• Evaluating an athlete's confidence to return to full sport participation.
• Late-stage rehabilitation before clearing an athlete for full contact or competition.
• Differentiating between physical readiness (strength/power) and psychological readiness.

• 1. Confidence to play safely.
• 2. Confidence to play without pain.
• 3. Confidence in the ability of the injured part to hold up.
• 4. Confidence in skill level/performance.
• 5. Confidence in being "as good as before."
• 6. Overall confidence in returning.

Each item is rated from 0 (No Confidence) to 100 (Utmost Confidence) in 10-point increments.

• Athletes scoring < 50 are often physically ready but mentally hesitant, which increases re-injury risk due to "guarded" movements.
• The I-PRRS is sensitive to changes during the final transition from controlled practice to open competition.
• If one specific item (e.g., #3 - part holding up) is vastly lower than others, target that specific fear with progressive loading.

• Score > 50: Proceed with full return-to-sport clearance if physical benchmarks are met.
• Score 20–40: Consider "Psychological Skills Training" (PST) including visualization and positive self-talk.
• Score < 20: High risk of re-injury or poor performance; defer full return and increase sports-specific exposure.