Jack Mest , Andrew Flood , Peter Preston , Gordon Waddington , Peter Malliaras , Angie M. Fearon
{"title":"Sensorimotor dysfunction does not predict pain-related cognition, but proprioception is associated with pain catastrophizing and pain self-efficacy in people with lower limb tendinopathy: A cross-sectional study","authors":"Jack Mest , Andrew Flood , Peter Preston , Gordon Waddington , Peter Malliaras , Angie M. Fearon","doi":"10.1016/j.ptsp.2026.101921","DOIUrl":"10.1016/j.ptsp.2026.101921","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate if sensorimotor function predicts pain-related cognition in people with lower limb tendinopathy.</div></div><div><h3>Design</h3><div>Single-cohort, cross-sectional study.</div></div><div><h3>Setting</h3><div>Sports and exercise research laboratory.</div></div><div><h3>Participants</h3><div>Seventy-three participants with a diagnosed lower limb tendinopathy.</div></div><div><h3>Main outcome measures</h3><div>We measured proprioception (active movement extent discrimination apparatus), unilateral balance (Y-balance test), bipedal postural control (sensory organization test) and lower limb muscle strength in a single laboratory visit. Pain-related cognition was assessed using the Tampa Scale of Kinesiophobia (TSK-11), fear of pain questionnaire, pain catastrophizing scale, pain self-efficacy scale. Linear regression analysis was conducted to determine whether sensorimotor function was predictive of pain-related cognition.</div></div><div><h3>Results</h3><div>Sensorimotor function was not predictive of kinesiophobia (<em>p</em> = 0.24, ΔR<sup>2</sup> = 0.06), fear of pain (<em>p</em> = 0.97, ΔR<sup>2</sup> = 0.01), pain catastrophizing (<em>p</em> = 0.1) or pain self-efficacy (<em>p</em> = 0.18, ΔR<sup>2</sup> = 0.06) after controlling for age, sex, disability and pain intensity. Proprioceptive ability was associated with pain catastrophizing (μ = −5.52, <em>p</em> = 0.02) and pain self-efficacy (β = 23.05, <em>p</em> = 0.046).</div></div><div><h3>Conclusions</h3><div>Collectively, sensorimotor factors did not predict pain-related cognition. However, when considering sensorimotor factors individually, proprioceptive ability was associated with both pain catastrophizing and self-efficacy but not fear.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"79 ","pages":"Article 101921"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147797941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Timmy Gustafsson , Anna Hermansen , Anne Fältström , Sofi Sonesson
{"title":"From setback to comeback: key insights for a successful return to sport after a second anterior cruciate ligament reconstruction: a qualitative study","authors":"Timmy Gustafsson , Anna Hermansen , Anne Fältström , Sofi Sonesson","doi":"10.1016/j.ptsp.2026.101905","DOIUrl":"10.1016/j.ptsp.2026.101905","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore athletes' experiences, thoughts, and behaviors during the final phase of rehabilitation – transition from supervised to unrestricted rehabilitation and return to sport (RTS) – after a second anterior cruciate ligament reconstrcution (ACLR), and the strategies used to prevent reinjury at this phase of rehabilitation.</div></div><div><h3>Design</h3><div>Qualitative descriptive study.</div></div><div><h3>Settings</h3><div>Competitive team ball sports.</div></div><div><h3>Participants</h3><div>Sixteen athletes (8 females, 18–30 years) who had RTS after their second ACLR.</div></div><div><h3>Main outcome measures</h3><div>Individual semi-structured interviews were conducted. Conventional content analysis generated categories capturing athletes’ experiences.</div></div><div><h3>Results</h3><div>Three main categories emerged: <em>Safe reintegration into sports after the second ACLR</em>, describing need for structured progression, sport-specific training and long-term injury prevention; <em>Navigating physical and psychological readiness to return to sport</em>, highlighting fluctuating confidence, fear of reinjury, and strategies to rebuild trust in the knee; and <em>Unified approach to return to sport</em>, emphasizing collaboration with physiotherapists and coaches, and athletes’ increased self-awareness following their first ACLR rehabilitation.