Supplementary Table 5. Modified Grading of Recommendations Assessment, Development and Evaluation (GRADE) assessment. Hop test measure Included studies: n Study Limitations b Inconsistency c Indirectness d Imprecision e Reporting Bias f Level of confidence Summary of findings g Return to sports Single-leg hop for distance LSI ≥ 90% 16 x √ x x √ Low ▲ Greater absolute values of uninvolved limb 2 √ √ x √ √ Inconsistent ◆ Greater absolute values of involved limb 2 √ √ x √ √ Inconsistent ◆ Greater height-normalized values of uninvolved limb 1 x NA x √ √ Limited ● Greater height-normalized values of involved limb 3 x √ x x √ Inconsistent ◆ Greater body mass-normalized values of uninvolved limb 1 x NA x √ √ Limited ● Greater body mass-normalized values of involved limb 1 x NA x √ √ Limited ● Greater side-to-side difference 1 x NA x x √ Limited ▲ Triple hop for distance LSI ≥ 90% 7 x √ x x √ Low ● Greater absolute values of uninvolved limb 1 √ NA x x √ Limited ▲ Greater absolute values of involved limb 1 √ NA x x √ Limited ▲ Greater height-normalized values of uninvolved limb 1 x NA x x √ Limited ▲ Greater height-normalized values of involved limb 2 √ √ x √ √ Inconsistent ◆ Triple crossover hop for distance LSI ≥ 90% 7 x √ x x √ Low ▲ Greater height-normalized values of uninvolved limb 1 x NA x x √ Limited ▲ Greater height-normalized values of involved limb 1 x NA x x √ Limited ▲ 6-meter timed hop LSI ≥ 90% 4 x √ x x √ Low ● Greater absolute values of involved limb 1 √ NA x √ √ Limited ● Side hop LSI ≥ 90% 2 x x x √ √ Low ● Greater absolute values of uninvolved limb 1 x NA x √ √ Limited ▲ Greater absolute values of involved limb 1 x NA x √ √ Limited ▲ Greater height-normalized values of uninvolved limb 1 x NA x √ √ Limited ● Greater height-normalized values of involved limb 1 x NA x √ √ Limited ● Balance front hop LSI ≥ 90% 1 x NA x √ √ Limited ● Balance side hop Greater absolute values of involved limb 2 x x x √ √ Low ● Bipedal drop vertical jump LSI ≥ 90% 2 x x x √ √ Low ● Bipodal countermovement jump LSI ≥ 90% 1 x NA x √ √ Limited ● Single-leg drop vertical jump LSI ≥ 90% 1 x NA x x √ Limited ▲ Single-leg vertical jump LSI ≥ 90% 1 x x x x √ Limited ▲ Greater body mass-normalized values of uninvolved limb 1 x NA x √ √ Limited ● Greater body mass-normalized values of involved limb 1 x NA x √ √ Limited ● Square hop LSI ≥ 90% 1 x NA x √ √ Limited ● Hop test battery 3 x √ x x √ Inconsistent ◆ Reinjury Single-leg hop for distance LSI ≥ 90% 16 x x x √ x Moderate ● Greater absolute values of uninvolved limb 2 x x x √ √ Low ● Greater absolute values of involved limb 3 x x x √ √ Low ● Greater height-normalized values of uninvolved limb 2 x x x √ √ Low ● Greater height-normalized values of involved limb 5 x x x √ √ Low ● Triple hop for distance LSI ≥ 90% 9 x x x x √ Moderate ▼ Greater absolute values of uninvolved limb 2 √ x x √ √ Very low ● Greater absolute values of involved limb 2 √ x x √ √ Very low ● Greater height-normalized values of uninvolved limb 2 x √ x √ √ Inconsistent ◆ Greater height-normalized values of involved limb 3 x √ x √ √ Inconsistent ◆ Triple crossover hop for distance LSI ≥ 90% 7 x x x √ √ Low ● Greater height-normalized values of uninvolved limb 1 x NA x √ √ Limited ● Greater height-normalized values of involved limb 1 x NA x √ √ Limited ● 6-meter timed hop LSI ≥ 90% 5 x x x √ √ Low ● Greater absolute values of involved limb 1 √ NA x √ √ Limited ● Side hop LSI ≥ 90% 3 x x x x √ Moderate ● Greater absolute values of uninvolved limb 3 x √ x x √ Inconsistent ◆ Greater absolute values of involved limb 3 x √ x x √ Inconsistent ◆ Greater height-normalized values of uninvolved limb 1 x NA x x √ Limited ▼ Greater height-normalized values of involved limb 1 x NA x x √ Limited ▼ 5-jump Greater absolute values of both limbs 1 x NA x x √ Limited ▼ Greater height-normalized values of both limbs 1 x NA x x √ Limited ▼ Single-leg countermovement jump LSI ≥ 90% 1 x NA x √ √ Limited ● Greater absolute values of involved limb 1 x NA x x √ Limited ● Single-leg drop jump LSI ≥ 90% 1 x NA x √ √ Limited ● Greater absolute values of involved limb 2 x x x √ √ Low ● Greater absolute values of uninvolved limb 1 x NA x √ √ Limited ● Single-leg vertical jump LSI ≥ 90% 3 x √ x x √ Low ● Greater height-normalized values of uninvolved limb 1 x NA x √ √ Limited ● Greater height-normalized values of involved limb 1 x NA x √ √ Limited ● 20-m timed hop LSI ≥ 90% 1 √ NA x √ √ Limited ● Greater absolute values of uninvolved limb 1 √ NA x √ √ Limited ● Greater absolute values of involved limb 1 √ NA x √ √ Limited ● 20-meter timed crossover hop LSI ≥ 90% 1 √ NA x √ √ Limited ● Greater absolute values of uninvolved limb 1 √ NA x √ √ Limited ● Greater absolute values of involved limb 1 √ NA x √ √ Limited ● Hop test battery LSI ≥ 90% 5 √ x x x √ Low ● Greater absolute values of uninvolved limb 1 √ NA x √ √ Limited ● Greater absolute values of involved limb 1 √ NA x √ √ Limited ● Ipsilateral graft rupture Single-leg hop for distance LSI ≥ 90% 1 x NA x √ √ Limited ● Triple hop for distance LSI ≥ 90% 1 x NA x √ √ Limited ● Triple crossover hop for distance LSI ≥ 90% 2 x x x √ √ Low ● 6-meter timed hop LSI ≥ 90% 1 x NA x √ √ Limited ● Contralateral ACL injury Single-leg hop for distance LSI ≥ 90% 1 x NA x √ √ Limited ● Triple hop for distance LSI ≥ 90% 1 x NA x √ √ Limited ● Triple crossover hop for distance LSI ≥ 90% 2 x x x √ √ Low ● 6-meter timed hop LSI ≥ 90% 1 x NA x √ √ Limited ●