{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:58:19Z","timestamp":1785437899292,"version":"3.56.0"},"reference-count":62,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100018542","name":"Natural Science Foundation of Sichuan Province","doi-asserted-by":"publisher","award":["2025ZNSFSC1569"],"award-info":[{"award-number":["2025ZNSFSC1569"]}],"id":[{"id":"10.13039\/501100018542","id-type":"DOI","asserted-by":"publisher"}]},{"name":"the Postdoctor Research Fund of West China Hospital, Sichuan University","award":["2025HXBH147"],"award-info":[{"award-number":["2025HXBH147"]}]},{"award":["2025HXBH147"],"award-info":[{"award-number":["2025HXBH147"]}],"id":[{"id":"https:\/\/ror.org\/011ashp19","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: No systematic review has yet been conducted simultaneously on the effectiveness of psychological interventions across multiple outcome measures during rehabilitation following anterior cruciate ligament reconstruction (ACLR). This study aims to assess the effects of such interventions on pain, psychological outcomes, patient-reported knee function, objective knee measures, and quality of life following ACLR. Methods: We searched PubMed, Medline, Embase, PsycINFO, and the Cochrane Library from inception to 20 April 2026 (PROSPERO CRD42023483889). Eligible randomized controlled trials compared psychological interventions with usual care in ACLR patients. Two reviewers assessed eligibility, risk of bias, and extracted data. Random-effects models were used; effect sizes were interpreted using Cohen\u2019s guidelines. Results: Of 401 records screened, 11 RCTs (440 participants) were included. Psychological interventions significantly improved pain (six trials, SMD = \u22120.96, 95% CI \u22121.40 to \u22120.52, p &lt; 0.001, I2 = 47%; large effect), kinesiophobia (TSK-11: five trials, SMD = \u22120.48, \u22120.74 to \u22120.22, I2 = 0%; small effect), knee self-efficacy (K-SES: three trials, SMD = 0.53, 0.19\u20130.86, I2 = 0%, moderate effect), patient-reported knee function (IKDC: two trials, SMD = 0.58, 0.26\u20130.90, I2 = 0%, moderate effect), and physical role function (SF-36: two trials, SMD = 0.41, 0.04\u20130.78, I2 = 0%, small effect). No significant effects were found for KT1000, knee strength, SF-36 mental well-being, or ACL-RSI (all p &gt; 0.05, with substantial heterogeneity for ACL-RSI). Particularly, imagery therapy reduced pain (three trials, SMD = \u22121.54, I2 = 15%). Conclusions: This meta-analysis provides preliminary evidence that psychological interventions, especially imagery therapy, may improve pain, psychological outcomes, patient-reported knee function, and quality of life after ACLR. Adequately powered trials with standardized protocols are needed to confirm these findings.<\/jats:p>","DOI":"10.3390\/jcm15103980","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T13:53:24Z","timestamp":1779371604000},"page":"3980","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effectiveness of Psychological Interventions for Patients Undergoing Anterior Cruciate Ligament Reconstruction: A Meta-Analysis and Systematic Review"],"prefix":"10.3390","volume":"15","author":[{"given":"Manxue","family":"Zhang","sequence":"first","affiliation":[{"name":"Child Mental Health Center, National Center for Mental Disorders, West China Hospital, Sichuan University, Chengdu 610207, China"},{"name":"Laboratory of Child and Adolescent Psychiatry, Mental Health Center and Psychiatric Laboratory, West China Hospital, Sichuan University, Chengdu 610207, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bohua","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Orthopedic Research Institute, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610207, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jialiang","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Orthopedic Research Institute, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610207, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Huang","sequence":"additional","affiliation":[{"name":"Child Mental Health Center, National Center for Mental Disorders, West China Hospital, Sichuan University, Chengdu 610207, China"},{"name":"Laboratory of Child and Adolescent Psychiatry, Mental Health Center and Psychiatric Laboratory, West China Hospital, Sichuan University, Chengdu 610207, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaobing","family":"Pu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Orthopedic Research Institute, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610207, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1016\/j.jsams.2008.07.005","article-title":"Incidence of anterior cruciate ligament injury and other knee ligament injuries: A national population-based study","volume":"12","author":"Gianotti","year":"2009","journal-title":"J. Sci. Med. Sport"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e20161877","DOI":"10.1542\/peds.2016-1877","article-title":"ACL Tears in School-Aged Children and Adolescents Over 20 Years","volume":"139","author":"Beck","year":"2017","journal-title":"Pediatrics"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2363","DOI":"10.1177\/0363546514542796","article-title":"Incidence and trends of anterior cruciate ligament reconstruction in the United States","volume":"42","author":"Mall","year":"2014","journal-title":"Am. J. Sports Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"3145","DOI":"10.1002\/art.20589","article-title":"High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury","volume":"50","author":"Lohmander","year":"2004","journal-title":"Arthritis Rheum."