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February 6, 2026Journal of Clinical MedicineOpen Access

Isokinetic Strength Recovery and Fear of Re-Injury After ACL Reconstruction in Male Soccer Players: A Retrospective Cohort Study

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Authors

MIMatteo InterlandiLSLuca SantiniSZSebastiano Zuppardo

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Overview

Retrospective cohort study examines strength recovery and psychological outcomes in male soccer players after ACLR, suggesting a need for comprehensive rehabilitation approaches.

Key Points

  • Investigate the link between thigh muscle strength recovery and psychological outcomes after ACL reconstruction in male soccer players.
  • Retrospective analysis of 60 male soccer players post-ACLR
  • Isokinetic testing at 90°/s and 180°/s conducted pre- and six months post-surgery
  • Limb symmetry index calculated pre- and post-operatively
  • Long-term follow-up with questionnaires assessing RTS status and kinesiophobia
  • Statistical analyses to explore associations between strength and psychological outcomes
  • Significant increase in quadriceps and hamstrings peak torque from pre- to post-surgery
  • Quadriceps strength deficits persisted in the operated limb; LSI decreased post-operatively
  • Weak positive correlation between quadriceps LSI at 90°/s and kinesiophobia scores (r = 0.34)
  • RTS rate was 91.7%, with an 18.2% re-injury rate
  • High kinesiophobia (TSK ≥ 37) was present in 56.7% of the cohort at follow-up

Cite This Study

Interlandi et al. (2026) studied this question.

synapsesocial.com/papers/698586388f7c464f2300a39ehttps://doi.org/10.3390/jcm15031243
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Also Consider

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

  1. 1Association Between Functional Muscle Assessment and Psychological Factors on Return to Sport and Graft Failure After ACL Reconstruction2026
  2. 2Quadriceps Strength and Movement Patterns in Patients After ACLR Who Pass a Clinic-Based Return-to-Sport Testing Battery2026
  3. 3Impact 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
  4. 4An Examination of the Relationship Between Fear of Reinjury and Neuromuscular, Musculoskeletal, and Biomechanical Characteristics at the Time of Return to Sport following Anterior Cruciate Ligament Reconstruction2026
  5. 5Lower knee self‐efficacy is associated with greater asymmetries in quadriceps neuromuscular function and jump‐landing biomechanics post‐ACL reconstruction2025