Kinesiophobia after anterior cruciate ligament rupture and reconstruction: Noncopers versus potential copers
Hartigan E, Lynch A, Logerstedt D, Chmielewski T, Snyder-Mackler L.. J Orthop Sports Phys Ther. 2013; 43(11):821-832
Take Home Message: Non-copers have higher levels of kinesiophobia before an ACL reconstruction and larger overall decreases in kinesiophobia following surgery compared with potential copers. There was no relationship between kinesiophobia and functional ability (e.g., quadriceps strength, hop tests).
Individuals with anterior cruciate ligament (ACL) ruptures may be classified into two categories – potential copers and non-copers – depending on whether they have unimpaired function and can dynamically stabilize their knee. While non-copers have functional impairments it is unclear if they have kinesiophobia – a fear of movement because it may elicit pain or further injury – which is also related to poor outcomes after an ACL injury. If we can gain a better understanding of kinesiophobia among potential copers and non-copers then it may help us promote better outcomes after an ACL injury. The purpose of this study was to compare levels of kinesiophobia among potential copers and non-copers before and after reconstruction and assess the relationship of kinesiophobia with quadriceps strength and overall knee function.