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The effect of factors from different time points on psychological readiness following ACL reconstruction
Abstract
Objective The purpose of this study was to examine factors correlated with psychological readiness to return to activity after ACLR. Design cross sectional study. Setting controlled laboratory. Participants 164 patients (82 M/82 F, 22.5 ± 8.9yr, 171.6 ± 11.0 cm, 77.4 ± 18.6 kg, 8.6 ± 3.4 months post-ACLR) participated in this study after a primary, isolated, and uncomplicated ACLR. Main outcome measures ACL Return to Sport Index (ACL-RSI). Results ACL-RSI scores demonstrated a weak positive correlation with activity level at the time of injury and a fair positive correlation with activity level at the time of post-operative testing (p-values: 0.004, Conclusions Outcomes from testing during postoperative rehabilitation were most correlated with psychological readiness to return to activity after ACLR. Increased pain and kinesiophobia were associated with a decreased psychological readiness. Increased activity level prior to injury and activity level at the time of testing during rehabilitation were both correlated with increased psychological readiness. Psychological readiness to return to activity may need to be customized based on potentially modifiable patient-specific factors during the post-operative rehabilitation.
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“These psychosocial aspects are still underused in return-to-sport decisions3,20–24 despite evidence of their effect.2,25–35”
From Determinants of Psychological Readiness to Return to Sport After Anterior Cruciate Ligament Reconstruction (2026) · cites this paper as [2]
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Cites
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Cited by
Sorted by citations
Murphy, T., Lyons, L., Mertz-Bynum, N., Lugin, A., Harkey, M. S., Kuenze, C., Baez, S., Myer, G. D., Diekfuss, J., & Petushek, E. (2026) · Journal of Athletic Training · doi:10.4085/1062-6050-0696.25
Metadata
- Authors
- Hopper, H. M., Bruce Leicht, A. S., Thompson, X. D., Gwathmey, F. W., Miller, M. D., Werner, B. C., Brockmeier, S. F., Diduch, D. R., & Hart, J. M.
- Affiliations
- University of Virginia (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Hopper, Haleigh M.
- ORCID
- Venue
- Physical Therapy in Sport
- Publisher
- Elsevier BV
- Published
- 2024-05
- Volume
- 67
- Pages
- 161-166
- ISSN
- 1466-853X (ISSN-L)
- OpenAlex
- W4398242580
- Cited by
- 5
- References
- 2
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1
- FWCI
- 1.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Physical Therapy in Sport (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
- Keywords
- anterior cruciate ligament reconstruction, psychological readiness, return to sport, ACL-RSI, kinesiophobia, postoperative pain, postoperative rehabilitation, patient factors
- MeSH terms
- Return to Sport, Anterior Cruciate Ligament Injuries, Adolescent, Adult, Cross-Sectional Studies, Female, Humans, Male, Time Factors, Recovery of Function, Young Adult, Anterior Cruciate Ligament Reconstruction
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