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Association between Kinesiophobia and Gait Asymmetry after ACL Reconstruction: Implications for Prevention of Reinjury

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  • Hossein Tajdini

    (Department of Biomechanics and Sport Injury, Faculty of Physical Education and Sports Sciences, Kharazmi University, Tehran 1571914911, Iran)

  • Amir Letafatkar

    (Department of Biomechanics and Sport Injury, Faculty of Physical Education and Sports Sciences, Kharazmi University, Tehran 1571914911, Iran)

  • Britton W. Brewer

    (Department of Psychology, Springfield College, Springfield, MA 01109, USA)

  • Mahdi Hosseinzadeh

    (Department of Sport Injuries and Corrective Exercises, Sport Sciences Research Institute, Tehran 1587958711, Iran)

Abstract

Gait asymmetries have been documented in individuals after anterior cruciate ligament (ACL) reconstruction (ACLR). The relationship between gait asymmetry and associated psychological factors, however, is not yet known. This study aimed to examine the relationship between kinesiophobia (fear of reinjury) and asymmetry of vertical ground reaction force (vGRF) and lower-extremity muscular activity in individuals after ACLR during gait. Twenty-eight males with a history of ACLR participated in the study. Force plate and surface electromyography was used to record peak vGRF and muscular activity. The Tampa Scale of Kinesiophobia (TSK-11) was used to measure kinesiophobia. Spearman’s rank correlations analysis was used to examine the relationship between TSK-11 scores and both gait asymmetry variables. There was a significant positive relationship between TSK-11 and asymmetry of the second peak of vGRF ( r s = 0.531, p = 0.002). In addition, there was a significant positive association between asymmetry of rectus femoris activity ( r s = 0.460, p = 0.007) and biceps femoris activity ( r s = 0.429, p = 0.011) in the contact phase. Results revealed a significant relationship between kinesiophobia and asymmetry in muscle activity and vGRF in different phases of the gait cycle. Interventions addressing kinesiophobia early in the rehabilitation after ACLR may support the restoration of gait symmetry, facilitate a more rapid return to sport, and reduce the risk of ACL reinjury.

Suggested Citation

  • Hossein Tajdini & Amir Letafatkar & Britton W. Brewer & Mahdi Hosseinzadeh, 2021. "Association between Kinesiophobia and Gait Asymmetry after ACL Reconstruction: Implications for Prevention of Reinjury," IJERPH, MDPI, vol. 18(6), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:3264-:d:521758
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    References listed on IDEAS

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    1. Patricia Palomo-López & Ricardo Becerro-de-Bengoa-Vallejo & Marta Elena Losa-Iglesias & Daniel López-López & David Rodríguez-Sanz & Carlos Romero-Morales & César Calvo-Lobo & Victoria Mazoteras-Pardo, 2020. "Kinesiophobia and Pain Intensity Are Increased by a Greater Hallux Valgus Deformity Degree- Kinesiophobia and Pain Intensity in Hallux Valgus," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
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    Cited by:

    1. Marc Dauty & Pierre Menu & Pauline Daley & Jérôme Grondin & Yonis Quinette & Vincent Crenn & Alban Fouasson-Chailloux, 2022. "Knee Strength Assessment and Clinical Evaluation Could Predict Return to Running after Anterior Cruciate Ligament Reconstruction Using Patellar Tendon Procedure," IJERPH, MDPI, vol. 19(20), pages 1-14, October.
    2. Andrzej Czamara & Katarzyna Krzemińska & Wojciech Widuchowski & Szymon Lukasz Dragan, 2021. "The Muscle Strength of the Knee Joint after ACL Reconstruction Depends on the Number and Frequency of Supervised Physiotherapy Visits," IJERPH, MDPI, vol. 18(20), pages 1-14, October.
    3. Mastour Saeed Alshahrani & Ravi Shankar Reddy, 2022. "Relationship between Kinesiophobia and Ankle Joint Position Sense and Postural Control in Individuals with Chronic Ankle Instability—A Cross-Sectional Study," IJERPH, MDPI, vol. 19(5), pages 1-11, February.
    4. Claudio Legnani & Matteo Del Re & Giuseppe M. Peretti & Vittorio Macchi & Enrico Borgo & Alberto Ventura, 2023. "Drop Jump Performance Improves One Year Following Anterior Cruciate Ligament Reconstruction in Sportsmen Irrespectively of Psychological Patient Reported Outcomes," IJERPH, MDPI, vol. 20(6), pages 1-7, March.

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