SynthesisBritish journal of sports medicine2014
Variables associated with return to sport following anterior cruciate ligament reconstruction: a systematic review.
Synthesis in British journal of sports medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 145 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
145 citing papers in PubMed, 8 syntheses or guidelines pooled it, 311 citations in OpenAlex.
- No Difference in Return-to-Sport Rate or Activity Level in People with Anterior Cruciate Ligament (ACL) Injury Managed with ACL Reconstruction or Rehabilitation Alone: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2025Pooled it
- High variability and lack of standardization in the evaluation of return to sport after ACL reconstruction: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- A Mixed Comparison of Interventions for Kinesiophobia in Individuals With Musculoskeletal Pain: Systematic Review and Network Meta-Analysis.Frontiers in psychology · 2022Pooled it
- How does anterior cruciate ligament reconstruction affect the functioning of the brain and spinal cord? A systematic review with meta-analysis.Journal of sport and health science · 2021Pooled it
- Pooled it
- Test Batteries After Primary Anterior Cruciate Ligament Reconstruction: A Systematic Review.Sports healthPooled it
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- Blood flow restriction as an adjunct during mid-stage rehabilitation after ACL reconstruction: a randomized sham-controlled study.BMC musculoskeletal disorders · 2026Trial
- Mental health in elite athletes: International Olympic Committee consensus statement (2026).British journal of sports medicine · 2026Article
- Return to Sport After Anterior Cruciate Ligament Injury: A Scopus-Based Bibliometric Analysis.Healthcare (Basel, Switzerland) · 2026Review
- Effects of accelerated rehabilitation after ACL reconstruction on clinical and functional outcomes: A systematic review and meta-analysis evaluating clinical meaningfulness.Journal of experimental orthopaedics · 2026Review
- Patient-reported outcomes after anterior cruciate ligament reconstruction with the JewelACL synthetic ligament: Multicenter study of at least 9 years follow-up.Journal of experimental orthopaedics · 2026Review
- Return to sport assessment following isolated anterior cruciate ligament reconstruction - 82 consecutive cases.Frontiers in sports and active living · 2026Article
- Jump performance and hop function, kinesiophobia and return to sports are important prognostic factors for a subsequent injury after an anterior cruciate ligament reconstruction: A 2-year follow-up cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Factors Affecting Clinical Decision Making for Blood Flow Restriction Training in Pediatric and Adolescent Patients Following Anterior Cruciate Ligament Injury.International journal of sports physical therapy · 2026Article
- High return to sports and favorable long-term clinical outcomes in professional elite skiers following anterior cruciate ligament reconstruction utilizing hamstring tendon autografts.BMC musculoskeletal disorders · 2025Article
- Patient-specific psychological characteristics and personality structure affect post-operative outcomes and readiness to return to sport following medial patellofemoral ligament reconstruction.Journal of experimental orthopaedics · 2025Article
- Preoperative anxiety differentiates post-surgical opioid use in patients undergoing anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2025Article
- A Guideline for Validated Return-to-Sport Testing in Everyday Clinical Practice: A Focused Review on the Validity, Reliability, and Feasibility of Tests Estimating the Risk of Reinjury After ACL Reconstruction.Orthopaedic journal of sports medicine · 2025Article
85 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAs one of the purposes of anterior cruciate ligament reconstruction (ACLR) is to return athletes to their preinjury activity level, it is critical to understand variables influencing return to sport. Associations between return to sport and variables representing knee impairment, function and psychological status have not been well studied in athletes following ACLR. PURPOSE: The purpose of this review was to summarise the literature reporting on variables proposed to be associated with return to sport following ACLR. STUDY
designSystematic review.
methodsMedline, EMBASE, CINAHL and Cochrane databases were searched for articles published before November 2012. Articles included in this review met these criteria: (1) included patients with primary ACLR, (2) reported at least one knee impairment, function or psychological measure, (3) reported a return to sport measure and (4) analysed the relationship between the measure and return to sport.
resultsWeak evidence existed in 16 articles suggesting variables associated with return to sport included higher quadriceps strength, less effusion, less pain, greater tibial rotation, higher Marx Activity score, higher athletic confidence, higher preoperative knee self-efficacy, lower kinesiophobia and higher preoperative self-motivation.
conclusionsWeak evidence supports an association between knee impairment, functional and psychological variables and return to sport. Current return to sport guidelines should be updated to reflect all variables associated with return to sport. Utilising evidence-based return to sport guidelines following ACLR may ensure that athletes are physically and psychologically capable of sports participation, which may reduce reinjury rates and the need for subsequent surgery.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.