ArticleJournal of athletic training2020
Gender Differences in Psychological Responses to Recovery After Anterior Cruciate Ligament Reconstruction Before Return to Sport.
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 39 papers, 6 of them syntheses that pooled it.
What it found
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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
39 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- The Role of Psychosocial Factors in Returning to Physical Activity and Sport Among Female Football Players After Anterior Cruciate Ligament Injury: A Scoping Review.Sports medicine - open · 2026Pooled it
- Athletic identity and sport injury: a systematic review and meta-aggregation.BMC psychology · 2025Pooled it
- The utility of psychological readiness scales in predicting return to sport: a systematic review.BMC psychology · 2025Pooled it
- Anterior Cruciate Ligament Return to Sport after Injury Scale (ACL-RSI) Scores over Time After Anterior Cruciate Ligament Reconstruction: A Systematic Review with Meta-analysis.Sports medicine - open · 2024Pooled it
- Kinesiophobia, Knee Self-Efficacy, and Fear Avoidance Beliefs in People with ACL Injury: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- Interventions for increasing return to sport rates after an anterior cruciate ligament reconstruction surgery: A systematic review.Frontiers in psychology · 2022Pooled it
- Virtual Reality Mindfulness Meditation for Patients After Anterior Cruciate Ligament Reconstruction: Protocol for the Development of a National Institutes of Health Stage 1 Behavioral Intervention.JMIR research protocols · 2026Article
- Return to Work and Sports After Tibial Plateau Fracture Treatment: Are There Factors Associated with Faster Recovery?Journal of clinical medicine · 2025Article
- Sports Injuries in Female and Non-Binary Athletes: A Systematic Review.Current reviews in musculoskeletal medicine · 2025Review
- Use of hamstring autografts for ACL reconstruction significantly decreased the risk of reporting problems with kneeling at a 5-year follow-up.Journal of experimental orthopaedics · 2025Article
- Physical Activity and Sedentary Behavior Differ by Sex during the First 6 Months after Anterior Cruciate Ligament Reconstruction.Medicine and science in sports and exercise · 2025Observational
- "I found much more joy than I ever did as a player"- a qualitative study of the emotional journey of shattered dreams and new horizons with an ACL re-rupture in young active men.BMC musculoskeletal disorders · 2025Article
- Characterizing psychological states in professional athletes through EEG: sex-based differences.EXCLI journal · 2025Article
- Social Determinants of Health and Quadriceps Strength Recovery in Children and Adolescents following Anterior Cruciate Ligament Reconstruction.International journal of sports physical therapy · 2025Article
- Return to Soccer After Anterior Cruciate Ligament Reconstruction: An Outcome or a Decision?Orthopaedic journal of sports medicine · 2024Article
- Do we need a guideline for all: a qualitative study on the experiences of male athletes following anterior cruciate ligament reconstruction.BMC sports science, medicine & rehabilitation · 2024Article
- Article
- Effect of Time and Sex on Post-Anterior Cruciate Ligament Reconstruction Psychological Patient-Reported Outcome Measure Scores.Journal of athletic training · 2024Article
- Examining the Relationship and the Gender Differences between Re-Injury Worry, Confidence, and Attention after a Sport Musculoskeletal Injury.Journal of clinical medicine · 2024Article
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextFemale patients with anterior cruciate ligament reconstruction (ACLR) are less likely to return to sport than males. Psychological readiness predicts successful return to sport, but it is unclear if psychological experiences differ between males and females during recovery.
objectiveTo explore gender differences in psychological readiness factors of return to sport after ACLR.
designQualitative study.
settingLaboratory. PATIENTS OR OTHER
participantsA total of 12 male (months since surgery = 6.2 ± 1.2) and 13 female (months since surgery = 6.4 ± 1.3) high school athletes with a history of ACLR. DATA COLLECTION AND ANALYSIS: Participants were interviewed before physician clearance to return to activity. Transcribed interviews were analyzed using deductive thematic coding of 5 themes identified from previous research (psychological distress, self-efficacy, locus of control, athletic identity, and fear of reinjury) and inductive secondary subthematic coding. Gender comparisons were generated within primary themes and secondary subthemes.
resultsAll deductive themes were consistently reinforced. Male and female participants reported fear of movement, loss of athletic identity, and motivational mindsets for return to sport and self-improvement. Males reported a stronger sense of internal locus of control using positive internal reinforcement, whereas females described balancing internal and external control and valuing external support systems. Male participants described mood changes influenced by physical and social limitations. Female participants closely monitored their emotions throughout recovery and were influenced by rehabilitation fluctuations.
conclusionsMale and female high school athletes described different psychological factors related to return to sport and locus of control as well as psychological distress. Gender-specific psychological interventions may be warranted to overcome psychological barriers after ACLR.
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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.