{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T13:41:20Z","timestamp":1770903680034,"version":"3.50.1"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T00:00:00Z","timestamp":1614038400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T00:00:00Z","timestamp":1614038400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T00:00:00Z","timestamp":1614038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/501100003196","name":"Ministero della Salute","doi-asserted-by":"publisher","award":["Ricerca Corrente"],"award-info":[{"award-number":["Ricerca Corrente"]}],"id":[{"id":"10.13039\/501100003196","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003196","name":"Ministero della Salute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003196","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The timing of psychological and physical recovery after anterior cruciate ligament reconstruction represents an open issue in current orthopedic practice. Several tools have been developed to evaluate these factors, with the most recent being represented by the anterior cruciate ligament (ACL) return to sport injury scale (ACL\u2010RSI). The aims of this study were to provide a validated Italian translation of the ACL\u2010RSI in a population of sport patients, and to identify a possible correlation of the ACL\u2010RSI score with the return to sport (RTS) time and the level of sport participation in comparison to the pre\u2010injury one.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Italian translation and cultural adaptation of the scale were completed using a using the \u201ctranslation\u2013back translation\u201d method. A total of 130 patients were enrolled and completed the study questionnaires 6\u00a0months after ACL reconstruction. Randomly, 65 of them were re\u2010tested for the ACL\u2010RSI within 2 weeks. The internal consistency, reliability, feasibility, and construct validity of the Italian version of ACL\u2010RSI were assessed and compared to Italian version of the KOOS, the Lysholm Score, the AKPS and the IKDC subjective score. Responsiveness was tested comparing patients returning to sport at 6 and 12\u00a0months. The Tegner activity scale was collected at baseline, 6 and 12\u00a0months to identify the level of activity after return to sport, in relation to the ACL\u2010RSI score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The Italian adaptation of the ACL\u2010RSI demonstrated excellent internal consistency (Cronbach\u2019s alpha\u2009=\u20090.953), reliability (test\u2013retest ICC\u2009=\u20090.916) and feasibility, with no ceiling or floor effect. Construct validity was confirmed by the moderate to strong correlation with all the other scales (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). Slight and non\u2010significant higher ACL\u2010RSI score was shown by patients returned to sport at 6 or 12\u00a0months after surgery. Nevertheless, the ACL\u2010RSI score at 6\u00a0months was significantly different between patients who returned and those who did not returned to the same level of sport activity 12\u00a0months after the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrated that the Italian ACL\u2010RSI is a reliable tool for evaluating the psychological readiness for return to sports of athletes who underwent ACL reconstruction, especially when collected at the end of the rehabilitation process. Since the IT ACL\u2010RSI used in this study is a faithful translation of the original English version, this finding can be generalized to other cultural contexts and languages too.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level II.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06498-8","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T02:03:15Z","timestamp":1614045795000},"page":"270-279","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Italian version of the anterior cruciate ligament\u2010return to sport after injury scale (IT ACL\u2010RSI): translation, cross\u2010cultural adaptation, validation and ability to predict the return to sport at medium\u2010term follow\u2010up in a population of sport patients"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3554-2611","authenticated-orcid":false,"given":"Gabriele","family":"Thiebat","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> IRCCS Istituto Ortopedico Galeazzi Via Riccardo Galeazzi 4 20161 Milano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davide","family":"Cucchi","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedics and Trauma Surgery Universit\u00e4tsklinikum Bonn Bonn Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Spreafico","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> IRCCS Istituto Ortopedico Galeazzi Via Riccardo Galeazzi 4 20161 Milano Italy"},{"name":"<!--<label>3<\/label>--> Universit\u00e0 Degli Studi Di Milano Milano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Muzzi","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> IRCCS Istituto Ortopedico Galeazzi Via Riccardo Galeazzi 4 20161 Milano Italy"},{"name":"<!--<label>3<\/label>--> Universit\u00e0 Degli Studi Di Milano Milano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Vigan\u00f2","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> IRCCS Istituto Ortopedico Galeazzi Via Riccardo Galeazzi 4 20161 Milano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Visconti","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Studio Fisioterapico Di Montagna Aosta Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Facchini","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> IRCCS Istituto Ortopedico Galeazzi Via Riccardo Galeazzi 4 20161 Milano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"de Girolamo","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> IRCCS Istituto Ortopedico Galeazzi Via Riccardo Galeazzi 4 20161 Milano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,23]]},"reference":[{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2012.03.015"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511422999"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513489284"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005696\u20109"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632\u2010200012150\u201000014"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010014\u20102942\u20104"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20090502-01"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s10195\u2010018\u20100508\u20109"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0183095"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.04.014"},{"key":"e_1_2_10_12_2","first-page":"iv","article-title":"Evaluating patient\u2010based outcome measures for use in clinical trials","author":"Fitzpatrick R","year":"1998","journal-title":"Health Technol Assess"},{"key":"e_1_2_10_13_2","volume-title":"Design and analysis of clinical experiments","author":"Fleiss JL","year":"2011"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2006.07.016"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635\u2010200005000\u201000001"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010016\u20104288\u20106"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010020\u201005849\u20101"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(05)80366\u20104"},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2011.01438.x"},{"key":"e_1_2_10_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2007.044818"},{"key":"e_1_2_10_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01593882"},{"key":"e_1_2_10_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010018\u20100782\u20105"},{"key":"e_1_2_10_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1440\u20102440(99)80194\u20107"},{"key":"e_1_2_10_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2005.12.008"},{"key":"e_1_2_10_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(04)00596\u20101"},{"key":"e_1_2_10_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.11.003"},{"key":"e_1_2_10_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychsport.2006.07.008"},{"key":"e_1_2_10_28_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1998.28.2.88"},{"key":"e_1_2_10_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005517\u2010z"},{"key":"e_1_2_10_30_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0219593"},{"key":"e_1_2_10_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2017.09.006"},{"key":"e_1_2_10_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0025\u20106196(12)62108\u20109"},{"key":"e_1_2_10_33_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2002.001982"},{"key":"e_1_2_10_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086\u2010198509000\u201000007"},{"key":"e_1_2_10_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2006.03.012"},{"key":"e_1_2_10_36_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100838.2005.00472.x"},{"key":"e_1_2_10_37_2","unstructured":"TortoliE FranciniL GiovannicoG RamponiCTranslation cross\u2010cultural adaptation and validation of the Italian version of the anterior cruciate ligament\u2010return to sport after injury (ACL\u2010RSI) scale.Knee Surg Sports Traumatol Arthrosc(2020)10.1007\/s00167\u2010020\u201006169\u2010032734333"},{"key":"e_1_2_10_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2007.09.003"},{"key":"e_1_2_10_39_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518773757"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-021-06498-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-021-06498-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-021-06498-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-021-06498-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T08:51:16Z","timestamp":1760863876000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-021-06498-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,23]]},"references-count":38,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1007\/s00167-021-06498-8"],"URL":"https:\/\/doi.org\/10.1007\/s00167-021-06498-8","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,23]]},"assertion":[{"value":"30 November 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 February 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The Authors declares that there is no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study protocol was approved by the competent Ethics Committee of the San Raffaele Hospital (authorization number 159\/int\/2018, November 8, 2018).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"An informed consent was obtained from all the participants to the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}