ArticleJournal of athletic training2020
Clinical Decision Algorithm Associated With Return to Sport After Anterior Cruciate Ligament Reconstruction.
Article in Journal of athletic training, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The utility of psychological readiness scales in predicting return to sport: a systematic review.BMC psychology · 2025Pooled it
- Psychosocial interventions seem redact kinesiophobia after anterior cruciate ligament reconstruction but higher level of evidence is needed: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Effect of an Anterior Cruciate Ligament Rupture on Knee Proprioception Within 2 Years After Conservative and Operative Treatment: A Systematic Review with Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- [Return to sports WeChat applet for evaluating the rehabilitation effects after anterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Trial
- The Effect of Mild Residual Rotational Laxity on Performance After Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- Beyond physical recovery: investigating athletic identity as a mediator between social support and psychological readiness for return to sport.Australian journal of psychology · 2024Article
- Physical demands of collegiate basketball practice: a preliminary report on novel methods and metrics.Frontiers in sports and active living · 2024Article
- Combining return to sport, psychological readiness, body mass, hamstring strength symmetry, and hamstring/quadriceps ratio increases the risk of a second anterior cruciate ligament injury.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Gender does not impact clinical outcomes following SLAP repair.Shoulder & elbow · 2023Article
- Association of Psychological Readiness to Return to Sports With Subjective Level of Return at 12 Months After ACL Reconstruction.Orthopaedic journal of sports medicine · 2023Article
- [Progress in evaluation of return to sports after anterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- Low percentage of patients passed the 'Back in Action' test battery 9 months after bone-patellar tendon-bone anterior cruciate ligament reconstruction.Journal of clinical orthopaedics and trauma · 2022Article
- Evaluation of factors associated with successful 5-year outcomes following arthroscopic Bankart repair in athletes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Characteristics of Complex Systems in Sports Injury Rehabilitation: Examples and Implications for Practice.Sports medicine - open · 2022Review
- Analysis of Athletes Who Did Not Return to Play After Open Latarjet.Orthopaedic journal of sports medicine · 2022Article
- Postoperative Rehabilitation and Return to Sport Following Multiligament Knee Reconstruction.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Quantitative assessment of postural balance in patients with chronic anterior cruciate ligament injury- A controlled study.Journal of clinical orthopaedics and trauma · 2021Article
- Arthroscopic Bankart Repair Versus Open Latarjet for Recurrent Shoulder Instability in Athletes.Orthopaedic journal of sports medicine · 2021Article
- Arthroscopic Bankart Repair Versus Open Latarjet for First-Time Dislocators in Athletes.Orthopaedic journal of sports medicine · 2021Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextUnderstanding the factors that predict return to sport (RTS) after anterior cruciate ligament reconstruction facilitates clinical decision making.
objectiveTo develop a clinical decision algorithm that could predict RTS and non-RTS based on the differences in the variables after anterior cruciate ligament reconstruction.
designCross-sectional study.
settingUniversity laboratory. PATIENTS OR OTHER
participantsA total of 150 athletes in any sport involving deceleration, jumping, cutting, or turning enrolled in the study. All participants answered the International Knee Documentation Committee and Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) questionnaires and performed balance and isokinetic tests. MAIN OUTCOME MEASURE(S): The classification and regression tree (CART) was used to determine the clinical decision algorithm associated with RTS at any level and RTS at the preinjury level. The diagnostic accuracy of the CART was verified.
resultsOf the 150 participants, 57.3% (n = 86) returned to sport at any level and 12% (n = 18) returned to sport at the preinjury level. The interactions among the peak torque extension at 300°/s >93.55 Nm, ACL-RSI score >27.05 (P = .06), and postoperative time >7.50 months were associated with RTS at any level identified by CART and were factors associated with RTS. An ACL-RSI score >72.85% was the main variable associated with RTS at the preinjury level. The interaction among an ACL-RSI score of 50.40% to 72.85%, agonist : antagonist ratio at 300°/s ≤63.6%, and anteroposterior stability index ≤2.4 in these participants was the second factor associated with RTS at the preinjury level.
conclusionsAthletes who had more quadriceps strength tended to RTS at any level more quickly, even with less-than-expected psychological readiness. Regarding a return at the preinjury level, psychological readiness was the most important factor in not returning, followed by a better agonist : antagonist ratio and better balance.
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