Isaji Yuichi, Yamada Takumi, Oka Tomohiro, Mori Kazuaki, Aoyama Naoki
Department of Rehabilitation, Anshin Clinic: 4-1-4 Asahi-dori, Chuo-ku, Kobe-shi, Hyogo 651-0095, Japan.
Department of Physical Therapy, Tokyo Metropolitan University, Japan.
J Phys Ther Sci. 2023 Feb;35(2):128-132. doi: 10.1589/jpts.35.128. Epub 2023 Feb 1.
[Purpose] Kinesiophobia after anterior cruciate ligament reconstruction has been identified as an inhibitor of return to sports. This study aimed to clarify the relationship between kinesiophobia and knee function 6 months after anterior cruciate ligament reconstruction when the patient intends to return to sports. [Participants and Methods] A total of 66 patients who underwent primary anterior cruciate ligament reconstruction (mean age 17.3 ± 2.6 years, 17 males and 49 females, Tegner activity score ≥7) were included in the study. The 11-item version of Tampa scale of kinesiophobia was used to evaluate kinesiophobia 6 months postoperatively. Knee function was evaluated with knee extension muscle strength, tibial anterior displacement, heel buttock distance, heel height difference, anterior knee pain score, and single-leg hop test. The relationship between Tampa scale of kinesiophobia, patient characteristics, and knee function was investigated. [Results] A low Anterior knee pain score and low single-leg hop test, male gender, and age were significant factors associated with kinesiophobia. [Conclusion] Kinesiophobia was associated with a low anterior knee pain score and low single-leg hop test 6 months after anterior cruciate ligament reconstruction. Patients with a low single-leg hop test score or severe pain may need rehabilitation to reduce kinesiophobia.
[目的] 前交叉韧带重建术后的运动恐惧已被确认为恢复运动的阻碍因素。本研究旨在阐明在前交叉韧带重建术后6个月患者打算恢复运动时，运动恐惧与膝关节功能之间的关系。[参与者与方法] 本研究纳入了66例行初次前交叉韧带重建的患者（平均年龄17.3±2.6岁，男性17例，女性49例，Tegner活动评分≥7）。采用11项版坦帕运动恐惧量表评估术后6个月的运动恐惧情况。通过膝关节伸展肌力、胫骨前移、足跟至臀部距离、足跟高度差、膝关节前侧疼痛评分和单腿跳测试来评估膝关节功能。研究了坦帕运动恐惧量表、患者特征与膝关节功能之间的关系。[结果] 膝关节前侧疼痛评分低、单腿跳测试结果差、男性性别和年龄是与运动恐惧相关的显著因素。[结论] 前交叉韧带重建术后6个月，运动恐惧与膝关节前侧疼痛评分低和单腿跳测试结果差有关。单腿跳测试得分低或疼痛严重的患者可能需要康复治疗以减轻运动恐惧。
