{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T23:47:12Z","timestamp":1794440832897,"version":"4.9.1"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T00:00:00Z","timestamp":1701648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","arthroscopyjournal.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2024,6]]},"abstract":"\n Purpose<\/jats:title>\n To assess the relationships between physical function tests of the operative limb and psychological readiness to return to sport (RTS) after anterior cruciate ligament (ACL) reconstruction (return to sport after injury [ACL\u2010RSI]) by sex. The secondary purpose was to quantify sex\u2010specific differences in physical function test outcomes.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Patient records were retrospectively identified as cases who performed RTS physical function testing (strength, horizontal hops, vertical jumps, single\u2010leg leg press, and drop landing knee excursion, etc.), and completed a 6\u2010question ACL\u2010RSI survey at the time point they were cleared to RTS. Independent\n t<\/jats:italic>\n \u2010tests compared all variables between sex at\n P<\/jats:italic>\n \u2264 .05. Correlations and regression models were produced per sex to identify factors related to operative limb physical function tests and ACL\u2010RSI scores.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n With a total of 127 patients (63 men; 64 women), there was no difference in ACL\u2010RSI scores and leg press repetitions between sex (\n P<\/jats:italic>\n \u00a0= .32 and\n P<\/jats:italic>\n \u00a0= .12, respectively). There were sex differences for all other physical performance outcomes (\n P<\/jats:italic>\n < .001 for all). To estimate readiness using physical function test scores, the men\u2019s regression model identified knee excursion (\u03b2\u00a0= 0.345;\n P<\/jats:italic>\n \u00a0= .033) as the only contributor to ACL\u2010RSI (R\n 2<\/jats:sup>\n \u00a0= 0.089), whereas there was no relationship between physical performance outcomes and ACL\u2010RSI in women (R\n 2<\/jats:sup>\n \u00a0= 0.00,\n P<\/jats:italic>\n \u00a0= 1.00).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Men and women reported similar ACL\u2010RSI scales, indicating high readiness to return to sport. Likely due to sex\u2010related physiological differences, men performed better at most physical function tests. Further, male ACL\u2010RSI could be predicted using only one physical function outcome and 91% variability of the ACL\u2010RSI coming from other contributors not evaluated, as indicated by R\n 2<\/jats:sup>\n . No physical function variables predict ACL\u2010RSI in women. The evaluated variables are considered the primary indicators relevant for patients to be permitted to RTS yet cannot adequately predict psychological readiness in these patients.\n <\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n Level III, retrospective comparative study.<\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.11.029","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T23:13:03Z","timestamp":1701817983000},"page":"1870-1878","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["Psychological Readiness Is Weakly Related to Physical Function Tests at Return to Sport for Men and Not at All for Women Following Anterior Cruciate Ligament Reconstruction and Rehabilitation"],"prefix":"10.1002","volume":"40","author":[{"given":"Nicholas","family":"Dombrowski","sequence":"first","affiliation":[{"name":"School of Medicine University of Kansas Medical Center Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Cleary","sequence":"additional","affiliation":[{"name":"Department of Health Sport, and Exercise Sciences University of Kansas Edwards Campus Overland Park Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher D.","family":"Bernard","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Medicine University of Kansas Medical Center Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan G.","family":"Vopat","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Medicine University of Kansas Medical Center Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley A.","family":"Herda","sequence":"additional","affiliation":[{"name":"Department of Health Sport, and Exercise Sciences 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Published by Elsevier on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}