},{"key":"ref_5","first-page":"1434","article-title":"Knee osteoarthritis after anterior cruciate ligament injury: A systematic review","volume":"37","author":"Engebretsen","year":"2009","journal-title":"Am. J. Sports Med."},{"key":"ref_6","first-page":"159","article-title":"Surgical versus conservative treatment for torn anterior cruciate ligament","volume":"31","author":"Atik","year":"2020","journal-title":"Jt. Dis. Relat. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"601","DOI":"10.2519\/jospt.2012.3871","article-title":"Current concepts for anterior cruciate ligament reconstruction: A criterion-based rehabilitation progression","volume":"42","author":"Adams","year":"2012","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1136\/bjsports-2016-096836","article-title":"Eighty-three per cent of elite athletes return to preinjury sport after anterior cruciate ligament reconstruction: A systematic review with meta-analysis of return to sport rates, graft rupture rates and performance outcomes","volume":"52","author":"Lai","year":"2018","journal-title":"Br. J. Sports Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1177\/03635465211060333","article-title":"Patient-Reported Outcome, Return to Sport, and Revision Rates 7-9 Years After Anterior Cruciate Ligament Reconstruction: Results From a Cohort of 2042 Patients","volume":"50","author":"Randsborg","year":"2022","journal-title":"Am. J. Sports Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1350","DOI":"10.1136\/bjsports-2020-103555","article-title":"High rate of second ACL injury following ACL reconstruction in male professional footballers: An updated longitudinal analysis from 118 players in the UEFA Elite Club Injury Study","volume":"55","author":"Ekstrand","year":"2021","journal-title":"Br. J. Sports Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"561","DOI":"10.26603\/ijspt20180561","article-title":"Influence of patient demographics and graft types on acl second injury rates in ipsilateral versus contralateral knees: A systematic review and meta-analysis","volume":"13","author":"Nawasreh","year":"2018","journal-title":"Int. J. Sports Phys. Ther."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1136\/bjsports-2012-091203","article-title":"A systematic review of the psychological factors associated with returning to sport following injury","volume":"47","author":"Ardern","year":"2013","journal-title":"Br. J. Sports Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1007\/s00167-004-0591-8","article-title":"Fear of re-injury: A hindrance for returning to sports after anterior cruciate ligament reconstruction","volume":"13","author":"Kvist","year":"2005","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1177\/0363546513489284","article-title":"Psychological responses matter in returning to preinjury level of sport after anterior cruciate ligament reconstruction surgery","volume":"41","author":"Ardern","year":"2013","journal-title":"Am. J. Sports Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"335","DOI":"10.3928\/01477447-20090502-01","article-title":"Patient outcomes following anterior cruciate ligament reconstruction: The influence of psychological factors","volume":"32","author":"Brand","year":"2009","journal-title":"Orthopedics"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1111\/sms.12010","article-title":"Psychosocial factors influencing the recovery of athletes with anterior cruciate ligament injury: A systematic review","volume":"23","author":"Visscher","year":"2013","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1007\/s00167-013-2699-1","article-title":"Psychological predictors of anterior cruciate ligament reconstruction outcomes: A systematic review","volume":"23","author":"Everhart","year":"2015","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"589","DOI":"10.3109\/02699051003610508","article-title":"Emotional response to sport concussion compared to ACL injury","volume":"24","author":"Mainwaring","year":"2010","journal-title":"Brain Inj."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/s00167-007-0433-6","article-title":"Self-efficacy of knee function as a pre-operative predictor of outcome 1 year after anterior cruciate ligament reconstruction","volume":"16","author":"Eriksson","year":"2008","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.psychsport.2009.09.005","article-title":"Self-Protective Changes in Athletic Identity Following Anterior Cruciate Ligament Reconstruction","volume":"11","author":"Brewer","year":"2010","journal-title":"Psychol. Sport Exerc."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1136\/bjsports-2013-093398","article-title":"Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: An updated systematic review and meta-analysis including aspects of physical functioning and contextual factors","volume":"48","author":"Ardern","year":"2014","journal-title":"Br. J. Sports Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1111\/j.1600-0838.2010.01195.x","article-title":"Psychology and socioculture affect injury risk, response, and recovery in high-intensity athletes: A consensus statement","volume":"20","year":"2010","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/AJP.0b013e31822363f4","article-title":"Analysis of shortened versions of the tampa scale for kinesiophobia and pain catastrophizing scale for patients after anterior cruciate ligament reconstruction","volume":"28","author":"George","year":"2012","journal-title":"Clin. J. Pain"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"17562848251386324","DOI":"10.1177\/17562848251386324","article-title":"Psychological interventions improve mental health in inflammatory digestive diseases: A systematic review and meta-analysis of