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dc.contributor.authorFaleide, Anne Gro Heyn
dc.contributor.authorMagnussen, Liv Heide
dc.contributor.authorStrand, Torbjørn
dc.contributor.authorBogen, Bård Erik
dc.contributor.authorMoe-Nilssen, Rolf
dc.contributor.authorMo, Ingunn Fleten
dc.contributor.authorVervaat, Willemijn
dc.contributor.authorInderhaug, Eivind
dc.identifier.citationFaleide, A. G. H., Magnussen, L. H., Strand, T., Bogen, B. E., Moe-Nilssen, R., Mo, I. F., Vervaat, W., & Inderhaug, E. (2021). The role of psychological readiness in return to sport assessment after anterior cruciate ligament reconstruction. The American Journal of Sports Medicine, 49(5), 1236-1243.en_US
dc.description.abstractBackground: Knowledge about the predictive value of return to sport (RTS) test batteries applied after anterior cruciate ligament reconstruction (ACLR) is limited. Adding assessment of psychological readiness has been recommended, but knowledge of how this affects the predictive ability of test batteries is lacking. Purpose: To examine the predictive ability of a RTS test battery on return to preinjury level of sport and reinjury when evaluation of psychological readiness was incorporated. Study Design: Cohort study; Level of evidence, 2. Methods: A total of 129 patients were recruited 9 months after ACLR. Inclusion criteria were age ≥16 years and engagement in sports before injury. Patients with concomitant ligamentous surgery or ACL revision surgery were excluded. Baseline testing included single-leg hop tests, isokinetic strength tests, the International Knee Documentation Committee (IKDC) Subjective Knee Form 2000, a custom-made RTS questionnaire, and the Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) scale. The RTS criteria were IKDC 2000 score ≥85% and ≥85% leg symmetry index on hop and strength test. At a 2-year follow-up evaluation, further knee surgery and reinjuries were registered and the RTS questionnaire was completed again. Regression analyses and receiver operating characteristic analyses were performed to study the predictive ability of the test battery. Results: Out of the 103 patients who completed the 2-year follow-up, 42% returned to their preinjury level of sport. ACL-RSI 9 months after surgery (odds ratio [OR], 1.03) and age (OR, 1.05) predicted RTS. An ACL-RSI score <47 indicated that a patient was at risk of not returning to sport (area under the curve 0.69; 95% CI, 0.58-0.79), with 85% sensitivity and 45% specificity. The functional tests did not predict RTS. Six patients sustained ACL reinjuries and 7 underwent surgery for other knee complaints/injuries after RTS testing. None of the 29 patients who passed all RTS criteria, and were therefore cleared for RTS, sustained a second knee injury. Conclusion: ACL-RSI and age were predictors of 2-year RTS, while functional tests were not informative. Another main finding was that none of the patients who passed the 85% RTS criteria sustained another knee injury.en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.subjectanterior cruciate ligament (ACL)en_US
dc.subjectreturn to sportsen_US
dc.subjectACL reinjuryen_US
dc.subjectpsychological aspects of sporten_US
dc.titleThe Role of Psychological Readiness in Return to Sport Assessment After Anterior Cruciate Ligament Reconstructionen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.rights.holder© 2021 The Author(s)en_US
dc.subject.nsiVDP::Medisinske Fag: 700::Idrettsmedisinske fag: 850en_US
dc.source.journalAmerican Journal of Sports Medicineen_US

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal