{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T08:45:36Z","timestamp":1785833136277,"version":"3.56.0"},"reference-count":27,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Anterior cruciate ligament (ACL) injuries represent one of the most common and disruptive conditions in sport. Effective return-to-play (RTP) monitoring requires multidimensional approaches capturing physical, psychological, and sport-specific components rather than reliance on isolated benchmarks. This study aimed to longitudinally examine the RTP process of a female varsity basketball athlete following ACL reconstruction, using a framework integrating physical performance (capacity), biomechanical sport-specific (capability), and psychological (confidence) components relative to pre-injury benchmarks. Data collection included countermovement jump testing with force plates, on-court inertial measurement unit (IMU) monitoring of limb-loading, and psychological questionnaires, analyzed relative to the athlete\u2019s pre-injury baseline, with post-surgical change interpreted against that individualized reference using minimal detectable change thresholds. Pre-injury monitoring indicated stable movement profiles with minor fluctuations. Following ACL reconstruction, jump height recovered within seven weeks of RTP initiation, but notable inter-limb asymmetries persisted in force plate and IMU measures despite high confidence scores. Symmetry improved over time, yet variability in on-court loading remained after clinical clearance. These findings highlight the value of integrated, multidimensional monitoring to detect residual deficits that may be overlooked by traditional outcome-based assessments. This study demonstrates that integrating athlete-specific biomechanical, psychological, and sport-specific assessments relative to pre-injury baselines can support RTP decision-making to enhance individualized recovery trajectories in female athletes.<\/jats:p>","DOI":"10.3390\/s26154909","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T08:02:19Z","timestamp":1785830539000},"page":"4909","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Tracking Recovery in Motion: Longitudinal, Multi-Contextual Monitoring of Return-to-Play in Collegiate Basketball"],"prefix":"10.3390","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6712-7374","authenticated-orcid":false,"given":"Tamar D.","family":"Kritzer","sequence":"first","affiliation":[{"name":"Department of Kinesiology, McMaster University, Hamilton, ON L8S 4L8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaylee","family":"White","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, McMaster University, Hamilton, ON L8S 4L8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meaghan","family":"Maynard","sequence":"additional","affiliation":[{"name":"Athletics & Recreation, McMaster University, Hamilton, ON L8S 4L8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Palanisamy","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, McMaster University, Hamilton, ON L8S 4L8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Bahrami","sequence":"additional","affiliation":[{"name":"Athletics & Recreation, McMaster University, Hamilton, ON L8S 4L8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4268-3618","authenticated-orcid":false,"given":"Dylan","family":"Kobsar","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, McMaster University, Hamilton, ON L8S 4L8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1843","DOI":"10.1002\/jor.23414","article-title":"Mechanisms, prediction, and prevention of ACL injuries: Cut risk with three sharpened and validated tools","volume":"34","author":"Hewett","year":"2016","journal-title":"J. Orthop. Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"E269","DOI":"10.1503\/cjs.007820","article-title":"Quality of life during the wait for ruptured anterior cruciate ligament reconstruction: A randomized controlled trial","volume":"65","author":"Larose","year":"2022","journal-title":"Can. J. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"402","DOI":"10.2519\/jospt.2023.11838","article-title":"Knee-and overall health-related quality of life following anterior cruciate ligment injury: A cross-sectional analysis of Australian and Canadian cohorts","volume":"53","author":"Patterson","year":"2023","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1177\/036354658401200102","article-title":"The biomechanics of anterior cruciate ligament rehabilitation and reconstruction","volume":"12","author":"Arms","year":"1984","journal-title":"Am. J. Sports Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1007\/s40279-019-01221-7","article-title":"Is it time we better understood the tests we are using for return to sport decision making following ACL reconstruction? A critical review of the hop tests","volume":"50","author":"Davies","year":"2020","journal-title":"Sports Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1519\/SSC.0000000000000821","article-title":"Testing limb symmetry and asymmetry after anterior cruciate ligament injury: 4 considerations to increase its utility","volume":"46","author":"Jordan","year":"2024","journal-title":"Strength Cond. J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2325967120947078","DOI":"10.1177\/2325967120947078","article-title":"Return to play and performance in the Women\u2019s National Basketball Association after anterior cruciate ligament reconstruction","volume":"8","author":"Tramer","year":"2020","journal-title":"Orthop. J. Sports Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"7858835","DOI":"10.1155\/2024\/7858835","article-title":"Longi-tudinal monitoring of biomechanical and psychological state in collegiate female basketball athletes using principal component analysis","volume":"2024","author":"Keogh","year":"2024","journal-title":"Transl. Sports Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2635","DOI":"10.1519\/JSC.0000000000002023","article-title":"Considerations for selecting field-based strength and power fitness tests to measure asymmetries","volume":"31","author":"Bishop","year":"2017","journal-title":"J. Strength Cond. Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1177\/0363546521991924","article-title":"The role of psychological readiness in return to sport assessment after anterior cruciate ligament reconstruction","volume":"49","author":"Faleide","year":"2021","journal-title":"Am. J. Sports Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2402424","DOI":"10.1080\/00049530.2024.2402424","article-title":"Beyond physical recovery: Investigating athletic identity as a mediator between social support and psychological readiness for return to sport","volume":"76","author":"Liu","year":"2024","journal-title":"Aust. J. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2325967118763763","DOI":"10.1177\/2325967118763763","article-title":"Development and validation of a short version of the anterior cruciate ligament return to sport after injury (ACL-RSI) scale","volume":"6","author":"Webster","year":"2018","journal-title":"Orthop. J. Sports Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1093\/geront\/38.1.101","article-title":"Conjugating the \u201ctenses\u201d of function: Discordance among hypothetical, experimental, and enacted function in older adults","volume":"38","author":"Glass","year":"1998","journal-title":"Gerontologist"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"iv82","DOI":"10.1093\/ageing\/afad125","article-title":"A unified framework for the measurement of mobility in older persons","volume":"52","author":"Beauchamp","year":"2023","journal-title":"Age Ageing"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e12018","DOI":"10.1002\/jeo2.12018","article-title":"Jumping into recovery: A systematic review and meta-analysis of discriminatory and responsive force plate parameters in individuals following anterior cruciate ligament reconstruction during countermovement and drop jumps","volume":"11","author":"Labban","year":"2024","journal-title":"J. Exp. Orthop."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"23259671211031240","DOI":"10.1177\/23259671211031240","article-title":"Evaluation of the responsiveness of the anterior cruciate ligament return to sport after injury (ACL-RSI) scale","volume":"9","author":"Webster","year":"2021","journal-title":"Orthop. J. Sports Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"67","DOI":"10.12965\/jer.150199","article-title":"Difference, significant difference and clinically meaningful difference: The meaning of change in rehabilitation","volume":"11","author":"Dvir","year":"2015","journal-title":"J. Exerc. Rehabil."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1212","DOI":"10.1016\/j.arthro.2010.01.003","article-title":"Lower extremity compensatory neuromuscular and biomechanical adaptations 2 to 11 years after anterior cruciate ligament reconstruction","volume":"26","author":"Nyland","year":"2010","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.gaitpost.2020.09.032","article-title":"Athletes with an ACL reconstruction show a different neuromuscular response to environmental challenges compared to uninjured athletes","volume":"83","author":"Smeets","year":"2021","journal-title":"Gait Posture"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"5589056","DOI":"10.1155\/2024\/5589056","article-title":"Lower extremity asymmetry values derived from multiple strength testing modes are associated with perceived functional capabilities among university athletes","volume":"2024","author":"McClean","year":"2024","journal-title":"Transl. Sports Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1080\/02640414.2017.1361894","article-title":"Effects of inter-limb asymmetries on physical and sports performance: A systematic review","volume":"36","author":"Bishop","year":"2018","journal-title":"J. Sports Sci."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1519\/SSC.0000000000000772","article-title":"Selecting metrics that matter: Comparing the use of the countermovement jump for performance profiling, neuromuscular fatigue monitoring, and injury rehabilitation testing","volume":"45","author":"Bishop","year":"2023","journal-title":"Strength Cond. J."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1053\/j.otsm.2015.09.006","article-title":"Psychological aspects of anterior cruciate ligament injuries","volume":"24","author":"Ardern","year":"2016","journal-title":"Oper. Tech. Sports Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1446","DOI":"10.1249\/MSS.0000000000002603","article-title":"Landing asymmetry is associated with psychological factors after ACL reconstruction","volume":"53","author":"Peebles","year":"2021","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_25","first-page":"202","article-title":"Descriptive epidemiology of collegiate women\u2019s basketball injuries: National Collegiate Athletic Association injury surveillance system, 1988\u20131989 through 2003\u20132004","volume":"42","author":"Agel","year":"2007","journal-title":"J. Athl. Train."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.jisako.2024.01.008","article-title":"Return to sports in female athletes after anterior cruciate ligament reconstruction. A systematic review and metanalysis","volume":"9","author":"Figueroa","year":"2024","journal-title":"J. ISAKOS"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"326","DOI":"10.2519\/jospt.2012.4030","article-title":"Suggestions from the field for return to sports participation following anterior cruciate ligament reconstruction: Basketball","volume":"42","author":"Waters","year":"2012","journal-title":"J. Orthop. Sports Phys. 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