{"id":{"repo_id":"utswmed","oai_identifier":"oai:utswmed-ir.tdl.org:2152.5/10623"},"canonical_url":"https://search.dev.ndltd.org/etd/utswmed/oai:utswmed-ir.tdl.org:2152.5/10623","repository":{"repo_id":"utswmed","name":"University of Texas Southwestern Medical Center","base_url":"https://utswmed-ir.tdl.org/server/oai/request"},"display":{"title":"Differences in Short-Term Sport-Specific Functional Recovery After Primary ACL Reconstruction in the Adolescent Athlete","abstract":"The general metadata -- e.g., title, author, abstract, subject headings, etc. -- is publicly available, but access to the submitted files is restricted to UT Southwestern campus access and/or authorized UT Southwestern users.","abstract_html":"The general metadata -- e.g., title, author, abstract, subject headings, etc. -- is publicly available, but access to the submitted files is restricted to UT Southwestern campus access and/or authorized UT Southwestern users.","abstract_has_math":false,"creators":["Kemper, William Craig"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Ellis, Henry B.","Wilson, Philip L.","Boes, Nathan"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025-06-03T19:58:26Z","date_published":"2025-06-03T19:58:26Z","updated_at":"2026-07-24T05:52:38Z","subjects":["Anterior Cruciate Ligament Injuries","Athletes","Soccer","Adolescent"],"languages":["en"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["Kemper, W. C., Carpenter, C. M., Wagner, K. J., 3rd, Chen, C. C., Saleem, L., Wilson, P. L., & Ellis, H. B. (2024). Differences in short-term sport-specific functional recovery after primary ACL reconstruction in the adolescent athlete. Sports health, 16(1), 139–148. https://doi.org/10.1177/19417381231156395","1522122359"],"render_values":[{"text":"Kemper, W. C., Carpenter, C. M., Wagner, K. J., 3rd, Chen, C. C., Saleem, L., Wilson, P. L., & Ellis, H. B. (2024). Differences in short-term sport-specific functional recovery after primary ACL reconstruction in the adolescent athlete. Sports health, 16(1), 139–148. https://doi.org/10.1177/19417381231156395","href":"https://doi.org/10.1177/19417381231156395","code":true},{"text":"1522122359","href":null,"code":true}]}]},"links":{"outbound_url":"https://hdl.handle.net/2152.5/10623","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Ellis, Henry B.","Wilson, Philip L.","Boes, Nathan"]},{"key":"dc:creator","label":"Author","values":["Kemper, William Craig"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2025-06-03T19:58:26Z","2023-05","May 2023"]},{"key":"dc:relation","label":"Dc Relation","values":["https://doi.org/10.1177/19417381231156395"]},{"key":"dc:type","label":"Dc Type","values":["Thesis","text"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Anterior Cruciate Ligament Injuries","Athletes","Soccer","Adolescent"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["Kemper, W. C., Carpenter, C. M., Wagner, K. J., 3rd, Chen, C. C., Saleem, L., Wilson, P. L., & Ellis, H. B. (2024). Differences in short-term sport-specific functional recovery after primary ACL reconstruction in the adolescent athlete. Sports health, 16(1), 139–148. https://doi.org/10.1177/19417381231156395","https://hdl.handle.net/2152.5/10623","1522122359"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["The general metadata -- e.g., title, author, abstract, subject headings, etc. -- is publicly available, but access to the submitted files is restricted to UT Southwestern campus access and/or authorized UT Southwestern users.","The entirety of the article was accepted for publication by Sports Health Journal in January 2023. This thesis is altered by having a greater length and slightly different format than that accepted for publication, but all sections of this manuscript (including the abstract) share most material with the accepted manuscript, which is available at the related citation below.","BACKGROUND: Physical requirements vary from sport to sport which may affect the physiologic and psychologic demand placed on an athlete. Although ACL injury rates have been studied extensively, it is unclear whether levels of functional and psychological readiness for return-to-sport after primary ACL reconstruction (ACLR) differ based on an athlete's primary sport. OBJECTIVE: We hypothesize that youth athletes in different primary sports will demonstrate differences in short-term functional recovery, as well as patient reported psychological and functional recovery after primary ACLR. METHODS: After IRB approval was obtained, data on consecutive patients in a pediatric sports medicine clinic treated for ACL injury (12/2015-12/2019) was reviewed. Patients included had undergone primary ACLR within this window and reported sports participation at the time of injury. Patients were excluded if they had undergone an ACLR prior to December 2015, experienced bilateral tears prior to surgery, had only partial tears, underwent multi-ligamentous reconstruction/repair, or were diagnosed with congenital absence of an ACL. After screening the patients, 104 were excluded, leaving 443 athletes for further review. Records were reviewed for patient demographic data, sports participation, surgical data, functional testing scores (Y Balance TestTM), both functional (Pedi-FABS and Pedi-IKDC) and psychological (ACSI-28, ACL-RSI, and AIMS) patient reported outcome measures (PROM), and timing of return-to-play clearance. Y Balance TestTM (YBT) passage was determined by analysis of anterior side-to-side difference, posteromedial and posterolateral side-to-side differences, and composite scores. The providing surgeon used YBT performance as the primary metric for determination of clearance. Based on the most commonly reported sports, four groups were studied: soccer, football, basketball, and other. RESULTS: The cohort was split by gender with 220 male and 223 female athletes. 