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ACL-RSI
ACL Return to Sport after Injury Scale (Short Version)
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1.
Please type your name. Surname, First Name
(Required.)
Please answer the following questions referring to your main sport prior to injury. For each question, tick a box between the two descriptions to indicate how you feel right now relative to the two extremes.
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2.
Are you confident that you can perform at your previous level of sport participation?
(Required.)
0 Not at all Confident
10
20
30
40
50
60
70
80
90
100 Fully Confident
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3.
Do you think you are likely to reinjure your knee by participating in your sport?
(Required.)
0 Extremely Likely
10
20
30
40
50
60
70
80
90
100 Not at all Likely
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4.
Are you nervous about playing your sport?
(Required.)
0 Extremely Nervous
10
20
30
40
50
60
70
80
90
100 Not at all Nervous
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5.
Are you confident that you could play your sport without concern for your knee?
(Required.)
0 Not at all confident
10
20
30
40
50
60
70
80
90
100 Fully Confident
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6.
Do you find it frustrating to have to consider your knee with respect to your sport?
(Required.)
0 Extremely Frustrating
10
20
30
40
50
60
70
80
90
100 Not at all Frustrating
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7.
Are you fearful of reinjuring your knee by playing your sport?
(Required.)
0 Extremely Fearful
10
20
30
40
50
60
70
80
90
100 Not Fearful at all
8.
Interpretation of scores (for office use only)
TOTAL SCORE: (add up score from each question________)/6 = _______
SCORE RANGE: 0%-100% on psychological readiness to RTS Score > 60 at 6 months post injury is correlated with good likelihood of RTS
Webster, K. E., & Feller, J. A. (2018). Development and Validation of a Short Version of the Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) Scale. Orthopaedic journal of sports medicine, 6(4).
