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June 19, 2026Orthopaedic Journal of Sports MedicineOpen Access

Can Psychological Readiness Predict Functional Readiness after ACL Reconstruction in Young Athletes?

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Authors

MMMatthew MilewskiBoston Children's HospitalEGEmma GossmanBoston Children's HospitalSFSubrina FarahBoston Children's Hospital

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Implication

Prospective trial evaluates ACL-RSI score's ability to predict functional readiness in young athletes, highlighting age's significant role.

Key Points

  • This research aims to determine if ACL-RSI scores predict functional readiness after ACL reconstruction in young athletes.
  • Prospective data analysis of young athletes (ages 10-30) post-ACL reconstruction
  • Participants stratified into three age groups; primary outcome is limb symmetry on hop testing
  • Multivariable logistic regression models analyzed ACL-RSI association with functional readiness, using ROC curve for predictive accuracy.
  • At 6 months, higher ACL-RSI scores correlated with ≥90% limb symmetry, mean ACL-RSI of 67.9 for the highest score group.
  • Younger athletes (10-14 years) had higher ACL-RSI scores and nearly fourfold higher odds of achieving ≥90% limb symmetry than older groups.
  • At 9 months, while ACL-RSI scores improved, predictive capacity diminished, with AUC of 0.621 showing limited predictive ability.

Cite This Study

Milewski et al. (2026) studied this question.

synapsesocial.com/papers/6a34def565a5b0777af2e35bhttps://doi.org/10.1177/2325967126s00226
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Also Consider

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

  1. 1Assessing the Impact of Psychological Readiness on Performance and Symmetry in Functional Testing After ACL Reconstruction in Pediatric and Adolescent Patients2024 · 11 citations
  2. 2Postoperative Anterior Cruciate Ligament–Return to Sport after Injury Scores Predict Reinjury in Adolescent Athletes2026 · 1 citations
  3. 3Functional and Psychological Predictors of Return to Sport and Reinjury Risk in Professional Athletes After ACL Reconstruction2026
  4. 4Females Meet Return to Sport Criteria at Lower Rates Than Males 9 Months After ACL Reconstruction2026
  5. 5Correlation between Anterior Cruciate Ligament–Return to Sport after Injury Score at 6 Months after Anterior Cruciate Ligament Reconstruction and Mid-Term Functional Test Results: An Observational Study at 5-Year Follow-Up2024 · 8 citations