</div></div><div><h3>Conclusion</h3><div>Athletes adopted a more cautious, informed, and prevention-focused approach during their second ACLR rehabilitation, drawing on lessons from their first injury. Integrating psychological readiness with physical recovery, promoting communication between athletes, physiotherapists, and coaches, and emphazising injury prevention may enhance RTS outcomes after a second ACLR.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"79 ","pages":"Article 101905"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Olivier , B. Olivier , J.J.W. Swart , A.S.-J. Hohlfeld , C. MacMillan
{"title":"Effect of neuromuscular training strategies on injury rates in adolescent males playing sport - a systematic review and meta-analysis","authors":"F. Olivier , B. Olivier , J.J.W. Swart , A.S.-J. Hohlfeld , C. MacMillan","doi":"10.1016/j.ptsp.2026.101904","DOIUrl":"10.1016/j.ptsp.2026.101904","url":null,"abstract":"<div><div>This systematic review and meta-analysis aimed to investigate the effectiveness of neuromuscular training strategies (NMTS) on injury rates in adolescent male athletes.</div><div>Nineteen databases were searched from inception to August 2025. Randomised controlled trials (RCT) investigating the effectiveness of NMTS (13–18-year-old male athletes) were included. The JBI tool for RCTs was used for critical appraisal. Meta-analyses (inverse statistical method, random effects, 95% confidence interval (CI)) with pooled point estimate of relative risk (RR) was used for data synthesis.</div><div>Eighteen studies (8480 participants) were included. Multifaceted warm-up NMTS (RR: 0.69 [95% CI: 0.55, 0.87]; n = 7521; I<sup>2</sup> = 80%) reduced number of injuries (moderate certainty). Strength training (RR: 0.13 [95% CI: 0.02, 0.83]; n = 72; I<sup>2</sup> = 0%) reduced incidence (moderate certainty). The effectiveness of eccentric thigh training was inconclusive. Functional Movement Screening training (RR: 0.25 [95% CI: 0.08, 0.82]; n = 71) was described narratively and reduced number of injuries after 12 weeks (high certainty). Overall NMTS reduced number of non-contact (RR: 0.47 [95% CI: 0.34, 0.65]; n = 883; I<sup>2</sup> = 41%) injuries and severity.</div><div>Multifaceted warm-up NMTS reduced injury rates. NMTS reduced number of non-contact- and severity of injuries overall. The varying effects and timeframes should be considered when implementing injury prevention strategies.</div><div>PROSPERO (CRD42022327047).</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"79 ","pages":"Article 101904"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benjamin Dutaillis , Tyler Collings , Philip Bellinger , Ryan G. Timmins , Morgan D. Williams , David L. Carey , Mathew N. Bourne
{"title":"Five vertical jump metrics provide a comprehensive assessment of recovery following anterior cruciate ligament reconstruction","authors":"Benjamin Dutaillis , Tyler Collings , Philip Bellinger , Ryan G. Timmins , Morgan D. Williams , David L. Carey , Mathew N. Bourne","doi":"10.1016/j.ptsp.2026.101897","DOIUrl":"10.1016/j.ptsp.2026.101897","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify and compare the unique physical qualities measured during vertical jump testing in individuals following anterior cruciate ligament reconstruction (ACLR), and explore how these qualities change over time.</div></div><div><h3>Design</h3><div>Longitudinal, cohort study.</div></div><div><h3>Participants</h3><div>Thirty participants completed testing at 6-, 9-, and 12-months following primary ACLR.</div></div><div><h3>Main outcomes</h3><div>Vertical ground reaction forces during single and double leg countermovement jumps (CMJ) and drop vertical jumps (DVJ) were recorded using dual force platforms. Sparse principal component analyses were conducted, and linear mixed models were used to explore how principal component (PC) scores changed over time.