Sex-differences in psychological readiness for return-to-sport following anterior cruciate ligament reconstruction

Females are at greatest risk for reinjury after return to sport (RTS) following anterior cruciate ligament (ACL) reconstruction (ACLR). The reasons for these sex differences, however, remain unclear. Psychological factors such as kinesiophobia have been identified as a potential predictor for reinju...

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Bibliographic Details
Published in:PloS one 2024-09, Vol.19 (9), p.e0307720
Main Authors: Robby, Turk, Hussein, Nadim, Welbeck, Arakua, Faherty, Mallory, Killelea, Carolyn, Diehl, Lee, Wittstein, Jocelyn, Riboh, Jonathan, Toth, Alison, Amendola, Ned, Sell, Timothy C
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anterior cruciate ligament
Anterior Cruciate Ligament Injuries - psychology
Anterior Cruciate Ligament Injuries - surgery
Anterior Cruciate Ligament Reconstruction - psychology
Biology and Life Sciences
Clearances
Female
Females
Gender differences
Humans
Hypotheses
Independent sample
Joint and ligament injuries
Ligaments
Male
Males
Medicine and Health Sciences
Orthopedic surgery
Pain
Patients
Phobic Disorders - etiology
Phobic Disorders - psychology
Population studies
Psychological factors
Questionnaires
Reinjuries - psychology
Return to Sport - psychology
Risk factors
Self report
Sex Characteristics
Sex differences
Sex Factors
Social Sciences
Statistical analysis
Visual observation
Young Adult
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Summary:Females are at greatest risk for reinjury after return to sport (RTS) following anterior cruciate ligament (ACL) reconstruction (ACLR). The reasons for these sex differences, however, remain unclear. Psychological factors such as kinesiophobia have been identified as a potential predictor for reinjury following RTS. Studies investigating kinesiophobia have identified sex differences, yet whether this holds in the ACLR population remains unknown. The purpose of this study was to examine whether there are sex differences in kinesiophobia and other psychological factors, such as readiness to RTS and self-reported pain in the ACLR population. A total of 20 participants, eleven males (23.0 ± 8.4 years, 178.9 ± 7.6 cm, 76.8 ± 10.4 kg) and 9 females (19.6 ± 5.3 years, 165.1 ± 4.0 cm, 73.2 ± 25.0 kg) voluntarily participated in this study. The Tampa Scale for Kinesiophobia (TSK-11), Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) scale, and self-reported pain using a visual analog scale (VAS) were administered after clearance for RTS (10.5 ± 2.3 months post-ACLR). Statistical significance was set a priori at p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0307720