Abstract
Background and Aims Anterior cruciate ligament (ACL) injury is one of the injuries that can permanently end the professional courier of an athlete. Almost half of athletes cannot return to their competitive levels before injury, even after successful rehabilitation. For this reason, there is another factor besides physical factors in not returning to sports practice, which in most studies is attributed to psychological factors. Fear of re-injury and fear of movement (kinesiophobia) are factors that prevent athletes from returning to sports activities after the reconstruction of the ACL. Many studies have examined the psychological factors after reconstruction and injury of the ACL. However, no study has so far examined and concluded about kinesiophobia after ACL reconstruction. Methods In this study, we searched published studies from 2000 to 2020 examining the effect of kinesiophobia on return to sport after anterior cruciate ligament reconstruction. In this study, we searched the relevant articles considering specialized English and Persian keywords, including «fear of movement,» «fear of re-injury,» «kinesiophobia,» «psychological factors of exercise,» «return to sport,» and «anterior cruciate ligament reconstruction» in academic Persian and English databases: Google Scholar, TRIP, PEDro, PubMed, Irandoc, SID, and Magiran. Results After the search, 162 articles were initially found. After reviewing the abstracts, 57 articles were remained. Then, based on inclusion and exclusion criteria, 26 articles were finally selected for inclusion in this study. Conclusion According to research findings, fear of movement and fear of re-injury in athletes after ACL reconstruction can delay their return to sports activities. This setback can reduce the quality of life and participation in sports and recreational games and causes depression and stress. Different rehabilitation approaches are highly effective in gaining various results after the reconstruction of ACL. Because physical and psychological improvement do not advance in parallel, it seems necessary to establish a new approach in sports rehabilitation after ACL reconstruction.
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