The psychological readiness to return to sports of patients with anterior cruciate ligament reconstruction preoperatively and 6 months postoperatively

Phys Ther Sport. 2021 Jul;50:114-120. doi: 10.1016/j.ptsp.2021.04.009. Epub 2021 Apr 30.


Objective: To determine the association of psychological readiness to return to sports preoperative and 6 months post-reconstruction in athletes with anterior cruciate ligament (ACL) injury.

Design: Retrospective cohort study.

Setting: Clinical center of sports medicine.

Participants: Fifty athletes, aged 16-45 years, were included in this study. Participants had a modified Tegner activity scale score ≥5 before ACL injury.

Main outcome measures: Participants were divided into High and Low groups based on ACL-return to sport after injury scale (ACL-RSI) scores 6 months post-ACL reconstruction (ACLR) (cutoff: 56 points).

Results: The Low group had lower ACL-RSI scores than the High group preoperatively (P < 0.001) and 6 months post-ACLR (P < 0.001). The High group had a significantly greater amount of change in ACL-RSI scores preoperatively to 6 months post-ACLR than the Low group (P = 0.003). Preoperative ACL-RSI scores increased significantly to 6 months post-ACLR in the entire group of participants (P < 0.001) and in the High group (P < 0.001). However, in the Low group, ACL-RSI scores did not increase significantly (P = 0.714).

Conclusions: Participants with low ACL-RSI scores 6 months post-ACLR had low preoperative ACL-RSI scores that did not improve preoperatively to 6 months post-ACLR.

Keywords: ACL repair; ACL-RSI; Anterior cruciate ligament; Before surgery; Psychological readiness to return to sports.

MeSH terms

  • Adolescent
  • Adult
  • Anterior Cruciate Ligament Injuries / psychology*
  • Anterior Cruciate Ligament Injuries / surgery*
  • Anterior Cruciate Ligament Reconstruction* / psychology
  • Anterior Cruciate Ligament Reconstruction* / rehabilitation
  • Athletic Injuries / psychology*
  • Athletic Injuries / surgery*
  • Emotions
  • Female
  • Health Status Indicators
  • Humans
  • Lysholm Knee Score
  • Male
  • Middle Aged
  • Retrospective Studies
  • Return to Sport / psychology*
  • Self Concept
  • Time Factors
  • Young Adult