The Japanese version of the anterior cruciate ligament-return to sport after injury (ACL-RSI) scale has acceptable validity and reliability

Purpose The anterior cruciate ligament-return to sports after injury (ACL-RSI) scale assesses the psychological impact of returning to sports (also referred to as psychological readiness) after ACL reconstruction. The aim of this study was to evaluate important measurement properties of the Japanese...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2020-08, Vol.28 (8), p.2519-2525
Main Authors: Hirohata, Kenji, Aizawa, Junya, Furuya, Hidetaka, Mitomo, Sho, Ohmi, Takehiro, Ohji, Shunsuke, Ohara, Toshiyuki, Koga, Hideyuki, Yagishita, Kazuyoshi, Webster, Kate E.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anterior cruciate ligament
Anterior Cruciate Ligament Injuries - surgery
Anterior Cruciate Ligament Reconstruction - psychology
Anterior Cruciate Ligament Reconstruction - rehabilitation
Athletes
Athletic Injuries - psychology
Athletic Injuries - surgery
Biomedical materials
Consistency
Evaluation
Female
Floors
Humans
Injuries
Japan
Knee
Ligaments
Male
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Osteoarthritis
Psychology
Recovery of function
Rehabilitation
Reliability analysis
Reproducibility of Results
Return to Sport - psychology
Sports
Surveys and Questionnaires
Translations
Young Adult
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Summary:Purpose The anterior cruciate ligament-return to sports after injury (ACL-RSI) scale assesses the psychological impact of returning to sports (also referred to as psychological readiness) after ACL reconstruction. The aim of this study was to evaluate important measurement properties of the Japanese version of ACL-RSI scale. Methods Ninety-three participants who underwent ACL reconstruction filled out the Japanese version of ACL-RSI scale, the Tampa scale for kinesiophobia (TSK), the International Knee Documentation Committee-Subjective Knee Form (IKDC-SKF), and Knee injury and Osteoarthritis Outcome Score (KOOS). To assess test re-test reliability, 50 of the 93 participants re-answered the Japanese version of ACL-RSI scale within 10 days. Floor and ceiling effects, internal consistency, construct validity, and reliability of the Japanese version of ACL-RSI scale were analysed. Results There were no floor and ceiling effects. The Japanese version of ACL-RSI scale showed good internal consistency (Cronbach’s alpha = 0.912). It was positively correlated with total points of IKDC-SKF and the Lysholm score, and with the all sub-categories of the KOOS, and it was negatively correlated with the TSK. Reliability of the Japanese version of ACL-RSI scale was satisfactory. Conclusion The Japanese version of ACL-RSI scale has acceptable measurement properties. It can be a useful for evaluation of psychological readiness for return to sports in Japanese athletes who undergo primary ACL reconstruction. Information provided by the Japanese version of the ACL-RSI scale may also help to identify athletes who find return to sport a challenge, and guide conversations regarding treatment and rehabilitation plans. Level of evidence II.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-020-05849-1