</div></div><div><h3>Results</h3><div>Five PCs were identified in both limbs: PC1) force/impulse/power, PC2) contraction time, PC3) concentric velocity/jump height, PC4) contact time/depth, and PC5) eccentric peak velocity. Scores for PC1, PC3 and PC5 increased over time, while PC4 decreased (<em>P</em> < 0.001). Scores for PC1, PC3 and PC5 were lower in the reconstructed limb compared to the uninjured contralateral limb (<em>P</em> < 0.001) and displayed a reduction in between-limb asymmetry over time (<em>P</em> < 0.05).</div></div><div><h3>Conclusions</h3><div>Considerable redundancies are present in conventional vertical jump testing practices used during ACLR rehabilitation. Testing batteries could likely be refined to one or two jump types and a small subset of metrics without loss of meaningful information.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"78 ","pages":"Article 101897"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blood flow restriction training compared to conventional training in people with knee pain: Letter to Editor","authors":"João Vitor Ferlito , Nicholas Rolnick","doi":"10.1016/j.ptsp.2026.101893","DOIUrl":"10.1016/j.ptsp.2026.101893","url":null,"abstract":"","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"78 ","pages":"Article 101893"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David McCrea , Neil Welch , Colin Griffin , Kieran Moran , Stacey Kung , Siobhan Strike
{"title":"Inter trial & inter session reliability of a novel reactive step back acceleration test in athletes post Achilles Tendon Repair","authors":"David McCrea , Neil Welch , Colin Griffin , Kieran Moran , Stacey Kung , Siobhan Strike","doi":"10.1016/j.ptsp.2025.12.006","DOIUrl":"10.1016/j.ptsp.2025.12.006","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess inter session and inter trial reliability of a novel acceleration test in both healthy and injured cohorts post Achilles (AT) repair.</div></div><div><h3>Design</h3><div>Test – retest study.</div></div><div><h3>Setting</h3><div>Biomechanics laboratory.</div></div><div><h3>Participants</h3><div>Nineteen individuals overall. 9 injured participants post Achilles Tendon repair, 10 healthy participants.</div></div><div><h3>Main outcome measures</h3><div>Participants tested on two occasions, 7 days apart. The test required participants to react in a standing start to an external cue (light), and accelerate as quickly as possible through timing gates 4 m away. Spatiotemporal, kinematic and kinetic variables of the first step back during acceleration were assessed using 3D motion capture and embedded force plates.</div></div><div><h3>Results</h3><div>Results showed that the majority of spatiotemporal, ankle and knee specific kinetic and kinematic variables had good (ICC >0.75) to excellent (ICC >0.9) inter session reliability in both injured and healthy groups.</div></div><div><h3>Conclusions</h3><div>This reactive sprint acceleration assessment can be reliably used by clinicians to assess ankle and knee -specific recovery post injury and overall acceleration performance.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"78 ","pages":"Article 101884"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Romero-Franco , J.C. Fernández-Domínguez , E. Vico-Moreno , B. Bachero-Mena , A. Sastre-Munar , E. Bosch-Donate
{"title":"Effects of a 12-weeks pelvic floor exercises program on sports performance of female athletes: An exploratory randomized clinical trial","authors":"N. Romero-Franco , J.C. Fernández-Domínguez , E. Vico-Moreno , B. Bachero-Mena , A. Sastre-Munar , E. Bosch-Donate","doi":"10.1016/j.ptsp.2026.101898","DOIUrl":"10.1016/j.ptsp.2026.101898","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the effects of a 12-week pelvic floor muscle training (PFMT) program on sports-related quality of life (sQoL) and countermovement jump (CMJ) in female athletes with pelvic floor dysfunctions (PFD).</div></div><div><h3>Design</h3><div>Randomized controlled trial assigning female athletes with PFD to exercise (EG), exercise with biofeedback (EBG), or control (CG).