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CompletedNCT07259083ACL-RTSUpdated Apr 20, 2026

Psychological and Physiological Parameters for Return-to-sport After ACL Reconstruction

An observational study in ACL Reconstruction, sponsored by Johannes Kepler University of Linz. Completed at 1 site in Austria. Open to participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-04-20.

Sponsored by Johannes Kepler University of Linz · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
30
Ages
18 Years to 50 Years
Sex
All
01

Study summary

Injuries to the anterior cruciate ligament are common and are usually treated with reconstruction and subsequent rehabilitation. Many people succeed in return to sport (RTS), but not to the original level. Muscle strength factors can be assessed using isokinetic strength measurements, while the psychological readiness to return to sport can be assessed using the Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) questionnaire. In this study, isokinetic strength testing and psychological testing with the ACL-RSI questionnaire 1 to 4 years after ACL reconstruction will be assessed. The study will be conducted at the Institute of Physical Medicine \& Rehabilitation at the Kepler University Hospital. The Biodex System Pro™, a medical device for measuring and training muscle strength, will be used for the isokinetic measurements. The research question is as follows: Is there a correlation between the results of the ACL RSI questionnaire and the results of isokinetic strength testing on the Biodex System 4 Pro™ in test subjects following ACL reconstruction?

02

Conditions studied

  • ACL Reconstruction

Keywords

  • ACL rupture
  • ACL reconstruction
  • Return to sport
  • ACL tear
  • Dynamometry
03

In context

Anterior Cruciate Ligament Injuries

512 studies on the registry are indexed under Anterior Cruciate Ligament Injuries; 164 are open to participants now.

This study's enrollment of 30 is below the median of 92 across 127 observational studies indexed under Anterior Cruciate Ligament Injuries.

Browse Anterior Cruciate Ligament Injuries studies →

Lead sponsor

Johannes Kepler University of Linz is the lead sponsor of 32 studies on the registry; 12 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Physically active adults who underwent unilateral ACL reconstruction 1 to 4 years ago

Inclusion criteria

  • Primary unilateral ACL reconstruction 1 to 4 years prior testing
  • Physically active
  • 18-50 years
  • Medical approval for maximum loads

Exclusion criteria

Exclusion Criteria:

  • Bilateral Knee injury
  • Pregnancy
  • Acute pain (VAS ≥ 3)
  • Extremely limited mobility
  • Extreme joint instability
  • Acute injuries
  • Inflammation
  • Fever
05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
30 participants (actual)
Patient registry
No

Groups and cohorts

  • Participants after ACL reconstruction

    1 to 4 years after ACL reconstruction, age: 18 - 50 years, physically active

06

What researchers measure

Primary outcomes

  1. Peak torque (Nm) - Isokinetic dynamometry (Biodex System 4)

    The isokinetic dynamometer measures concentric strength in extension and flexion. Isokinetic strength testing at a ROM (range of motion) of 0-90° knee flexion at 3 different speeds. Test protocol at angular velocities of 60°/sec, 180°/sec and 240°/sec.

    Time frame: Day 1 (1 to 4 years after ACL reconstruction)

  2. ACL-RSI questionnaire (Anterior Cruciate Ligament-Return to Sport after Injury)

    The ACL-RSI is a measure of psychological readiness to return to sport. It contains 12 questions and examines 3 components related to readiness to return to sport: emotions (5 questions), confidence in one's own performance (5 questions) and risk assessment (2 questions). The questions relate to the psychological effects of returning to sport. The respondents answer each question by giving their assessment in steps of ten on a Likert scale from 0 to 100 points. Low scores indicate a negative psychological assessment and high scores indicate a positive psychological assessment. The cut-off value for distinguishing between returnees and non-returnees is 51.3 points. A German version of the questionnaire is used.

    Time frame: Day 1 (1 to 4 years after ACL reconstruction)

Secondary outcomes

  1. Isokinetic dynamometry (Biodex System 4)

    The isokinetic dynamometer measures concentric strength in extension and flexion including following parameters: Average peak torque (Nm), time to peak torque (sec), angle of peak torque (deg), torque at 30°, torque at 0.18 seconds, max. repetitions to total work, work/body weight, total work, work first third, work last third, work fatique, avg. power, acceleration time (msec), ROM (range of motion, deg), agonist/antagonist ratio (%), hamstring/quadriceps (H/Q) ratio, LSI (limb symmetry index) Isokinetic strength testing at a ROM of 0-90° knee flexion at 3 different speeds. Test protocol at angular velocities of 60°/sec, 180°/sec and 240°/sec.

    Time frame: Day 1 (1 to 4 years after ACL reconstruction)

  2. Sports activity

    Sports activity before and after surgery in minutes/week

    Time frame: Day 1

Other outcomes

  1. Time since ACL surgery

    Time in months since ACL surgery

    Time frame: Day 1

  2. Height

    Height of the participant in cm

    Time frame: Day 1

  3. Weight

    Weight of the participant in kg

    Time frame: Day 1

  4. Body Mass Index

    Relation of body weight to the square of body height

    Time frame: Day 1 (1 to 4 years after ACL reconstruction)

  5. Age

    Age of the participant in years

    Time frame: Day 1

07

Study locations

1 site
  • Kepler University Clinic, Dept. of Physical Medicine & Rehabilitation
    Linz, 4021, Austria
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07259083
Lead sponsor
Johannes Kepler University of Linz
Collaborators
University of Salzburg
Responsible party
Christian Mittermaier (M.D., Johannes Kepler University of Linz) — Principal investigator
First posted
Dec 2, 2025
Start date
Apr 16, 2025
Primary completion
Sep 1, 2025
Completion
Dec 30, 2025
Last update
Apr 20, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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