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World J Psychiatry. Jul 19, 2026; 16(7): 117282
Published online Jul 19, 2026. doi: 10.5498/wjp.117282
Published online Jul 19, 2026. doi: 10.5498/wjp.117282
Impact of preoperative kinesiophobia on early rehabilitation compliance and functional recovery after arthroscopic meniscal repair
Ming-Xing Cui, Yi-Jun Lian, Yong-Kang Zhu, Hai-Jian Zhao, Xing-Guo Nie, Ju Liu, Department of Orthopedic Surgery, The First Affiliated Hospital of Henan Medical University, Xinxiang 453100, Henan Province, China
Author contributions: Cui MX and Lian YJ designed the study and drafted the manuscript; Zhu YK and Zhao HJ performed data collection and statistical analysis; Nie XG conducted kinesiophobia assessments and rehabilitation follow-ups; Liu J supervised the study and critically revised the manuscript. All authors approved the final version and are accountable for the integrity of the work.
AI contribution statement: We confirm that in the preparation of this manuscript, we used AI-assisted tools solely for language polishing and reference formatting. No AI tool was used for data analysis, result interpretation, or generation of core scientific conclusions. All authors have reviewed and take full responsibility for the content of the manuscript.
Institutional review board statement: This retrospective study was approved by the Ethics Committee of the First Affiliated Hospital of Henan Medical University (Approval No. EC-2025-717).
Informed consent statement: This study was retrospective in nature. The requirement for written informed consent was waived by the Ethics Committee of The First Affiliated Hospital of Henan Medical University because anonymized clinical data were used.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The datasets generated and analyzed during the current study are available from the corresponding author upon reasonable request.
Corresponding author: Ming-Xing Cui, Department of Orthopedic Surgery, The First Affiliated Hospital of Henan Medical University, No. 88 Health Road, Weihui City, Xinxiang 453100, Henan Province, China. cuimingxing1226@163.com
Received: December 26, 2025
Revised: January 25, 2026
Accepted: March 6, 2026
Published online: July 19, 2026
Processing time: 184 Days and 5.3 Hours
Revised: January 25, 2026
Accepted: March 6, 2026
Published online: July 19, 2026
Processing time: 184 Days and 5.3 Hours
Core Tip
Core Tip: Preoperative kinesiophobia significantly impairs early rehabilitation adherence and delays functional recovery after arthroscopic meniscal repair. Higher Tampa Scale for Kinesiophobia scores predict poorer Modified Exercise Adherence Rating Scale performance, slower improvement in Lysholm scores, limited knee range of motion, and higher postoperative pain levels. Kinesiophobia is also an independent risk factor for postoperative complications. Routine preoperative screening and early psychological intervention may effectively improve adherence and enhance postoperative outcomes.