</div></div><div><h3>Setting</h3><div>App-based intervention including education, PFMT, and supervision.</div></div><div><h3>Participants</h3><div>Forty-nine female athletes with PFD.</div></div><div><h3>Main outcome measures</h3><div>Impact of PFD (urinary incontinence -UI-, anal incontinence -AI-, pelvic pain, prolapse) on sQoL, CMJ, and change in training tolerance, assessed pre- and post-intervention.</div></div><div><h3>Results</h3><div>Thirty-five athletes completed the study. Post-intervention, EG and EBG reported lower sQoL impact than CG (p < 0.05), particularly referring UI (d = 1.1). Lower impact regarding AI and pain only occurred within EG and EBG. In CMJ, mean power was higher in EBG than CG (p = 0.044; d = 1.1), without differences for the rest of variables. Training tolerance was improved by a greater proportion of PFMT participants, without between-group differences (p = 0.098).</div></div><div><h3>Conclusions</h3><div>A 12-week app-based PFMT may reduce the perceived impact of PFD on sQoL in female athletes. In CMJ, biofeedback showed higher mean power only compared with control. Future studies should confirm these effects in larger, sport-specific cohorts.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"78 ","pages":"Article 101898"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nili Steinberg , Michal Shenhar , Aharon S. Finestone , Jeremy Witchalls , Gordon Waddington , Avraham Shina , Gali Dar
{"title":"Prevention exercises for reduced incidence of ankle sprains during military infantry training","authors":"Nili Steinberg , Michal Shenhar , Aharon S. Finestone , Jeremy Witchalls , Gordon Waddington , Avraham Shina , Gali Dar","doi":"10.1016/j.ptsp.2026.101887","DOIUrl":"10.1016/j.ptsp.2026.101887","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the influence of stability exercises on the prevalence of ankle sprains during infantry training; and whether soldiers in the intervention (INT group) with reduced pre-induction ankle instability have a different prevalence of ankle sprains during training compared with soldiers in the control (CON group) who also exhibit reduced instability.</div></div><div><h3>Design</h3><div>Intervention.</div></div><div><h3>Participants</h3><div>Two groups of infantry males (INT, n = 421; CON, n = 365).</div></div><div><h3>Main outcome</h3><div>Pre-induction chronic-ankle-instability (CAI), anthropometrics, and somatosensory acuity were assessed. A physiotherapist assessed ankle-sprains that occurred during the 12-week of infantry training. The INT group performed exercises (5minX5times/week) during infantry training.</div></div><div><h3>Results</h3><div>The prevalence of ankle sprains was significantly lower in the INT versus the CON group (13.1 % and 24.7 %, respectively, p < 0.001). Survival analysis demonstrated lower rate of sprains for INT than for CON (p < 0.001). Soldiers with pre-induction instability (reduced somatosensory acuity, perceived-instability, recurrent ankle-sprains and CAI) who commenced training (INT) had significantly lower prevalence of ankle sprains during training compared with soldiers with reduced abilities in the CON (p < 0.001).</div></div><div><h3>Conclusions</h3><div>Soldiers who completed the injury prevention-program had reduced prevalence of ankle-sprains. Soldiers with reduced ankle stability at the commencement of training had a reduced chance of injury during training if undertaking static-to-dynamic exercises.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"78 ","pages":"Article 101887"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriela Fischer , Rafael L. Kons , Kayus César da Silva , Ricardo Moraes Pavani , Danilo C. Berton , Daniele Detanico , Leonardo Alexandre Peyrè-Tartaruga
