Objective: Considering the psychosocial factors of performance, the injury history will affect the physical performance parameters. Kinesiophobia is one of these factors. Although injuries are effective with motivation factors in athletes, the focus of research is on physical factors. Accordingly the main objective of the study was to investigate the presence of kinesiophobia in elite athletes with and without a history of lower limb injury. The secondary aim was to determine the relationship between physical performance and, kinesiophobia in elite athletes. Material and Methods: The presence of a history of lower extremity injury was questioned in athletes and the time was recorded. The fear of movement was evaluated using the Tampa Scale of Kinesiophobia (TSK-17). Performance evaluations of athletes were carried out under the titles of flexibility, balance, anaerobic and aerobic tests. Obtained data were analyzed by appropriate statistical methods. Results: Kinesiophobia level was different between athletes with and without a history of lower limb injuries (95%CI: 35.06 [33.41 to 36.71], p: 0.016). The athletes with lower limb injury history have higher kinesiophobia than athletes without lower limb injury history (p<0.05). There was a correlation between the kinesiophobia and, the history of lower limb injury of the athletes (r:0.350, p:0.015). No correlation was found in any subtitle of the physical performance tests and the history of lower limb injury (p>0.05). Conclusion: According to our study results the athletes with lower limb injury history have higher kinesiophobia than athletes without lower limb injury history. Kinesiophobia was related with lower limb injury history and not related with physical performance.
Keywords: Lower limb; kinesiophobia; athletic performance; injury
Amaç: Performansın psikososyal faktörleri göz önüne alındığında, yaralanma geçmişinin fiziksel performans parametrelerini etkilemesi muhtemeldir. Kinezyofobi de bu faktörlerden birisidir. Yaralanmalar atletlerde motivasyon faktörü ile etkili olsa da, araştırmaların odak noktası fiziksel etmenlerdir. Bu doğrultuda çalışmanın birincil amacı, alt ekstremite yaralanması öyküsü olan ve olmayan elit atletler arasındaki kinezyofobi varlığını araştırmaktı. İkincil amaç ise elit atletlerde fiziksel performans ile kinezyofobi arasındaki ilişkiyi belirlemekti. Gereç ve Yöntemler: Atletlerde alt ekstremite yaralanma öyküsü varlığı sorgulandı ve zamanı kaydedildi. Hareket etme korkusu, Tampa Kinezyofobi Ölçeği (TSK-17) ile değerlendirildi. Atletlerin performans değerlendirmeleri esneklik, denge, anaerobik ve aerobik testler başlığı altında yapıldı. Elde edilen veriler uygun istatistiksel yöntemlerle analiz edildi. Bulgular: Kinezyofobi düzeyi, alt ekstremite yaralanması öyküsü olan ve olmayan atletler arasında farklıydı (%95 CI: 35.06 [33.41-36.71], p: 0.016). Ekstremite yaralanma geçmişi olan atletler, yaralanma geçmişi olmayan atletlerden daha yüksek kinezyofobiye sahipti (p<0.05). Kinezyofobi ile atletlerin alt ekstremite yaralanma öyküsü arasında anlamlı bir ilişki vardı (r: 0.350, p: 0.015). Fiziksel performans testlerinin alt başlıkları ile alt ekstremite yaralanma öyküsü arasında anlamlı bir ilişki bulunmadı (p>0.05). Sonuç: Çalışma sonuçlarımıza göre alt ekstremitede yaralanma öyküsü olan elit atletlerde, kinezyofobi olmayanlara göre daha yüksekti. Kinezyofobi alt ekstremite yaralanma öyküsü ile ilişkili iken, fiziksel performansla kinezyofobi arasında ilişki gözlenmedi.
Anahtar Kelimeler: Alt ekstremite; kinezyofobi; sporcu performansı; yaralanma
- Emery CA, Meeuwisse WH, McAllister JR. Survey of sport participation and sport injury in Calgary and area high schools. Clin J Sport Med. 2006;16(1):20-6. [Crossref] [PubMed]
- Yang J, Tibbetts AS, Covassin T, Cheng G, Nayar S, Heiden E. Epidemiology of overuse and acute injuries among competitive collegiate athletes. J Athl Train. 2012;47(2):198-204. [Crossref] [PubMed] [PMC]
- Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311-9.
- Gabbett TJ. The training-injury prevention paradox: should athletes be training smarter and harder? Br J Sports Med. 2016;50(5):273-80. [Crossref] [PubMed] [PMC]
- Lentz TA, Zeppieri G Jr, George SZ, Tillman SM, Moser MW, Farmer KW, et al. Comparison of physical impairment, functional, and psychosocial measures based on fear of reinjury/lack of confidence and return-to-sport status after ACL reconstruction. Am J Sports Med. 2015;43(2):345-53. [Crossref] [PubMed]
- Feigenbaum LA, Baraga M, Kaplan LD, Roach KE, Calpino KM, Dorsey K, et al. Return to sport following surgery for a complicated tibia and fibula fracture in a collegiate women's soccer player with a low level of kinesiophobia. Int J Sports Phys Ther. 2015;10(1):95-103.
- Bayraktar B, Kurtoğlu M. [Performance in sports, effective factors, evaluation and enhancement]. Klinik Gelişim. 2009;22(1):16-24.
- McArdle WD, Katch FI, Katch VL. Exercise Physiology: Nutrition, Energy, and Human Performance. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2010. p.134-66.
