Ankle Ligament Reconstruction-Return to Sport after Injury (ALR-RSI)

Objective

The Ankle Ligament Reconstruction-Return to Sport after Injury (ALR-RSI) is adapted from the ACL-RSI score, in which the term “knee” has been replaced by the term “ankle.” This scale quantifies psychological readiness prior to returning to sport following ankle ligament reconstruction.² ³

Interpretation

The score ranges from 0% (lowest level of psychological readiness) to 100% (highest level of psychological readiness).²

Execution

The ALR-RSI contains 12 items, covering emotions (5 items), confidence in performance (5 items), and risk assessment (2 items). It uses an 11-point Likert scale in the form of checkboxes ranging from 0 to 10.¹ ² ³

A total score is calculated as follows: ALR-RSI score total × 100 / 120 = .......%

Duration

Approximately 2 minutes.¹

Equipment

None.

Clinical Value

The ALR-RSI is a valid and reliable tool; it shows excellent reproducibility (ICC = 0.92) and excellent internal consistency, with a Cronbach’s alpha of 0.96.³

A combination of the Foot and Ankle Ability Measure (FAAM) and the ALR-RSI would be the most relevant way to assess patient function in the context of chronic ankle instability.⁴

Acknowledgements

The ALR-RSI was developed by F. Sigonney, R. Lopes, P.-A. Bouché, E. Kierszbaum, A. Moslemi, P. Anract, A. Stein, and A. Hardy. We would like to thank Dr. Ronny Lopes for granting us permission to make the ALR-RSI available on Fullphysio.

Original publication: Sigonney F., Lopes R., Bouché P.-A., et al. Knee Surgery, Sports Traumatology, Arthroscopy. 2020;28(12):4003–4010 (3).

1. Ajaka Nahi, Pierre-Alban Bouché, Michel Dagher, Ronny Lopes, Thomas Bauer, and Alexandre Hardy. “The French Ankle Ligament Reconstruction - Return to Sport after Injury (ALR-RSI-Fr) is a valid scale for the French population.” Journal of Experimental Orthopaedics 9, no. 1 (March 21, 2022): 27. https://doi.org/10.1186/s40634-022-00463-1.

2. Pioger Charles, Stephane Guillo, Bouché Pierre-Alban, François Sigonney, Marc Elkaïm, Thomas Bauer, and Alexandre Hardy. “The ALR-RSI score is a valid and reproducible scale to assess psychological readiness before returning to sport after modified Broström-Gould procedure.” Knee Surgery, Sports Traumatology, Arthroscopy 30 (January 25, 2022). https://doi.org/10.1007/s00167-022-06895-7.

3. Sigonney François, Ronny Lopes, Bouché Pierre-Alban, Elliott Kierszbaum, Aymane Moslemi, Philippe Anract, Alexandra Stein, and Alexandre Hardy. “The ankle ligament reconstruction-return to sport after injury (ALR-RSI) is a valid and reproducible scale to quantify psychological readiness before returning to sport after ankle ligament reconstruction.” Knee Surgery, Sports Traumatology, Arthroscopy 28, no. 12 (April 30, 2020): 4003–4010. https://doi.org/10.1007/s00167-020-06020-6.

4. Picot Brice, Alexandre Hardy, Romain Terrier, Bruno Tassignon, Ronny Lopes, and François Fourchet. “Which Functional Tests and Self-Reported Questionnaires Can Help Clinicians Make Valid Return to Sport Decisions in Patients With Chronic Ankle Instability? A Narrative Review and Expert Opinion.” Frontiers in Sports and Active Living 4 (May 1, 2022): 902886. https://doi.org/10.3389/fspor.2022.902886.