The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Factors Associated With Psychological Readiness to Return to Sports With Cutting, Pivoting, and Jump-Landings After Primary ACL Reconstruction
Open accessAbstract
Background: High psychological readiness is an important element for returning to sports after anterior cruciate ligament (ACL) reconstruction. Identifying factors that contribute to psychological readiness is essential for planning interventions to return to play. No studies have used multivariate analysis to clarify factors associated with psychological readiness to return to specific sports. Hypothesis: To identify factors that contribute to an athlete’s psychological readiness to return after ACL reconstruction to sports that require cutting, pivoting, and jump-landings. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Study participants were athletes who before injury had participated in sports with limited contact that required cutting, pivoting, and jump-landings (basketball, soccer, futsal, volleyball, badminton, tennis, and frisbee) and hoped to return to the same sport after reconstruction. Psychological readiness was measured using the Anterior Cruciate Ligament–Return to Sport After Injury Scale (ACL-RSI) in athletes more than 6 months after primary ACL reconstruction. To clarify factors associated with the ACL-RSI, univariate regression analysis and multivariate regression analysis were performed using the following independent variables: age, sex, body mass index, time from injury to reconstruction, time from reconstruction to testing, meniscal surgery, modified Tegner activity scale before injury, kinesiophobia, limb symmetry index of knee strength, limb symmetry indices of single-leg hop (SLH) distances, and subjective running ability. Results: Higher subjective running ability, a lower kinesiophobia score, and greater limb symmetry in the lateral SLH were positively associated with psychological readiness. Conclusion: The psychological readiness of athletes aiming to return after ACL reconstruction to limited-contact sports that require cutting, pivoting, and jump-landings was affected by subjective running ability, kinesiophobia, and asymmetry of lateral SLH distance. This information may be useful in planning appropriate interventions and thereby increasing the likelihood of an athlete’s returning to such sports.
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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 [25]
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Psychometric properties of the TSK-11: A shortened version of the Tampa Scale for Kinesiophobia
Woby, S. R., Roach, N. K., Urmston, M., & Watson, P. J. (2005) · Pain · doi:10.1016/j.pain.2005.05.029 · Cited by 923 · cited 1×
“The TSK includes 17 items, with scores ranging from 17 to 48 points; higher scores indicate higher levels of kinesiophobia.(16,29)”
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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
- Aizawa, J., Hirohata, K., Ohji, S., Ohmi, T., Koga, H., & Yagishita, K.
- Affiliations
- Tokyo Medical and Dental University (JP)
- Corresponding author
- Aizawa, Junya
- Venue
- Orthopaedic Journal of Sports Medicine
- Publisher
- SAGE Publications
- Published
- 2020-11-01
- Volume
- 8
- Issue
- 11
- Pages
- 2325967120964484-2325967120964484
- ISSN
- 2325-9671 (ISSN-L)
- PMC
- PMC7678401
- OpenAlex
- W3104208571
- Cited by
- 50
- References
- 1
- Citations by year
- 2026: 13 · 2025: 9 · 2024: 6 · 2023: 10 · 2022: 9 · 2021: 3
- FWCI
- 4.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Orthopaedic Journal of Sports Medicine (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
- Keywords
- anterior cruciate ligament reconstruction, return to sport, psychological readiness, ACL-RSI, kinesiophobia, single-leg hop test, limb symmetry index, knee muscle strength, athletes
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