- Hegedus EJ, McDonough S, Bleakley C, Baxter GD, DePew JT, Bradbury I, et al. Physical performance tests predict injury in National Collegiate Athletic Association athletes: a three-season prospective cohort study. Br J Sports Med. 2016;50(21):1333-7. [Crossref] [PubMed]
- Bränström H, Fahlström M. Kinesiophobia in patients with chronic musculoskeletal pain: differences between men and women. J Rehabil Med. 2008;40(5):375-80. [Crossref] [PubMed]
- Hasenbring MI, Verbunt JA. Fear-avoidance and endurance-related responses to pain: new models of behavior and their consequences for clinical practice. Clin J Pain. 2010;26(9):747-53. [Crossref] [PubMed]
- Swann C, Moran A, Piggott D. Defining elite athletes: issues in the study of expert performance in sport psychology. Psychol Sport Exerc. 2015;16:3-14. [Crossref]
- Kyle UG, Bosaeus I, De Lorenzo AD, Deurenberg P, Elia M, Gómez JM, et al. Bioelectrical impedance analysis--part I: review of principles and methods. Clin Nutr. 2004;23(5):1226-43.
- Yilmaz ÖT, Yakut Y, Uygur F, Uluğ N. [Turkish version of the Tampa Scale for Kinesiophobia and its test-retest reliability]. Fizyoterapi Rehabilitasyon. 2011;22(1):44-9.
- Vlaeyen JW, Kole-Snijders AM, Rotteveel AM, Ruesink R, Heuts PH. The role of fear of movement/(re) injury in pain disability. J Occup Rehabil. 1995;5(4):235-52. [Crossref] [PubMed]
- Mayorga-Vega D, Merino-Marban R, Viciana J. Criterion-related validity of sit-and-reach tests for estimating hamstring and lumbar extensibility: a meta-analysis. J Sports Sci Med. 2014;13(1):1-14. [Crossref]
- Hrysomallis C. Relationship between balance ability, training and sports injury risk. Sports Med. 2007;37(6):547-56. [Crossref] [PubMed]
- Vaara JP, Kyröläinen H, Niemi J, Ohrankämmen O, Häkkinen A, Kocay S, et al. Associations of maximal strength and muscular endurance test scores with cardiorespiratory fitness and body composition. J Strength Cond Res. 2012;26(8):2078-86. [Crossref] [PubMed]
- Patterson DD, Peterson DF. Vertical jump and leg power norms for young adults. Meas Phys Educ Exerc Sci. 2004;8(1):33-41. [Crossref]
- Alricsson M, Harms-Ringdahl K, Werner S. Reliability of sports related functional tests with emphasis on speed and agility in young athletes. Scand J Med Sci Sports. 2001;11(4):229-32. [Crossref] [PubMed]
- Comfort P, Bullock N, Pearson SJ. A comparison of maximal squat strength and 5-, 10-, and 20-meter sprint times, in athletes and recreationally trained men. J Strength Cond Res. 2012;26(4):937-40. [Crossref] [PubMed]
- Saritaş N, Uyanik F, Hamurcu Z. Effects of acute twelve minute run test on oxidative stress and antioxidant enzyme activities. Afr J Pharm Pharmacol. 2011;5(9):1218-22. [Crossref]
- Noehren B, Kline P, Ireland ML, Johnson DL. Kinesiophobia is strongly associated with altered loading after an ACL reconstruction: implications for re-injury risk. Orthop J Sports Med. 2017;5(7 Suppl 6):2325967117S00323. [Crossref] [PMC]
- Tichonova A, Rimdeikienė I, Petru?evičienė D, Lendraitienė E. The relationship between pain catastrophizing, kinesiophobia and subjective knee function during rehabilitation following anterior cruciate ligament reconstruction and meniscectomy: a pilot study. Medicina (Kaunas). 2016;52(4):229-37. [Crossref] [PubMed]
- Luque-Suarez A, Martinez-Calderon J, Falla D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. Br J Sports Med. 2019;53(9):554-9. [Crossref] [PubMed]
- Ardern CL, Taylor NF, Feller JA, Webster KE. A systematic review of the psychological factors associated with returning to sport following injury. Br J Sports Med. 2013;47(17): 1120-6. [Crossref] [PubMed]
- Hsu CJ, Meierbachtol A, George SZ, Chmielewski TL. Fear of reinjury in athletes. Sports Health. 2017;9(2):162-7. [Crossref] [PubMed] [PMC]
- Tripp DA, Stanish W, Ebel Lam A, Brewer BW, Birchard J. Fear of reinjury, negative affect, and catastrophizing predicting return to sport in recreational athletes with anterior cruciate ligament injuries at 1 year postsurgery. Rehabilitation Psychology. 2007;52(1):74. [Crossref]
- Ko KJ, Ha GC, Kim DW, Kang SJ. Effects of lower extremity injuries on aerobic exercise capacity, anaerobic power, and knee isokinetic muscular function in high school soccer players. J Phys Ther Sci. 2017;29(10):1715-9. [Crossref] [PubMed] [PMC]
- de la Motte SJ, Lisman P, Gribbin TC, Murphy K, Deuster P. A systematic review of the association between physical fitness and musculoskeletal injury risk: part 3-flexibility, power, speed, balance, and agility. J Strength Cond Res. 2019;33(6):1723-35. [Crossref] [PubMed]
- Hennessey L, Watson AW. Flexibility and posture assessment in relation to hamstring injury. Br J Sports Med. 1993;27(4):243-6. [Crossref] [PubMed] [PMC]
- Ezzat AM, Schneeberg A, Koehoorn M, Emery CA. Association between body composition and sport injury in Canadian adolescents. Physiother Can. 2016;68(3):275-81. [Crossref] [PubMed] [PMC]
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