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. 2008 Feb;9(1):9-15.
doi: 10.1016/j.ptsp.2007.09.003. Epub 2007 Nov 5.

Development and preliminary validation of a scale to measure the psychological impact of returning to sport following anterior cruciate ligament reconstruction surgery

Kate E Webster  1 , Julian A Feller, Christina Lambros
Affiliations

Development and preliminary validation of a scale to measure the psychological impact of returning to sport following anterior cruciate ligament reconstruction surgery

Kate E Webster et al. Phys Ther Sport. 2008 Feb.

Abstract

Objectives: The purpose of this study was to develop a scale to measure the psychological impact of returning to sport after anterior cruciate ligament (ACL) reconstruction surgery.

Main outcome measure: Three types of psychological responses believed to be associated with resumption of sport following athletic injury--emotions, confidence in performance, and risk appraisal--were incorporated into a 12-item ACL-Return to Sport after Injury (ACL-RSI) scale.

Participants: Two hundred and twenty participants who had undergone ACL reconstruction completed the scale between 8 and 22 months following surgery.

Results: The scale was shown to have acceptable reliability (Cronbach's alpha=0.92). Participants who had given up sport scored significantly lower on the scale (reflecting a more negative psychological response) than those who had returned or were planning to return to sport (p<0.001).

Conclusion: It was concluded that the decision to return to sport after ACL reconstruction is associated with a significant psychological response. Preliminary reliability and validity was found for the ACL-RSI scale. This scale may help to identify athletes who will find sport resumption difficult.

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