The relationship between injury-related fear and physical activity in people with a history of anterior cruciate ligament reconstruction

Amy R. Barchek, Dee Dlugonski, Shelby E. Baez, Matthew C. Hoch, Johanna Hoch

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: The objective of this study was to examine the relationship between fear-avoidance beliefs and physical activity (PA) in people with a history of anterior cruciate ligament reconstruction (ACLR). Design: Modified cross-sectional. Setting: Research laboratory Participants: A total of 19 participants with a history of unilateral ACLR. Main Outcome Measures: Participants completed the Fear-Avoidance Beliefs Questionnaire (FABQ), a valid and reliable measure of FAB measured across two subscales (FABQ-Sport and FABQ-Physical Activity (PA)). Higher scores indicated greater FAB. The participants were provided a wearable accelerometer to wear on the wrist for one-week to capture PA outcomes (vertical counts per minute and average steps/day). Results: Weak, non-statistically significant positive correlations were identified between average daily steps per day (11,237.7 ± 5667.7), FABQ-PA (6 ± 8; r = 0.12, p = .63) and FABQ-S (8 ± 15; r = 0.26, p = .35). Weak, non-statistically significant negative correlations were identified between vertical counts per minute (131.4 ± 141.4) and FABQ-PA (r = −0.13, p = .59) and no relationship was observed with FABQ-Sports (r = 0.00, p = .98). Conclusions: There were no significant relationships between FABs and PA. The ability for individuals to remain physically active, with measurable levels of FABs (greater than 0), may be due to other psychological variables that should be further examined.

Original languageEnglish
Pages (from-to)201-205
Number of pages5
JournalPhysical Therapy in Sport
Volume50
DOIs
StatePublished - Jul 2021

Bibliographical note

Funding Information:
This publication was supported by the National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health , through Grant UL1TR001998 . The content is soley the responsibility of the authors and does not necessarily represent the official views of the NIH.

Publisher Copyright:
© 2021 Elsevier Ltd

Keywords

  • Counts per minute
  • Fear of re-injury
  • Musculoskeletal injury

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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