Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, AL Majmaah, Saudi Arabia.
Samtah General Hospital-Medical Rehabilitation Center, Ministry of health, Jazan, Saudi Arabia.
Medicine (Baltimore). 2023 Nov 3;102(44):e35645. doi: 10.1097/MD.0000000000035645.
The fear of re-injury may persist after anterior cruciate ligament (ACL) reconstruction (ACLR) in professional soccer players (PSPs) even after a successful return to sport (RTS). This study aimed to determine the extent of this fear of re-injury and the impact of demographic variables and this fear of re-injury on the lower extremity functional scale (LEFS) scores in PSPs who had completed a successful RTS following ACLR. A cross-sectional survey design was used. Sixty-seven PSPs who had successfully RTS after ACLR, completed a demographic information sheet, the Athlete Fear-Avoidance Questionnaire (AFAQ), and the LEFS. The average AFAQ scores indicated low fear (M = 10.2, SD = 6.7), while high LEFS scores were observed (M = 67.1, SD = 12.4). There were significant strong negative correlations between LEFS and body mass index (BMI; rs [65] = -0.501, P = .001) and AFAQ and BMI (rs [65] = -0.378, P = .001). A hierarchical linear regression analysis found AFAQ to be a significant predictor of LEFS (b = -0.92, s.e. = 0.19, P = .001), with a total variance (adjusted R2) of 32.9%. PSPs' fear of re-injury post-ACLR significantly reduced their perceived levels of lower limb functionality. This study highlights the need to further explore and develop strategies to manage PSP fear of re-injury to improve sports-related performance post-ACLR.
前交叉韧带（ACL）重建（ACLR）后，职业足球运动员（PSP）可能会持续担心再次受伤，即使已经成功重返运动（RTS）。本研究旨在确定 ACLR 后成功 RTS 的 PSP 中这种再受伤恐惧的程度，以及人口统计学变量和这种再受伤恐惧对下肢功能量表（LEFS）评分的影响。采用横断面调查设计。67 名 PSP 在 ACLR 后成功 RTS，完成了人口统计学信息表、运动员恐惧回避问卷（AFAQ）和 LEFS。平均 AFAQ 评分表明恐惧程度较低（M=10.2，SD=6.7），而 LEFS 评分较高（M=67.1，SD=12.4）。LEFS 与体重指数（BMI；rs[65]=-0.501，P=.001）和 AFAQ 与 BMI（rs[65]=-0.378，P=.001）之间存在显著的强负相关。分层线性回归分析发现 AFAQ 是 LEFS 的显著预测因子（b=-0.92，s.e.=0.19，P=.001），总方差（调整后的 R2）为 32.9%。PSP 在前交叉韧带重建后对再受伤的恐惧显著降低了他们对下肢功能的感知水平。本研究强调需要进一步探索和制定策略来管理 PSP 对再受伤的恐惧，以提高 ACLR 后的运动相关表现。
