Abstract
The article briefly introduces the rationale behind ACL-Reconstruction (ACL-R) and discusses why commonly applied biomechanical approaches should be balanced with psychotherapeutic methods due to the relationship between poor psychological outcome measures and return to play. ACL-R poses significant and unique challenges for successful recovery and return to play for many athletes due to various psychological, cognitive, and social challenges. As a result, the article conceptualises a solution in the form of using heart rate variability biofeedback (HRVB) as a complementary technique to psychological interventions to improve outcomes in the RSI-11 and TSK-11 and encourages research in this area to confirm the positive impact of HRVB on the successful return to play in this population.
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