Administering the ACL-RSI Before or After ACL Functional Testing: Does It Matter?
Daniel Larson, Justin Rohrberg, Daniel Lorenz and 1 others
PMID 40469648WHAT IT FOUND
Overall ACL-RSI scores did not change after return-to-sport testing.
The emotions subscale decreased, while confidence and risk appraisal did not.
Key findings
01The total ACL-RSI score did not change significantly from before to after return-to-sport testing (-2.27, p=0.125).
02The emotions subscale score decreased significantly after testing (-5.08, p=0.006), while confidence in performance (-0.68, p=0.689) and risk appraisal (0.8, p=0.688) did not.
03Ten participants (20%) had a total ACL-RSI score change that exceeded previously established individual MCIDs.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The sample was a convenience group of people already scheduled for testing, so it may not represent all athletes after ACL reconstruction. Return-to-sport rehabilitation happened at various locations and was not standardized, so prior exposure to maximal force, explosiveness, hopping, and landing may have differed. Some participants completed the questionnaire the same day as testing, which could make before and after scores look similar. The study did not compare a group that did not test, so it cannot show what would have happened without testing exposure. The total score was null, and the emotions finding was a subscale result, so it should not be treated as a confirmed effect.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not conclude that return-to-sport testing worsens psychological readiness overall. The total ACL-RSI score did not change, and only the emotions subscale decreased. The study also did not compare athletes who tested with athletes who did not test.