Evidence map›Paper›PMID 35581734›Full record

SynthesisSports health

Biopsychosocial Model Domains in Clinical Practice Guidelines for Return to Sport After ACL Injury: Systematic Review Using the AGREE II Checklist.

Jeffeson Hildo Medeiros de Queiroz, Yanka Aparecida Bandeira Murakawa, Shamyr Sulyvan de Castro, Gabriel Peixoto Leão Almeida, Rodrigo Ribeiro de Oliveira

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Biopsychosocial profiles following ACL reconstruction: A latent class analysis of barriers to return-to-activity.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Hazardous Times.Sports health
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jeffeson Hildo Medeiros de QueirozTendon Research Group, Master Program in Physical Therapy and Functioning Physical Therapy Department, Federal University of Ceará, Fortaleza, CE, Brazil.ORCID 0000-0002-3209-5679
Yanka Aparecida Bandeira MurakawaTendon Research Group, Master Program in Physical Therapy and Functioning Physical Therapy Department, Federal University of Ceará, Fortaleza, CE, Brazil.
Shamyr Sulyvan de CastroMaster Program in Physical Therapy and Functioning, Public Health Post Graduate Program, Physical Therapy Department, Federal University of Ceará, Fortaleza, CE, Brazil.
Gabriel Peixoto Leão AlmeidaKnee and Sports Research Group, Master Program in Physical Therapy and Functioning, Physical Therapy Department, Federal University of Ceará, Fortaleza, CE, Brazil.
Rodrigo Ribeiro de OliveiraTendon Research Group, Master Program in Physical Therapy and Functioning Physical Therapy Department, Federal University of Ceará, Fortaleza, CE, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThe current status of return-to-sport (RTS) criteria can be understood from the International Classification of Functioning, Disability, and Health (ICF), which emphasizes an individual-centered approach and inclusion of all domains of human functioning, and ensures the multifactorial and biopsychosocial nature of decision-making.

objectiveTo analyze the inclusion of biopsychosocial model domains in clinical practice guidelines (CPGs) for RTS after anterior cruciate ligament (ACL) injury, as well as the quality of these CPGs. STUDY

designSystematic review of CPGs. LEVEL OF EVIDENCE: Level 1. SEARCH STRATEGY: Two independent reviewers developed the search strategy, and a third reviewer corrected and compiled the developed strategies used. DATA SOURCES: Ovid/Medline, Embase, and PEDro without restriction dates. STUDY SELECTION: CPGs for RTS after ACL injury at any age or sport level, and published in English. DATA EXTRACTION: Two independent reviewers codified the RTS criteria recommended in the CPGs according to the ICF domains, and the Appraisal of Guidelines for Research and Evaluation II (AGREE II Checklist) was used for critical appraisal.

resultsA total of 715 records were identified, and 7 CPGs were included. Frequency distribution of the biopsychosocial model domains was as follows: body functions (37.77%), activity and participation (20.00%), body structure (13.33%), environmental factors (11.11%), and personal factors (8.88%). In the AGREE II Checklist, the lowest mean domain scores were for rigor of development (37.86 ± 36.35) and applicability (49.29 ± 22.30), and 71.42% were of low or moderate quality.

conclusionThe CPGs cannot address the biopsychosocial model domains satisfactorily and some do not address all the ICF conceptual model components, emphasizing body functions and activity and participation domains. Therefore, the functioning model advocated by the World Health Organization has not yet been adequately incorporated into the recommendations for RTS after ACL injury. Moreover, most CPGs are of limited quality.

Indexed as

Anterior Cruciate Ligament InjuriesReturn to SportChecklistHumansModels, BiopsychosocialACL injuryAGREE IIbiopsychosocial modelclinical practice guidelinesreturn to sport

Identifiers

PMID35581734
PMCPMC9951001

What OpenQuestion holds

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Registered trials

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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.