{"title":"Inspiratory muscle training in wheelchair athletes: Effects on respiratory function and para fencing performance","authors":"Gabriela Fischer , Rafael L. Kons , Kayus César da Silva , Ricardo Moraes Pavani , Danilo C. Berton , Daniele Detanico , Leonardo Alexandre Peyrè-Tartaruga","doi":"10.1016/j.ptsp.2026.101900","DOIUrl":"10.1016/j.ptsp.2026.101900","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to examine the effects of inspiratory muscle training (IMT) on respiratory function and Para Fencing (PF) performance, and to investigate the relationship between a PF-specific wheelchair protocol and arm-crank ergometer performance.</div></div><div><h3>Design</h3><div>A pre–post intervention case series.</div></div><div><h3>Setting</h3><div>Laboratory-based assessments.</div></div><div><h3>Participants</h3><div>Five Para Fencing athletes with spinal cord injury (T1–L1), classified as classes A and B.</div></div><div><h3>Main outcome measures</h3><div>Pulmonary function, maximal inspiratory (PImax) and expiratory pressures (PEmax), cardiopulmonary exercise testing using an arm-crank ergometer, blood lactate peak, and performance in a PF-specific wheelchair protocol.</div></div><div><h3>Results</h3><div>Following six weeks of IMT, PImax and PEmax increased by 10.9% and 15.5%, respectively, indicating improved respiratory muscle strength. Blood lactate peak showed a large effect size (0.87) after training. A strong correlation was observed between the duration of the PF-specific protocol and peak oxygen uptake obtained from the arm-crank ergometer test (r = 0.90; p = 0.037).</div></div><div><h3>Conclusions</h3><div>Aerobic capacity appears to be strongly associated with PF performance. Although IMT significantly improved respiratory muscle function, its direct impact on sport-specific performance remains inconclusive in this sample.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"78 ","pages":"Article 101900"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146204435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Johan Högberg , Erik Ekström , Lucas Berggren Nielsen , Axel Sundberg , Kristian Samuelsson , Roland Thomeé , Eric Hamrin Senorski
{"title":"Quadriceps and hamstrings strength recovery during the first year after ACLR: Influence of sex and autograft in 520 patients active in pivoting sports","authors":"Johan Högberg , Erik Ekström , Lucas Berggren Nielsen , Axel Sundberg , Kristian Samuelsson , Roland Thomeé , Eric Hamrin Senorski","doi":"10.1016/j.ptsp.2026.101901","DOIUrl":"10.1016/j.ptsp.2026.101901","url":null,"abstract":"<div><h3>Objective</h3><div>To examine quadriceps and hamstrings strength recovery during the first year of rehabilitation after anterior cruciate ligament reconstruction (ACLR) and to evaluate whether strength recovery differ according to patient sex and autograft type.</div></div><div><h3>Design</h3><div>Registry study.</div></div><div><h3>Setting</h3><div>Primary care.</div></div><div><h3>Patients</h3><div>520 patients (56% female) with an average age at ACLR of 23 ± 5.5 years reconstructed with either hamstring tendon (HT) autograft or patellar tendon (PT) autograft.</div></div><div><h3>Main outcome measures</h3><div>Quadriceps and hamstrings strength recovery was analyzed and compared between sexes and autografts at 4, 8, and 12 months after ACLR. Limb symmetry index (LSI), mass-normalized strength (Nm/kg), and hamstrings-to-quadriceps strength ratio were used. Alpha level was set at p < 0.05.</div></div><div><h3>Results</h3><div>Differences in mass-normalized quadriceps and hamstrings strength of both limbs were observed between sexes at 4, 8, and 12 months, with males being stronger than females (p < 0.001). Patients with HT autograft had lower LSI and mass-normalized hamstrings strength, whereas patients with PT autograft had lower LSI and mass-normalized quadriceps strength (p < 0.001).</div></div><div><h3>Conclusion</h3><div>Males had greater recovery of mass-normalized hamstrings strength, and higher mass-normalized strength values for quadriceps and hamstrings in both limbs compared to females. HT autograft was associated with lower hamstrings strength and PT autograft was associated with lower quadriceps strength after ACLR.</div></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"78 ","pages":"Article 101901"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}