{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T16:41:47Z","timestamp":1791996107233,"version":"4.4.0"},"reference-count":28,"publisher":"National Athletic Trainers' Association","issue":"11-12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,1]]},"abstract":"\n Context<\/jats:title>\n Poor psychological responses after anterior cruciate ligament reconstruction (ACLR) have been associated with a failure to return to sport and increased secondary injury risk. However, we do not know whether poor psychological responses after ACLR influence patient-reported knee function and knee symptoms.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To examine the association between psychological factors (ie, psychological readiness and injury-related fear) and the presence of persistent knee symptoms in individuals 6 to 12 months after ACLR.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross-sectional study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Research laboratory.<\/jats:p>\n <\/jats:sec>\n \n Patients or Other Participants<\/jats:title>\n In total, 101 participants, aged 13 to 25 years old, between 6 and 12 months after primary unilateral ACLR were enrolled in the study.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measure(s)<\/jats:title>\n Persistent knee symptoms were identified using an established criterion based on the subscales of the Knee injury and Osteoarthritis Outcome Score. Participants also completed the Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) and the Tampa Scale of Kinesiophobia-11 (TSK-11) to assess psychological readiness and injury-related fear, respectively. Higher ACL-RSI scores indicate higher psychological readiness, and higher TSK-11 scores indicate higher injury-related fear.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Twenty-nine participants (29%) met the criteria for persistent knee symptoms. For every 1 SD lower in the ACL-RSI score, participants had 2.1 times greater odds of persistent knee symptoms after ACLR (95% CI = 1.3, 3.6). For every 1 SD higher in the TSK-11 score, participants had 1.9 times greater odds of persistent knee symptoms after ACLR (95% CI = 1.1, 3.3). Both the ACL-RSI and TSK-11 were considered good at classifying persistent knee symptoms, as the areas under the curve were 0.78 and 0.73, respectively.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Individuals with a lower level of psychological readiness and more injury-related fear after ACLR had greater odds of persistent knee symptoms. Overall, these results highlight the potential clinical benefit of a comprehensive, biopsychosocial approach to managing health and wellness for individuals after ACLR.<\/jats:p>\n <\/jats:sec>","DOI":"10.4085\/1062-6050-0229.22","type":"journal-article","created":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T23:17:06Z","timestamp":1685402226000},"page":"998-1003","source":"Crossref","is-referenced-by-count":18,"title":["Psychological Readiness, Injury-Related Fear, and Persistent Knee Symptoms After Anterior Cruciate Ligament Reconstruction"],"prefix":"10.4085","volume":"58","author":[{"given":"Shelby","family":"Baez","sequence":"first","affiliation":[{"name":"*Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Harkey","sequence":"additional","affiliation":[{"name":"\u2020Department of Kinesiology, Michigan State University, East Lansing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Birchmeier","sequence":"additional","affiliation":[{"name":"*Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Triplett","sequence":"additional","affiliation":[{"name":"\u2020Department of Kinesiology, Michigan State University, East Lansing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Collins","sequence":"additional","affiliation":[{"name":"\u2020Department of Kinesiology, Michigan State University, East Lansing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Kuenze","sequence":"additional","affiliation":[{"name":"\u2021Department of Kinesiology, University of Virginia, Charlottesville; 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