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November 14, 2025Orthopaedic Proceedings

Reliability of the Subjective Evaluation of Patient Biomechanics and Motor Control During an Anterior Cruciate Ligament Return to Sport Assessment

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Authors

TBT BolleyJKJ KellumDYD Yao

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Overview

Assessment evaluates biomechanical and motor control risk factors in ACL patients, indicating significant agreement among multiple assessors.

Key Points

  • To determine the inter-rater reliability of skilled assessors in evaluating ACL reconstruction patients' biomechanics and motor control risk factors.
  • Evaluated video data of 30 ACL reconstruction patients using a standardized Return to Sport assessment.
  • Four skilled raters, including two Physical Therapists and two Athletic Trainers, assessed patients' performance on 18 tests.
  • Rating used a three-point scale for various subjective components, such as stability, power, and body control.
  • Kendall's Coefficient of Concordance calculated to assess agreement among raters.
  • Substantial agreement observed across four raters with agreement coefficients ranging from 0.61 to 0.77.
  • Hamstring and hip abduction strength tests showed moderate agreement, whereas leg press had near-perfect agreement.
  • Lower concordance was noted for specific components of the Y balance test, indicating areas for improvement.

Cite This Study

Bolley et al. (2025) studied this question.

synapsesocial.com/papers/692519acc0ce034ddc3542b3https://doi.org/10.1302/1358-992x.2025.13.012
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Integrating psychological and physical assessments to obtain optimal return-to-sport outcomes after ACL reconstruction: A systematic review and network meta-analysis2025 · 9 citations
  2. 2Quadriceps Strength and Movement Patterns in Patients After ACLR Who Pass a Clinic-Based Return-to-Sport Testing Battery2026
  3. 3Return to sport (RTS) tests and criteria following an anterior cruciate ligament (ACL) reconstruction (ACLR): a scoping review2025 · 9 citations
  4. 4Impact of Biomechanical, Anthropometric, and Temporal Factors on the Return-to-Sport Rate in Recreational Athletes with ACL Reconstruction: A Cross-Sectional Observational Study2025 · 1 citations
  5. 5Comparison of Adult Versus Pediatric Performance on a Standardized Return to Sport Assessment after ACL Reconstruction: A Retrospective Cohort Analysis2026