65.28% of soccer players were female and 100% of football players were male (p<0.01). At initial postoperative YBT testing (6-9 months), soccer players had higher operative (p<0.01) and nonoperative (p<0.01) leg composite scores when compared to basketball. No significant differences were found between sports in functional or psychological PROMs at pre-surgical baseline or 6 months post-operatively. When compared to football, soccer players completed functional clearance in a shorter time from surgery (p=0.02). Multivariate analysis showed level of competition as a significant independent variable for clearance in female athletes. CONCLUSION: After primary ACLR, athletes demonstrated short-term sport-specific differences in YBT scores, especially females. Differences in time from surgery to clearance were also demonstrated between sports, with soccer players attaining clearance sooner than football players. Level of competition influenced YBT composite scores in all athletes and time to clearance in female athletes. Sport-specific differences in reinjury should be investigated to determine if changes in evaluation for return-to-play should be implemented."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Differences in Short-Term Sport-Specific Functional Recovery After Primary ACL Reconstruction in the Adolescent Athlete"]}]}],"canonical_facts":{"dc:contributor":["Ellis, Henry B.","Wilson, Philip L.","Boes, Nathan"],"dc:creator":["Kemper, William Craig"],"dc:date":["2025-06-03T19:58:26Z","2023-05","May 2023"],"dc:description":["The general metadata -- e.g., title, author, abstract, subject headings, etc. -- is publicly available, but access to the submitted files is restricted to UT Southwestern campus access and/or authorized UT Southwestern users.","The entirety of the article was accepted for publication by Sports Health Journal in January 2023. This thesis is altered by having a greater length and slightly different format than that accepted for publication, but all sections of this manuscript (including the abstract) share most material with the accepted manuscript, which is available at the related citation below.","BACKGROUND: Physical requirements vary from sport to sport which may affect the physiologic and psychologic demand placed on an athlete. Although ACL injury rates have been studied extensively, it is unclear whether levels of functional and psychological readiness for return-to-sport after primary ACL reconstruction (ACLR) differ based on an athlete's primary sport. OBJECTIVE: We hypothesize that youth athletes in different primary sports will demonstrate differences in short-term functional recovery, as well as patient reported psychological and functional recovery after primary ACLR. METHODS: After IRB approval was obtained, data on consecutive patients in a pediatric sports medicine clinic treated for ACL injury (12/2015-12/2019) was reviewed. Patients included had undergone primary ACLR within this window and reported sports participation at the time of injury. Patients were excluded if they had undergone an ACLR prior to December 2015, experienced bilateral tears prior to surgery, had only partial tears, underwent multi-ligamentous reconstruction/repair, or were diagnosed with congenital absence of an ACL. After screening the patients, 104 were excluded, leaving 443 athletes for further review. Records were reviewed for patient demographic data, sports participation, surgical data, functional testing scores (Y Balance TestTM), both functional (Pedi-FABS and Pedi-IKDC) and psychological (ACSI-28, ACL-RSI, and AIMS) patient reported outcome measures (PROM), and timing of return-to-play clearance. Y Balance TestTM (YBT) passage was determined by analysis of anterior side-to-side difference, posteromedial and posterolateral side-to-side differences, and composite scores. The providing surgeon used YBT performance as the primary metric for determination of clearance. Based on the most commonly reported sports, four groups were studied: soccer, football, basketball, and other. RESULTS: The cohort was split by gender with 220 male and 223 female athletes. 65.28% of soccer players were female and 100% of football players were male (p<0.01). At initial postoperative YBT testing (6-9 months), soccer players had higher operative (p<0.01) and nonoperative (p<0.01) leg composite scores when compared to basketball. No significant differences were found between sports in functional or psychological PROMs at pre-surgical baseline or 6 months post-operatively. When compared to football, soccer players completed functional clearance in a shorter time from surgery (p=0.02). Multivariate analysis showed level of competition as a significant independent variable for clearance in female athletes. CONCLUSION: After primary ACLR, athletes demonstrated short-term sport-specific differences in YBT scores, especially females. Differences in time from surgery to clearance were also demonstrated between sports, with soccer players attaining clearance sooner than football players. Level of competition influenced YBT composite scores in all athletes and time to clearance in female athletes. Sport-specific differences in reinjury should be investigated to determine if changes in evaluation for return-to-play should be implemented."],"dc:format":["application/pdf"],"dc:identifier":["Kemper, W. C., Carpenter, C. M., Wagner, K. J., 3rd, Chen, C. C., Saleem, L., Wilson, P. L., & Ellis, H. B. (2024). Differences in short-term sport-specific functional recovery after primary ACL reconstruction in the adolescent athlete. Sports health, 16(1), 139–148. https://doi.org/10.1177/19417381231156395","https://hdl.handle.net/2152.5/10623","1522122359"],"dc:language":["en"],"dc:relation":["https://doi.org/10.1177/19417381231156395"],"dc:subject":["Anterior Cruciate Ligament Injuries","Athletes","Soccer","Adolescent"],"dc:title":["Differences in Short-Term Sport-Specific Functional Recovery After Primary ACL Reconstruction in the Adolescent Athlete"],"dc:type":["Thesis","text"]},"updated_at":"2026-07-24T05:52:38Z"}