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The aim of this study was to assess the available evidence on the effect of psychosocial interventions on kinesiophobia after ACLR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two independent researchers conducted a systematic search in the electronic databases including Scopus, PubMed, Web of Science (WOS), SPORTDiscus, PsycINFO, and CINAHL from their inception until May 2022. They included studies that utilised a randomised controlled study design with a control group, and measured kinesiophobia using the Tampa Scale for kinesiophobia in patients who underwent primary ACLR. The outcome of interest was the mean and standard deviation of kinesiophobia. Extracted data were analysed using Comprehensive Meta\u2010Analysis software, version 3.0 (CMA.V2), employing a random\u2010effects model to calculate the overall effect estimates of psychosocial interventions on Kinesiophobia. The standardised mean difference with 95% confidence intervals (CIs) was computed based on the mean and standard deviation in each group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This systematic review and meta\u2010analysis included 5 randomised controlled trials with a total of 213 patients who underwent ACLR. The results of the meta\u2010analysis showed that psychosocial intervention was more effective than non\u2010psychosocial comparators in reducing kinesiophobia among patients who underwent a primary ACLR (5 trials, MD 0.56, 95% CI 0.28\u20130.83,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The heterogeneity score was zero (\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%; n.s. for Cochran\u2019s\n                      <jats:italic>Q<\/jats:italic>\n                      test), indicating no significant variation among the studies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Psychosocial interventions can alleviate kinesiophobia in patients with primary ACLR. Although the limited number of reviewed studies and their methodological limitations precludes drawing a definitive conclusion regarding the effectiveness of psychosocial interventions on kinesiophobia, these promising findings can serve as a basis for developing psychological strategies to manage kinesiophobia in patients with primary ACLR and can also guide future research this issue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>II.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>This trial is registered in PROSPERO on December 2021 (CRD42021282413).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-023-07630-6","type":"journal-article","created":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T15:03:51Z","timestamp":1700147031000},"page":"5848-5855","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Psychosocial interventions seem redact kinesiophobia after anterior cruciate ligament reconstruction but higher level of evidence is needed: a systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4765-8953","authenticated-orcid":false,"given":"Aynollah","family":"Naderi","sequence":"first","affiliation":[{"name":"Corrective Exercise and Sport Rehabilitation Lab School of Sport Science Shahrood University of Technology Shahrood Semnan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0758-5841","authenticated-orcid":false,"given":"Mohammad","family":"Fallah Mohammadi","sequence":"additional","affiliation":[{"name":"Department of Sports Sciences Faculty of Humanities Higher Education Institute of Shafagh Tonekabon Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7345-0796","authenticated-orcid":false,"given":"Azizallah","family":"Dehghan","sequence":"additional","affiliation":[{"name":"Noncommunicable Diseases Research Center Fasa University of Medical Sciences Fasa Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9093-7897","authenticated-orcid":false,"given":"Julien S.","family":"Baker","sequence":"additional","affiliation":[{"name":"Research Centre for Population Health and Medical Informatics Department of Sport and Physical Education Hong Kong Baptist University Kowloon Tong Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.4085\/1062\u20106050\u201082\u201019"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/BCO.0000000000000371"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102013\u2010093398"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.5606\/ehc.2020.57892"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2021.09.009"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005696\u20109"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010021\u201006765\u20108"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/1612197X.2021.1934712"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1941738119869333"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119536604"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105048\u20106"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215517728562"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634\u2010022\u201000461\u20103"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102020\u2010103555"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2022.09.006"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120964471"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/00913847.2020.1744486"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010021\u201006582\u2010z"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102022\u2010106158"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzab272"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102017\u2010098883"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13159"},{"key":"e_1_2_7_24_1","unstructured":"MirB VivekananthaP DhillonS CotnareanuO CohenD NagaiKet al. 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