randomized controlled trials","volume":"18","author":"Floria","year":"2025","journal-title":"Ther. Adv. Gastroenterol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"333","DOI":"10.2165\/00007256-199723050-00005","article-title":"Psychological rehabilitation from sports injuries","volume":"23","author":"Crossman","year":"1997","journal-title":"Sports Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.ptsp.2010.07.005","article-title":"A review of return to sport concerns following injury rehabilitation: Practitioner strategies for enhancing recovery outcomes","volume":"12","author":"Podlog","year":"2011","journal-title":"Phys. Ther. Sport"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"501","DOI":"10.5435\/JAAOS-D-14-00173","article-title":"Psychological Aspects of Recovery Following Anterior Cruciate Ligament Reconstruction","volume":"23","author":"Christino","year":"2015","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.jphys.2016.02.011","article-title":"Activity preferences, lifestyle modifications and re-injury fears influence longer-term quality of life in people with knee symptoms following anterior cruciate ligament reconstruction: A qualitative study","volume":"62","author":"Filbay","year":"2016","journal-title":"J. Physiother."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1111\/j.1600-0838.2011.01325.x","article-title":"Guided imagery to improve functional outcomes post-anterior cruciate ligament repair: Randomized-controlled pilot trial","volume":"22","author":"Maddison","year":"2012","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1037\/0090-5550.46.1.28","article-title":"Effects of relaxation and guided imagery on knee strength, reinjury anxiety, and pain following anterior cruciate ligament reconstruction","volume":"46","author":"Cupal","year":"2001","journal-title":"Rehabil. Psychol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"E23158","DOI":"10.1097\/MD.0000000000023158","article-title":"Effectiveness of modeling videos on psychological responses of patients following anterior cruciate ligament reconstruction: A pilot randomized trial","volume":"99","author":"Rhim","year":"2020","journal-title":"Medicine"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1007\/s00167-013-2392-4","article-title":"The Videoinsight\u00ae method: Improving rehabilitation following anterior cruciate ligament reconstruction\u2014A preliminary study","volume":"21","author":"Zaffagnini","year":"2013","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_33","first-page":"89","article-title":"Modeling and Rehabilitation Following Anterior Cruciate Ligament Reconstruction","volume":"3","author":"Maddison","year":"2006","journal-title":"Soc. Behav. Med."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Kasmi, S., Sariati, D., Hammami, R., Clark, C.C.T., Chtara, M., Hammami, A., Salah, F.Z.B., Saeidi, A., Ounis, O.B., and Granacher, U. (2023). The effects of different rehabilitation training modalities on isokinetic muscle function and male athletes\u2019 psychological status after anterior cruciate ligament reconstructions. BMC Sports Sci. Med. Rehabil., 15.","DOI":"10.1186\/s13102-023-00645-z"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.pmr.2007.12.003","article-title":"Psychologic stress related to injury and impact on sport performance","volume":"19","author":"Nippert","year":"2008","journal-title":"Phys. Med. Rehabil. Clin. N. Am."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1080\/1612197X.2021.1934712","article-title":"An interactive cognitive-behavioural multimedia program favourably affects pain and kinesiophobia during rehabilitation after anterior cruciate ligament surgery: An effectiveness trial","volume":"20","author":"Brewer","year":"2022","journal-title":"Int. J. Sport Exerc. Psychol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1177\/0269215517728562","article-title":"Do psychosocial interventions improve rehabilitation outcomes after anterior cruciate ligament reconstruction? A systematic review","volume":"32","author":"Coronado","year":"2017","journal-title":"Clin. Rehabil."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1123\/jsr.19.3.328","article-title":"Psycholinguistic changes in athletes\u2019 grief response to injury after written emotional disclosure","volume":"19","author":"Mankad","year":"2010","journal-title":"J. Sport Rehabil."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"5848","DOI":"10.1007\/s00167-023-07630-6","article-title":"Psychosocial interventions seem redact kinesiophobia after anterior cruciate ligament reconstruction but higher level of evidence is needed: A systematic review and meta-analysis","volume":"31","author":"Naderi","year":"2023","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Drole, K., and Paravlic, A.H. (2022). Interventions for increasing return to sport rates after an anterior cruciate ligament reconstruction surgery: A systematic review. Front. Psychol., 13.","DOI":"10.3389\/fpsyg.2022.939209"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1080\/00913847.2020.1744486","article-title":"Psychosocial interventions help facilitate recovery following musculoskeletal sports injuries: A systematic review","volume":"48","author":"Gennarelli","year":"2020","journal-title":"Physician Sportsmed."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Moher, D., Liberati, A., Tetzlaff, J., and Altman, D.G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med., 6.","DOI":"10.1371\/journal.pmed.1000097"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"d5928","DOI":"10.1136\/bmj.d5928","article-title":"The Cochrane Collaboration\u2019s tool for assessing risk of bias in randomised trials","volume":"343","author":"Higgins","year":"2011","journal-title":"BMJ"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/s11065-016-9319-z","article-title":"A Guide to Conducting a Meta-Analysis","volume":"26","author":"Cheung","year":"2016","journal-title":"Neuropsychol. Rev."