Confidence during a change-of-direction task varies more than time in patients following ACL reconstruction (15 min)
Evidence indicates measuring psychological outcomes, such as readiness and confidence, may improve return to sport assessment (RTS) decision making following anterior cruciate ligament reconstruction (ACLr). The purpose of this study was to evaluate performance in a change-of-direction (COD) task alongside patient and clinician ratings of confidence. 46 patients completed the 505 COD, single, triple and triple crossover hop tests at six months following unilateral ACLr. Patients rated their confidence on each limb following completion of the COD alongside a clinician’s perception of patient confidence. Time did not vary between limbs for the COD despite reduced affected limb performance on the single, triple and triple crossover hops. Patients and the clinician rated confidence on the affected limb lower, although there was minimal to no correlation between clinician and patient ratings. The current methodology used during the COD may not be reflective of underlying performance deficits as participants are able to adapt their speed of movement over the timed distance. Considering patient confidence, movement strategy, and assessment methodology may have relevance in guiding clinical decisions.
Brittany is a Certified Athletic Therapist (CAT(C)), NSCA Strength and Conditioning Specialist (NSCA-CSCS), and a College of Rehabilitation Sciences graduate student completing her 2nd year of her Master’s Degree at the University of Manitoba. She recently transitioned from a clinical and gym setting to work full time in orthopaedic and rehabilitative research at Pan Am Sports Medicine Clinic.