ArticleSports health
Confidence to Return to Play After Anterior Cruciate Ligament Reconstruction Is Influenced by Quadriceps Strength Symmetry and Injury Mechanism.
Article in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- 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
- Pass Rates of Return to Sport Test Batteries Following Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis.Sports (Basel, Switzerland) · 2026Review
- Beyond Physical Recovery: Psychological Factors and Assessment Tools in Return to Sport Decision-making after Anterior Cruciate Ligament Reconstruction - A Scoping Review.International journal of sports physical therapy · 2026Article
- The reciprocal relationships between autonomous motivation, social cognitive beliefs and rehabilitation adherence: A cross-lagged panel longitudinal study among post-surgery ACL reconstructed patients.British journal of health psychology · 2025Article
- Dynamic change of direction, isometric strength, and psychological readiness in final phase ACLR athletes: an integrated approach.BMC musculoskeletal disorders · 2025Article
- Administering the ACL-RSI Before or After ACL Functional Testing: Does It Matter?International journal of sports physical therapy · 2025Article
- Effect of Time and Sex on Post-Anterior Cruciate Ligament Reconstruction Psychological Patient-Reported Outcome Measure Scores.Journal of athletic training · 2024Article
- Deficits in Contralateral Limb Strength Can Overestimate Limb Symmetry Index After Anterior Cruciate Ligament Reconstruction.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Predicting Anterior Cruciate Ligament Reinjury From Return-to-Activity Assessments at 6 Months Postsurgery: A Prospective Cohort Study.Journal of athletic training · 2022Article
- Correlations of strength, proprioception, and tactile sensation to return-to-sports readiness among patients with anterior cruciate ligament reconstruction.Frontiers in physiology · 2022Article
- The Influence of Strength and Sport Exposure on Psychological Readiness After ACL Reconstruction.Sports healthArticle
- Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough the restoration of quadriceps strength symmetry is a primary rehabilitation goal after anterior cruciate ligament reconstruction (ACLR), little is known about the potential relationship between quadriceps strength symmetry and psychological readiness to return to play (RTP). HYPOTHESIS: Quadriceps strength symmetry will be associated with psychological readiness to RTP after ACLR. Secondarily, injury mechanism will influence the association between quadriceps strength and psychological readiness to RTP. STUDY
designRetrospective cohort. LEVEL OF EVIDENCE: Level 3 (cohort study).
methodsA total of 78 female patients completed strength testing and the Injury-Psychological Readiness to Return to Sport (I-PRRS) scale at an outpatient clinical facility as part of return to sport testing after ACLR. Linear regression analysis was used to assess the relationship between the I-PRRS and the independent variables of interest (quadriceps strength symmetry and injury mechanism).
resultsFor all patients combined, a significant symmetry × mechanism interaction was found. When split by injury mechanism, a significant linear relationship was found between quadriceps strength symmetry and the I-PRRS score in patients who experienced a noncontact injury (n = 55;
conclusionGreater quadriceps strength symmetry was associated with greater psychological readiness to RTP in female athletes after ACLR. This relationship, however, was present only in those who experienced a noncontact injury. CLINICAL RELEVANCE: Clinicians should consider both the physical and the psychological factors in assessing a patient's readiness to RTP. This may be particularly important for those who have experienced an ACL tear through a noncontact mechanism.
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