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September 14, 2026Sports Health A Multidisciplinary ApproachOpen Access

Functional and Psychological Predictors of Return to Sport and Reinjury Risk in Professional Athletes After ACL Reconstruction

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Authors

MKMohammad Rahimi KhoyganiHEHamed Esmaili

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Overview

Prospective cohort study reveals absolute hop metrics and psychological readiness predict reinjury in elite athletes after ACL reconstruction, indicating standard symmetry measures are insufficient.

Key Points

  • To determine whether absolute hop performance and psychological readiness scores predict return to sport and noncontact graft reinjury risk more accurately than traditional limb symmetry index thresholds in professional athletes after ACL reconstruction.
  • Tracked 127 professional athletes prospectively from 2021 to 2024 who completed 10 standardized functional hop tests and 3 patient-reported outcome measures, including the ACL-Return to Sport after Injury (ACL-RSI) scale, across a 3-year follow-up.
  • Conducted a nested retrospective matched case-control analysis comparing 32 athletes with noncontact graft reinjury to 32 injury-free controls on hop performance, limb symmetry index (LSI), and psychological readiness scores.
  • Physical hop performance correlated significantly with psychological readiness scores (P < 0.05).
  • Absolute hop performance measures combined with patient-reported outcome measures proved more sensitive in identifying elevated reinjury risk than standard limb symmetry index thresholds.

Cite This Study

Khoygani et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b32d0926e14a848b1f47https://doi.org/10.1177/19417381261480055
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