{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T14:28:03Z","timestamp":1781188083089,"version":"3.54.1"},"reference-count":24,"publisher":"Human Kinetics","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Clinical Scenario<\/jats:bold>:<\/jats:italic> Anterior cruciate ligament (ACL) injuries remain one of the most common and debilitating injuries that physically active individuals experience. Pain-related fear of movement and\/or reinjury, or <jats:italic>kinesiophobia<\/jats:italic>, is the most frequently cited reason for not returning to sport after ACL reconstruction. Understanding how kinesiophobia may impact recovery of physical performance is essential to guide targeted rehabilitation. <jats:italic><jats:bold>Clinical Question<\/jats:bold>:<\/jats:italic> Does kinesiophobia associate with physical performance in patients with a history of ACL reconstruction? <jats:italic><jats:bold>Summary of Key Findings<\/jats:bold>:<\/jats:italic> Five cross-sectional studies investigating bivariate relationships between kinesiophobia and metrics of physical performance among individuals with a history of primary, unilateral ACL reconstruction were included. From a strength perspective, greater kinesiophobia associated with lesser isometric knee flexion torque (n\u2009=\u20091, negligible association) but did not associate with isokinetic or isometric knee extension torque (n\u2009=\u20092). In terms of functional movement, greater kinesiophobia associated with asymmetric single-leg step-down performance (n\u2009=\u20091, high association) and shorter single-leg hop distance (n\u2009=\u20091, negligible association). Biomechanically, greater kinesiophobia associated with worse drop jump landing, characterized by greater frontal plane motion and lesser sagittal plane motion at the hip and knee joints (n\u2009=\u20091, low to high association). <jats:italic><jats:bold>Clinical Bottom Line<\/jats:bold>:<\/jats:italic> Very low-quality evidence suggests a muscle-specific association between kinesiophobia and strength. Low- to moderate-quality evidence suggests that greater kinesiophobia associates with worse functional movement and landing biomechanics. <jats:italic><jats:bold>Strength of Recommendation<\/jats:bold>:<\/jats:italic> Considering the consistency and level of evidence among the included studies, we offer the following grades for each construct of physical performance evaluated: strength, D; functional movement, B; and biomechanics, B.<\/jats:p>","DOI":"10.1123\/jsr.2024-0371","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T13:45:00Z","timestamp":1745415900000},"page":"773-779","source":"Crossref","is-referenced-by-count":2,"title":["Kinesiophobia Associates With Physical Performance in Patients With ACL Reconstruction: A Critically Appraised Topic"],"prefix":"10.1123","volume":"34","author":[{"given":"Shlok","family":"Bandodkar","sequence":"first","affiliation":[{"name":"Department of Health Sciences, College of Health Professions and Sciences, University of Central Florida, Orlando, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9783-9694","authenticated-orcid":true,"given":"Moein","family":"Koohestani","sequence":"additional","affiliation":[{"name":"Cognition, Neuroplasticity, & Sarcopenia (CNS) Lab, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8852-685X","authenticated-orcid":true,"given":"Ava","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Cognition, Neuroplasticity, & Sarcopenia (CNS) Lab, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2254-8774","authenticated-orcid":true,"given":"Meredith","family":"Chaput","sequence":"additional","affiliation":[{"name":"Cognition, Neuroplasticity, & Sarcopenia (CNS) Lab, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8052-3642","authenticated-orcid":true,"given":"Grant","family":"Norte","sequence":"additional","affiliation":[{"name":"Cognition, Neuroplasticity, & Sarcopenia (CNS) Lab, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"1","key":"r1","series-title":"Clin Sports Med","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2016.08.001","article-title":"Epidemiology and diagnosis of anterior cruciate ligament injuries","volume":"36","author":"Kaeding CC","year":"2017","unstructured":"Kaeding CC, L\u00e9ger-St-Jean B, Magnussen RA. 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