ACL ReconstructionACL-RTSNCT07259083
Psychological and Physiological Parameters for Return-to-sport After ACL Reconstruction
An observational study of ACL Reconstruction, run by Johannes Kepler University of Linz at 1 site in Austria.
Trial 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. Read more about this study
- Who is it for?
- Ages 18 to 50 years
- Conditions the study is for
- ACL Reconstruction
- How many people
- 30 participants
- Where
- 1 siteAustria
- Study dates
- 16 Apr 2025to 30 Dec 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 50 years
- All sexes
- No healthy volunteers
- Adult
Study population: Physically active adults who underwent unilateral ACL reconstruction 1 to 4 years ago
Who may be able to join
- Primary unilateral ACL reconstruction 1 to 4 years prior testing
- Physically active
- 18-50 years
- Medical approval for maximum loads
Who cannot join
- Bilateral Knee injury
- Pregnancy
- Acute pain (VAS ≥ 3)
- Extremely limited mobility
- Extreme joint instability
- Acute injuries
- Inflammation
- Fever
Trial locations and contacts
1 site in 1 country.
Austria1 site
Kepler University Clinic, Dept. of Physical Medicine & Rehabilitation
Linz, 4021
About this study
Official title: Long-term Correlation of Functional and Psychological Parameters for the Return-to-sport Decision After Anterior Cruciate Ligament Reconstruction
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?
- Conditions
- ACL Reconstruction
- Keywords
- ACL rupture, ACL reconstruction, Return to sport, ACL tear, Dynamometry
- Medical subject headings
- Anterior Cruciate Ligament Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Participants after ACL reconstruction | 1 to 4 years after ACL reconstruction, age: 18 - 50 years, physically active |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: Day 1 (1 to 4 years after ACL reconstruction)
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.
Measured: Day 1 (1 to 4 years after ACL reconstruction)
Secondary outcomes (2)
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.
Measured: Day 1 (1 to 4 years after ACL reconstruction)
Sports activity
Sports activity before and after surgery in minutes/week
Measured: Day 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Dec 2025
- Study start16 Apr 2025
- Primary completion1 Sep 2025
- Study completion30 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ACL ReconstructionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Johannes Kepler University of Linz
- Sponsor type
- University, hospital or other
- Collaborators
- University of Salzburg
- Responsible party
- Principal investigator, Christian Mittermaier, Johannes Kepler University of Linz
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07259083
- Sponsor's protocol ID
- Kepler Universitätsklinikum /
- Acronym
- ACL-RTS
- Status last verified
- Apr 2026
- First submitted
- 16 Apr 2025
- Last updated
- 20 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Long-term Correlation of Functional and Psychological Parameters for the Return-to-sport Decision After Anterior Cruciate Ligament Reconstruction
- ClinicalTrials.gov ID
- NCT07259083
- Acronym / sponsor ID
- ACL-RTS / Kepler Universitätsklinikum /
- Conditions
- ACL Reconstruction
- Keywords
- ACL rupture, ACL reconstruction, Return to sport, ACL tear, Dynamometry
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Johannes Kepler University of LinzUniversity, hospital or other
- Collaborators
- University of Salzburg
- Study start
- 16 Apr 2025 (actual)
- Primary completion
- 1 Sep 2025 (actual)
- Study completion
- 30 Dec 2025 (actual)
- First posted
- 2 Dec 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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?
Study design
- Observational model
- Other
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Participants after ACL reconstruction | – | –1 to 4 years after ACL reconstruction, age: 18 - 50 years, physically active |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
- Study population
- Physically active adults who underwent unilateral ACL reconstruction 1 to 4 years ago
Key inclusion criteria (4 listed)
- Primary unilateral ACL reconstruction 1 to 4 years prior testing
- Physically active
- 18-50 years
- Medical approval for maximum loads
Key exclusion criteria (8 listed)
- Bilateral Knee injury
- Pregnancy
- Acute pain (VAS ≥ 3)
- Extremely limited mobility
- Extreme joint instability
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Peak torque (Nm) - Isokinetic dynamometry (Biodex System 4)
Time frame: Day 1 (1 to 4 years after ACL reconstruction)
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.
ACL-RSI questionnaire (Anterior Cruciate Ligament-Return to Sport after Injury)
Time frame: Day 1 (1 to 4 years after ACL reconstruction)
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.
2 secondary outcomes
Isokinetic dynamometry (Biodex System 4)
Time frame: Day 1 (1 to 4 years after ACL reconstruction)
Sports activity
Time frame: Day 1
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Apr 2026.
- Individual participant dataSharing planned: No
Related trials for ACL Reconstruction
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Supporting Athletes' Return to Sports After ACL Reconstruction: A Study of a Psychological Readiness Program
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of ACL Reconstruction, run by Johannes Kepler University of Linz at 1 site in Austria.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Austria. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Peak torque (Nm) - Isokinetic dynamometry (Biodex System 4) (time frame: Day 1 (1 to 4 years after ACL reconstruction)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Apr 2026.