Volume 20 Issue 12
Dec.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(12): 2147-2150
CHEN Yan-yan, LYU Chang, LIU Xiao-li, CHEN Zhen-zhen, TAO Ai-ping. Analysis of risk factors affecting fear of exercise after anterior cruciate ligament reconstruction and related intervention measures[J]. Chinese Journal of General Practice, 2022, 20(12): 2147-2150. doi: 10.16766/j.cnki.issn.1674-4152.002790
Citation: CHEN Yan-yan, LYU Chang, LIU Xiao-li, CHEN Zhen-zhen, TAO Ai-ping. Analysis of risk factors affecting fear of exercise after anterior cruciate ligament reconstruction and related intervention measures[J]. Chinese Journal of General Practice, 2022, 20(12): 2147-2150. doi: 10.16766/j.cnki.issn.1674-4152.002790
shu

Analysis of risk factors affecting fear of exercise after anterior cruciate ligament reconstruction and related intervention measures

doi: 10.16766/j.cnki.issn.1674-4152.002790

  • Department of Orthopedics, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

  • Received Date: 2022-01-21
    Available Online: 2023-02-07
    Abstract
  •   Objective  To explore the risk factors of exercise fear after anterior cruciate ligament reconstruction and analyse related intervention measures.  Methods  A total of 216 cases of patients who underwent anterior cruciate ligament reconstruction at the Second Affiliated Hospital of Wenzhou Medical University from May 2019 to October 2021 were selected as subjects of the study. The patients were investigated with tampa scale for kinesiophobia (TSK), general self-efficacy scale (GSES) and numeric rating scale (NRS). Multivariate logistic regression analysis was used to analyse the risk factors of exercise fear in patients after anterior cruciate ligament reconstruction.  Results  Among the 216 patients who underwent reconstruction of anterior cruciate ligament injury, 72 developed fear of movement (33.33%). The TSK score of the non-kinaesthetic group was lower than that of the kinaesthetic group [(24.32±3.18) points vs.(45.27±4.51) points, t=39.495, P < 0.001]. The results of multivariate analysis showed that junior high school education and below, unemployed, family monthly income < 3 000 yuan, number of injuries ≥ 3 times, weakened muscle strength of injured knee and thigh, insomnia, GSES score < 25 points and moderate/severe postoperative pain were risk factors for the fear of exercise after anterior cruciate ligament reconstruction (all P < 0.05).  Conclusion  Patients who underwent anterior cruciate ligament reconstruction are affected by various factors, such as educational level and weakened muscle strength of the injured knee and thigh and pain, and are prone to exercise fear. Targeted intervention measures should be implemented to eliminate the patients ' fear of exercise, improve their exercise enthusiasm and accelerate their exercise and recovery process.

     

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