What ACL-RSI score at 6 months indicates poor prognosis for return to sport?

What ACL-RSI score at 6 months indicates poor prognosis for return to sport?

• A. 42%
• B. 32%
• C. 45%
• D. 60%

Answer: (A)

Psychological readiness to return to sport after ACL reconstruction is what the ACL-RSI measures. Higher scores mean you feel ready and confident; lower scores reveal fear, anxiety, and negative appraisal about knee function during sport. At six months, a score in the low forties reflects substantial barriers to returning to sport—fear of reinjury, doubt about the knee, and concerns about performance. These psychological factors strongly influence whether an athlete actually returns to sport, often more than the purely physical readiness at this stage. Studies have used about a 40-something percent cut-off as a signal of poor prognosis for returning to sport, with 42% indicating a clinically meaningful lack of readiness. That’s why this value is the best choice among the options. A score around 60% would suggest relatively good readiness; much lower than that would be concerning, but the item’s cited threshold is 42%.

Psychological readiness to return to sport after ACL reconstruction is what the ACL-RSI measures. Higher scores mean you feel ready and confident; lower scores reveal fear, anxiety, and negative appraisal about knee function during sport. At six months, a score in the low forties reflects substantial barriers to returning to sport—fear of reinjury, doubt about the knee, and concerns about performance. These psychological factors strongly influence whether an athlete actually returns to sport, often more than the purely physical readiness at this stage. Studies have used about a 40-something percent cut-off as a signal of poor prognosis for returning to sport, with 42% indicating a clinically meaningful lack of readiness. That’s why this value is the best choice among the options. A score around 60% would suggest relatively good readiness; much lower than that would be concerning, but the item’s cited threshold is 42%.