{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T05:00:39Z","timestamp":1785128439119,"version":"3.55.0"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study aimed to examine the associations between anterior cruciate ligament reconstruction (ACL-R) status, activity level, kinesiophobia, and sports injury-related anxiety in professional athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional observational study included 115 athletes post-ACL-R and 153 age- and sex-matched healthy athletes. All participants completed the Tegner Activity Scale, Sports Injury Anxiety Scale, and Tampa Scale of Kinesiophobia\u2013Short Version.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Athletes in the ACL-R group demonstrated significantly lower activity levels compared with controls (6.50 \u00b1 2.63 vs. 8.12 \u00b1 2.30,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.001). No significant between-group differences were observed in sports injury-related anxiety (53.94 \u00b1 13.08 vs. 52.77 \u00b1 12.67,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.643) or kinesiophobia (18.13 \u00b1 3.01 vs. 18.05 \u00b1 2.82,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.990). Kinesiophobia and sports injury-related anxiety were significantly positively correlated in both the ACL-R group (\n                      <jats:italic>r<\/jats:italic>\n                      = 0.285,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.002) and the control group (\n                      <jats:italic>r<\/jats:italic>\n                      = 0.365,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.001). Tegner activity level was not significantly correlated with psychological variables in either group. In the ACL-R group, age, surgery year, and return-to-sport time were significant predictors of activity level, whereas sex, injury year, and psychological variables were not significant predictors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Professional athletes following ACL-R demonstrated lower activity levels than healthy controls, while kinesiophobia and sports injury-related anxiety were comparable between groups. Psychological variables were not independently associated with activity level after adjustment for demographic and injury-related factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1830247","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T04:26:13Z","timestamp":1785126373000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Activity level, kinesiophobia, and sports injury-related anxiety in professional athletes after anterior cruciate ligament reconstruction"],"prefix":"10.3389","volume":"17","author":[{"given":"Kadir","family":"Tiryaki","sequence":"first","affiliation":[{"name":"Department of Physical Education and Sports, Faculty of Sport Sciences, D\u00fczce University","place":["D\u00fczce, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miray","family":"Baser","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Institute of Health Sciences, \u0130zmir Democracy University","place":["\u0130zmir, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatih","family":"\u00d6zden","sequence":"additional","affiliation":[{"name":"Department of Health Care Services, K\u00f6yce\u011fiz Vocational School of Health Services, Mu\u011fla S\u0131tk\u0131 Ko\u00e7man University","place":["Mu\u011fla, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erkan","family":"Bing\u00f6l","sequence":"additional","affiliation":[{"name":"Department of Property Protection and Security, K\u00f6yce\u011fiz Vocational School, Mu\u011fla S\u0131tk\u0131 Ko\u00e7man University","place":["Mu\u011fla, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"\u00d6zkeskin","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ege University","place":["\u0130zmir, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duygu Yaral\u0131","family":"Bing\u00f6l","sequence":"additional","affiliation":[{"name":"Institute of Sports Sciences, Mu\u011fla S\u0131tk\u0131 Ko\u00e7man University","place":["Mu\u011fla, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atakan","family":"\u00c7a\u011flayan","sequence":"additional","affiliation":[{"name":"Department of Exercise and Sport Sciences, Faculty of Sport Sciences, \u0130stanbul Gedik University","place":["\u0130stanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130brahim \u00c7a\u011fr\u0131","family":"\u015eanl\u0131","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Faculty of Medicine, Mu\u011fla S\u0131tk\u0131 Ko\u00e7man University","place":["Mu\u011fla, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"\u0130merci","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Faculty of Medicine, Mu\u011fla S\u0131tk\u0131 Ko\u00e7man University","place":["Mu\u011fla, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z\u00fcbeyir","family":"Sar\u0131","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University","place":["\u0130stanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"102875","DOI":"10.1016\/j.jcot.2024.102875","article-title":"Complications in anterior cruciate ligament reconstruction Articular cartilage reconstruction: review of concepts, techniques, complications, risk factors, and Bail out\/salvage strategies.","volume":"61","author":"Acosta","year":"2025","journal-title":"J. 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