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Table 3 Classification and regression tree analysis with four different follow-up times for players with ACLR (n = 112)

From: Risk Factors for Sustaining a Second ACL Injury after Primary ACL Reconstruction in Female Football Players: A Study Investigating the Effects of Follow-Up Time and the Statistical Approach

 

Follow-up times, months

0–12

0–24

0–36

0–>36

Secondary ACL injury, n (%)

17 (15)

28 (25)

35 (31)

43 (38)

Sensitivity, %

94

96

77

88

Specificity, %

81

70

80

78

Overall correct classification, %

83

77

80

82

Accuracy, %

93

86

86

87

 

Entrance on CART, Levela

0–12

0–24

0–36

0–>36

1. Time between injury and ACLR, months

 

2

 

2

2. Level of play, n (%)

    

3. IKDC (0–100)

4

   

4. ACL-RSI (0–10)

1

   

5. ACL-QoL (0–10)

  

3

3 and 5

6. SMPS—personal standards (1–5)

    

7. SSP—somatic anxiety (0–100)

   

4

8. SSP—psychic anxiety (0–100)

  

3

 

9. SSP—stress susceptibility (0–100)

3

1

  

10. SSP—impulsiveness (0–100)

2

3 and 4

  

11. SSP—adventure seeking (0–100)

    

12. Ankle dorsiflexion, side difference, degrees

    

13. Knee extension ACLR leg, degrees

 

5

1

1

14. LSI—single hop for distance, %

    

15. LSI—side hop, %

5

 

4

3

16. 5-jump test, cm

 

2

2 and 5

2

17. Tuck jump (0–10)

 

3

  

18. Knee collapse ACLR leg in DVJ, cm

    

19. Knee collapse non-ACLR leg in DVJ, cm

    

Significant risk profiles with increased likelihood of sustaining a secondary ACL injury

Node number and variables included

Relative risk (95% confidence interval)

0–12

0–24

0–36

0–>36

7: ACL-RSI, SSP-impulsiveness, SSP-stress susceptibility, and IKDC

4.62 (2.04–10.47)

   

10: ACL-RSI, SSP-impulsiveness, SSP-stress susceptibility, and IKDC

8.16 (3.97–16.78)

   

13: SSP- stress susceptibility, time between injury and ACLR, SSP-impulsiveness, and knee extension ACLR leg

 

7.67 (3.15–18.64)

  

4: Knee extension ACLR leg and 5-jump test

  

3.39 (2.28–5.05)

 

14: Knee extension ACLR leg, 5-jump test, SSP-psychic anxiety, and LSI-side hop

  

2.70 (1.62–4.50)

 

12: Knee extension ACLR leg, time between injury and ACLR, LSI-side hop and SSP-somatic anxiety

   

3.73 (2.25–6.19)

14: Knee extension ACLR leg, time between injury and ACLR, LSI-side hop, SSP-somatic anxiety, and ACL-QoL

   

2.11 (1.31–3.39)

  1. aNumbers 1–5 are for the level of entrance in the CART analysis for the selected variables by CART: 1, first level with the strongest association; 2, second level with the second strongest association, etc. Two numbers indicate that the variable is selected on two different levels (e.g. 3 and 4). Variables in bold type were selected by CART. ACL, anterior cruciate ligament; ACL-QoL, ACL-Quality of Life; ACLR, anterior cruciate ligament reconstruction; ACL-RSI, Anterior Cruciate Ligament-Return to Sport after Injury; DVJ, drop vertical jump; IKDC, International Knee Documentation Committee Subjective Knee Form; LSI, Limb Symmetry Index; SMPS, Sport Multidimensional Perfectionism Scale; SSP, the Swedish Universities Scales of Personality