Noticed two orthopedic clinics here in Denver just added the I-PRRS and TSK-11 at week 12 post-ACLR, using a 60/100 I-PRRS threshold before introducing plyos. As a sports psychologist, I love seeing return-to-play decisions include mental resilience and performance rebuild — not just quad index — so are others pairing these screens with imagery, self-talk scripts, or graded exposure to accelerate confidence and cut re-injury risk?
We’ve been pairing I-PRRS with a 90-second “see it–feel it–do it” imagery script, then 5 shadow landings and 3 low-box hops using the same cue words, and it reliably nudges I-PRRS up about 5–10 points before plyos. I like the 60 cut, but if TSK-11 is >20 or there’s a big confidence–performance gap, we swap to field-relevant walk-throughs first — like easing onto an icy road instead of flooring it.
I’ve had good results pairing TSK-11 with a 60-second “if–then” plan: if pre-hop fear >3/10, then two slow exhales, three 50% stick-landings, one “soft knees” cue, then re-check I-PRRS — often enough to greenlight low box plyos. Small caveat: a hard 60 cut-off can stall cautious athletes, so I use 60–65 with one “confidence rep” to keep momentum, like loosening the parking brake before hitting the gas.