Psychological and Physical Readiness Profiles for Return to Sport in Patients After Anterior Cruciate Ligament Reconstruction: An Analysis of 822 Patients.
Background: Psychological factors influence return to sport (RTS) and reinjury rates following anterior cruciate ligament (ACL) reconstruction (ACLR). However, many RTS decisions are made without considering psychological factors, or consider psychological and physical factors in isolation, leading...
| Publicado en: | Orthopaedic Journal of Sports Medicine Vol. 14; no. 6; pp. 1 - 13 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194993588&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194993588 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23259671 FUGT jtl: Orthopaedic Journal of Sports Medicine issn: 23259671 maglogo: Y pubinfo: dt: Jun2026 vid: 14 iid: 6 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 194993588 194993588 194993588 10.1177/23259671261436441 194993588 ppf: 1 ppct: 12 formats: tig: atl: Psychological and Physical Readiness Profiles for Return to Sport in Patients After Anterior Cruciate Ligament Reconstruction: An Analysis of 822 Patients. aug: au: Marmura, Hana Spang, Jeffrey Baez, Shelby E. Roman, Dylan P. Ulman, Sophia Butler, Lauren Walker, Cody Douthit, Taylor Kuenze, Christopher M. Prati, Victor V. Sachleben, Brant Phan, Lucy LaPlante, Stephen Pace, Lee Cage, Dhalston Roaten, John Abt, John Loveland, Dustin Greenberg, Elliot Link, Meredith affil: Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, North Carolina, USA sug: subj: Psychology, Sports Sports Re-Entry Psychosocial Factors Patient Attitudes Evaluation Anterior Cruciate Ligament Reconstruction Muscle Strength Evaluation Task Performance and Analysis Evaluation Human Cross Sectional Studies Multicenter Studies Hopping Evaluation Quadriceps Muscles Physiology Adolescence Adult Descriptive Statistics Pearson's Correlation Coefficient One-Way Analysis of Variance Post Hoc Analysis Chi Square Test Questionnaires Age Factors Sex Factors Male Female Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Background: Psychological factors influence return to sport (RTS) and reinjury rates following anterior cruciate ligament (ACL) reconstruction (ACLR). However, many RTS decisions are made without considering psychological factors, or consider psychological and physical factors in isolation, leading to suboptimal RTS and reinjury rates. Purpose: To identify distinct profiles of psychological and physical readiness to RTS following ACLR using strength- and performance-based measures of physical readiness and to examine the extent to which these readiness domains align. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Data from the ACL Reconstruction Rehabilitation Outcomes Workgroup (ARROW) registry were used to construct patient profiles of psychological and physical readiness to RTS based on established criteria. Psychological readiness was defined by an ACL Return to Sport after Injury Scale (ACL-RSI) score ≥65 points out of 100. Strength-based and performance-based physical readiness was defined by a limb symmetry index ≥90% in isokinetic quadriceps strength and single-limb hop testing, respectively. Frequencies of all profiles were reported, alignment between psychological and physical domains was assessed, and sensitivity analyses were conducted to investigate differences in age, sex, and time since surgery. Results: A total of 822 patients were included in the analysis (age: mean ± SD, 18.8 ± 6.2 years; 51% female). The most common profile represented patients who met psychological (ACL-RSI) and performance-based physical readiness criteria (single-leg hop) but not strength-based physical readiness criteria (quadriceps strength) (32%; 261/822). When considering ACL-RSI, single-leg hop, and quadriceps criteria together, psychological and physical readiness did not align for 69% (571/822) of patients. Patients in the "neither psychologically nor physically ready" profile were older than patients in any other profiles. Male patients obtained psychological and physical readiness scores that aligned more often than female patients. Conclusion: There were a variety of distinct profiles of psychological and physical readiness in patients post-ACLR. Psychological, strength-based, and performance-based physical readiness to RTS criteria aligned for less than one-third of participants. Patients who did not meet psychological or physical readiness criteria tended to be older in age, and male patients were more likely to have alignment between their psychological and physical readiness domains. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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