların kinezyofobi, propriyosepsiyon, postürel stabilite, aktivite düzeyi, diz fonksiyonu ve yaşam kalitesi değerleri, sırasıyla; Tampa Kinezyofobi Skalası, Biodex Sistem 4 Pro dinamometre, Pedalo® Sensamove Denge Sistemi, Tegner Aktivite Skoru, Lysholm Diz Skorlama Ölçeği ve Ön Çapraz Bağ Yaşam Kalitesi Ölçeği kullanılarak ölçüldü.
Bulgular: Hastaların kinezyofobi düzeyi ile aktivite seviyesi arasında kayda değer düzeyde bir korelasyon vardı (p=0,027). Kinezyofobi derecesi ve propriosepsiyon (p=0,095) ve postürel stabilite (p=0,518) arasında anlamlı bir ilişki bulunmadı. Ek olarak, kinezyofobi derecesinin diz fonksiyonu (p=0,364) ve yaşam kalitesi skorları ile ilişkili olmadığı bulundu (p=0,058).
Sonuç: Sonuçlarımıza göre kinezyofobi derecesinin ön çapraz bağ rekonstrüksiyonu sonrası aktivite seviyesi ile ilişkili olduğunu raporlandırabiliriz. Kinezyofobisi yüksek olan hastaların aktivite limitasyonlarını önlemede; kinezyofobinin tedavisini hedeflemenin faydalı olabileceği önerilmektedir.
Project Number
SAG-C-DRP-200716-0374; 115E351 – 2170530
References
- 1. Van Grinsven S, van Cingel RE, Holla CJ, et al. Evidence-based rehabilitation following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2010;18:1128-1144.
- 2. Hasegawa A1, Otsuki S, Pauli C, et al. Anterior cruciate ligament changes in the human knee joint in aging and osteoarthritis. Arthritis Rheum. 2012;64:696-704.
- 3. Gao B, Zheng NN. Alterations in three-dimensional joint kinematics of anterior cruciate ligament-deficient and -reconstructed knees during walking. Clin Biomech (Bristol, Avon). 2010;25:222-229.
- 4. Kaeding CC, Léger-St-Jean B, Magnussen RA. Epidemiology and diagnosis of anterior cruciate ligament injuries. Clin Sports Med. 2017;36:1-8.
- 5. Hart JM, Ko JW, Konold T, et al. Sagittal plane knee joint moments following anterior cruciate ligament injury and reconstruction: a systematic review. Clin Biomech (Bristol, Avon). 2010;25:277-283.
- 6. Frobell RB, Roos HP, Roos EM, et al. Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial. BMJ. 2013;346:f232.
- 7. Oiestad BE, Holm I, Aune AK, et al. Knee function and prevalence of knee osteoarthritis after anterior cruciate ligament reconstruction: a prospective study with 10 to 15 years of follow-up. Am J Sports Med. 2010;38:2201-2210.
- 8. Cozzi AL, Dunn KL, Harding JL, et al. Kinesiophobia after anterior cruciate ligament reconstruction in physically active individuals. J Sport Rehabil. 2015;24:434-439.
- 9. Yılmaz ÖT, Yakut Y, Uygur F, et al. Tampa Kinezyofobi Ölçegi’nin Türkçe versiyonu ve test-tekrar test güvenirligi. Fizyoter Rehabil. 2011;22:44-49.
- 10. Lee DH, Lee JH, Ahn SE. Effect of time after anterior cruciate ligament tears on proprioception and postural stability. PLoS One. 2015;10:e0139038.
- 11. Sadeghi H, Hakim MN, Hamid TA, et al. The effect of exergaming on knee proprioception in older men: A randomized controlled trial. Arch Gerontol Geriatr. 2017;69:144-150.
- 12. https://www.pedalo.de/english/pedalo/balance-coordination/balance-test-software/pedalo-sensamove-balancetest-pro1786.html.
- 13. Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res. 1985;198:43‐49.
- 14. Celik D, Coşkunsu D, Kiliçoğlu O. Translation and cultural adaptation of the Turkish Lysholm knee scale: ease of use, validity, and reliability. Clin Orthop Relat Res. 2013;471:2602-2610.
- 15. Kinikli GI, Celik D, Yuksel I, et al. Turkish version of the Anterior Cruciate Ligament Quality of Life questionnaire. Knee Surg Sports Traumatol Arthrosc. 2015;23:2367-2375.
- 16. Pallant, J. SPSS kullanma kılavuzu: SPSS ile adım adım veri analizi. (Çev., Balcı S, Ahi B.). Ankara: Anı Yayıncılık; 2017.
- 17. Flanigan DC, Everhart JS, Pedroza A, et al. Fear of reinjury (kinesiophobia) and persistent knee symptoms are common factors for lack of return to sport after anterior cruciate ligament reconstruction. Arthroscopy. 2013;29:1322-1329.
- 18. Ithurburn MP, Longfellow MA, Thomas S, et al. Knee function, strength, and resumption of preinjury sports participation in young athletes following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2019;49:145-153.
- 19. Kvist J, Ek A, Sporrstedt K, et al. Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2005;13:393-397.
- 20. Gunn AH, Schwartz TA, Arbeeva LS. Fear of movement and associated factors among adults with symptomatic knee osteoarthritis. Arthritis Care Res (Hoboken). 2017;69:1826-1833.
- 21. Trigsted SM, Cook DB, Pickett KA, et al. Greater fear of reinjury is related to stiffened jump-landing biomechanics and muscle activation in women after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2018;26:3682-3689.
- 22. Comachio J, Magalhães MO, Campos Carvalho E Silva APM, et al. A cross-sectional study of associations between kinesiophobia, pain, disability, and quality of life in patients with chronic low back pain. Adv Rheumatol. 2018;58:8.
- 23. Uluğ N, Yakut Y, Alemdaroğlu İ. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. J Phys Ther Sci. 2016;28:665-670.
- 24. 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;53:554-559.
- 25. Oskay D, Tuna Z, Düzgün İ, et al. Relationship between kinesiophobia and pain, quality of life, functional status, disease activity, mobility, and depression in patients with ankylosing spondylitis. Turk J Med Sci. 2017;47:1340-1347.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Project Number | SAG-C-DRP-200716-0374; 115E351 – 2170530 |
| Publication Date | January 6, 2021 |
| Submission Date | May 2, 2019 |
| Published in Issue | Year 2020 Volume: 7 Issue: 3 |