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1111\/jep.13159","article-title":"Comparison of four heterogeneity measures for meta-analysis","volume":"26","author":"Lin","year":"2020","journal-title":"J. Eval. Clin. Pract."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"D\u2019Isanto, T., D\u2019Elia, F., Esposito, G., Altavilla, G., and Raiola, G. (2022). Examining the Effects of Mirror Therapy on Psychological Readiness and Perception of Pain in ACL-Injured Female Football Players. J. Funct. Morphol. Kinesiol., 7.","DOI":"10.3390\/jfmk7040113"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.ptsp.2021.09.009","article-title":"Implementation of In vivo exposure therapy to decrease injury-related fear in females with a history of ACL-Reconstruction: A pilot study","volume":"52","author":"Baez","year":"2021","journal-title":"Phys. Ther. Sport"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s10484-011-9175-9","article-title":"Increased muscle activation following motor imagery during the rehabilitation of the anterior cruciate ligament","volume":"37","author":"Lebon","year":"2012","journal-title":"Appl. Psychophysiol. Biofeedback"},{"key":"ref_49","first-page":"17","article-title":"Neurocognitive rehabilitative approach effectiveness after anterior cruciate ligament reconstruction with patellar tendon. A randomized controlled trial","volume":"48","author":"Cappellino","year":"2012","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1002\/ksa.12687","article-title":"Cognitive-behavioural physical therapy improves psychological readiness for return to sport, knee function, and resilience in patients after anterior cruciate ligament reconstruction: A randomised controlled trial","volume":"34","author":"Sun","year":"2026","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1016\/j.brainresrev.2008.12.024","article-title":"Cognitive motor processes: The role of motor imagery in the study of motor representations","volume":"60","author":"Munzert","year":"2009","journal-title":"Brain Res. Rev."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.2522\/ptj.20100277","article-title":"Longitudinal changes in psychosocial factors and their association with knee pain and function after anterior cruciate ligament reconstruction","volume":"91","author":"Chmielewski","year":"2011","journal-title":"Phys. Ther."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"3682","DOI":"10.1007\/s00167-018-4950-2","article-title":"Greater fear of reinjury is related to stiffened jump-landing biomechanics and muscle activation in women after ACL reconstruction","volume":"26","author":"Trigsted","year":"2018","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1080\/09593985.2016.1271847","article-title":"Factors informing fear of reinjury after anterior cruciate ligament reconstruction","volume":"33","author":"Ross","year":"2017","journal-title":"Physiother. Theory Pract."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"563","DOI":"10.5435\/JAAOS-D-14-00225","article-title":"Psychological Factors Affecting Rehabilitation and Outcomes Following Elective Orthopaedic Surgery","volume":"23","author":"Flanigan","year":"2015","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1002\/jor.25072","article-title":"Advanced training enhances readiness to return to sport after anterior cruciate ligament reconstruction","volume":"40","author":"Meierbachtol","year":"2022","journal-title":"J. Orthop. Res."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1016\/j.arthro.2006.05.034","article-title":"Self-reported outcomes after anterior cruciate ligament reconstruction: An internal health locus of control score comparison","volume":"22","author":"Nyland","year":"2006","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1177\/230949900901700117","article-title":"Review article: Validity of the KT-1000 knee ligament arthrometer","volume":"17","author":"Arneja","year":"2009","journal-title":"J. Orthop. Surg."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s40798-025-00843-8","article-title":"Criteria-Based Decision Making for Introducing Open Kinetic Chain Exercise after-ACL Reconstruction: A Scoping Review","volume":"11","author":"Forelli","year":"2025","journal-title":"Sports Med. Open"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"2774","DOI":"10.1177\/03635465221102420","article-title":"Patients Who Return to Sport After Primary Anterior Cruciate Ligament Reconstruction Have Significantly Higher Psychological Readiness: A Systematic Review and Meta-analysis of 3744 Patients","volume":"51","author":"Xiao","year":"2022","journal-title":"Am. J. Sports Med."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jclinepi.2006.03.012","article-title":"Quality criteria were proposed for measurement properties of health status questionnaires","volume":"60","author":"Terwee","year":"2007","journal-title":"J. Clin. Epidemiol."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/10\/3980\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T14:17:08Z","timestamp":1779373028000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/10\/3980"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,21]]},"references-count":62,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,5]]}},"alternative-id":["jcm15103980"],"URL":"https:\/\/doi.org\/10.3390\/jcm15103980","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,21]]}}}