Built for sports medicine & ACL rehab

Standardize ACL Return-to-Sport Assessments

Upload isokinetic strength data and generate validated symmetry metrics, QC findings, and clinician-ready reports in minutes.

Validated symmetry metrics
De-identified data only
Supports clinician review
app.statwave.ai
Athlete ATH-018
Right ACLR · 7 months post-op · isokinetic 60°/s
Assessment type · ACL-RTS
Strength
Complete
Hop Tests
Not uploaded
PROMs
Not uploaded
Strength symmetry Clinician-ready report
MetricInvolvedUninvolvedResultStatus
Quadriceps peak torque2.41 Nm/kg2.98 Nm/kgLSI 81% Clinician Review
Hamstring peak torque1.52 Nm/kg1.60 Nm/kgLSI 95% Criteria Met
H:Q ratio0.630.54Within range Criteria Met
Criteria status only. Statwave supports clinician review and does not determine RTS clearance.
The challenge

RTS testing shouldn't require hours of manual cleanup

Clinics spend more time wrangling isokinetic exports and rebuilding spreadsheets than reviewing results with athletes. Statwave removes the busywork between a test and a clinician-ready report.

Manual LSI calculations

Symmetry indices computed by hand in spreadsheets after every test — slow, error-prone, and hard to reproduce between clinicians.

Inconsistent limb definitions

Involved vs. uninvolved limbs labeled differently across sessions and testers, making comparisons unreliable.

Messy isokinetic exports

Biodex and dynamometer CSVs arrive with mixed units and stray trials that need cleanup before anything is usable.

Inconsistent RTS criteria

Return-to-sport thresholds applied differently from athlete to athlete, with no shared, documented standard.

Slow report turnaround

Athletes and referring physicians wait while a clinician-ready summary is assembled by hand.

Scattered spreadsheets

Results live across files and machines with no consistent format or audit trail of what changed.

How it works

From isokinetic export to clinician-ready report in four steps

A guided assessment workflow that mirrors how sports medicine clinics already test — no scripting required.

1

Upload strength data

Drop in isokinetic CSV exports from Biodex or other dynamometers.

2

Validate & standardize

Standardize involved/uninvolved limbs, normalize units, and run quality control.

3

Calculate symmetry

Compute LSI, H:Q ratio, and side-to-side difference against your criteria.

4

Generate report

Produce a clinician-ready report with QC findings and downloadable data.

Capabilities

What Statwave does today — and what's next

We keep the homepage aligned with what's actually implemented. Strength assessment is available now; more modules are in pilot and on the roadmap.

Available now

Live today for isokinetic strength assessments.

  • Strength data upload
  • Unit normalization
  • Limb Symmetry Index (LSI)
  • Side-to-side difference
  • H:Q ratio
  • Quality control checks
  • Clinician-ready HTML report
In pilot

Rolling out with early clinical partners.

  • Hop test battery
  • IKDC scoring
  • ACL-RSI scoring
  • Longitudinal tracking
Planned

On the roadmap as the platform expands.

  • Force plate integration
  • Publication package
  • Benchmarking
Example output

See exactly what an assessment delivers

A clean strength assessment with transparent QC and criteria status — ready to review with the athlete and share with the referring clinician.

Strength symmetry — Athlete ATH-018
strength_assessment_ATH-018.csv
Export
MetricInvolvedUninvolvedResultStatus
Quadriceps peak torque2.41 Nm/kg2.98 Nm/kgLSI 81% Requires Clinician Review
Hamstring peak torque1.52 Nm/kg1.60 Nm/kgLSI 95% Criteria Met
H:Q ratio0.630.54Within range Criteria Met
Side-to-side difference (quad)19% Requires Clinician Review
Criteria status only. Statwave supports clinician review and does not independently determine RTS clearance.
Quality control findings
Limb definitions standardized
Involved = right (ACLR); uninvolved = left
Units normalized
Peak torque converted to Nm/kg body mass
Stray trial removed
1 warm-up rep excluded from quadriceps set
Below criteria — flagged for review
Quadriceps LSI 81% is under the 90% threshold
Quadriceps LSI
81%
below 90% criteria
H:Q ratio (involved)
0.63
within range
Side-to-side difference
19%
quadriceps peak torque
QC checks
Passed
1 item for review
Methodology

Transparent, documented methods

We publish exactly how each metric is calculated and how data is validated, so results are defensible and reproducible across your clinic.

Limb Symmetry Index (LSI)

LSI = (Involved / Uninvolved) × 100

Involved and uninvolved limbs are assigned consistently before calculation, so LSI is reproducible across sessions and testers.

H:Q Ratio

H:Q = Hamstring peak torque / Quadriceps peak torque

Calculated per limb from normalized peak torque and reported against a configurable reference range.

Side-to-side Difference

Diff = (Uninvolved − Involved) / Uninvolved × 100

Reported as a percentage difference between limbs. We use this neutral term rather than 'deficit'.

Who it's for

Built for the teams running return-to-sport testing

Whether you treat athletes, direct a rehab program, or run a performance lab, Statwave fits the way you already test.

Sports Medicine PT Clinics

Standardize return-to-sport testing and hand athletes a clear report the same day.

  • Consistent LSI & H:Q ratio every visit
  • Automated QC on isokinetic exports
  • Clinician-ready reports to share

Sports Orthopedic Groups & Rehab Directors

Bring one documented RTS standard to every clinician and location.

  • Shared, configurable RTS criteria
  • Reproducible, auditable calculations
  • Consistent reporting across providers

Performance Labs

Turn high-volume strength testing into clean, standardized output.

  • Unit normalization & validation
  • Documented, repeatable methods
  • Structured data ready for analysis
Trust & security

Built for clinical RTS workflows

Statwave is transparent, reproducible, and designed to support clinicians — not replace their judgment. We handle only de-identified data and document exactly how every result is produced.

Standardized calculations
LSI, H:Q ratio, and side-to-side difference computed the same way every time.
Published methodology
Formulas, supported schemas, and QC rules are documented and open to review.
Supports clinician review
Statwave reports criteria status and does not independently determine RTS clearance.
De-identified data only
We accept only de-identified datasets. Please remove PHI before uploading.
Clear retention policy
Uploaded files are retained only as needed to generate your report, then deleted.
FAQ

Frequently asked questions

Everything you need to know about standardizing and scoring your orthopedic research data.

Early access

See Statwave on your own assessment

Request an example ACL report, or send a de-identified isokinetic file and get one back. No setup required — just a CSV and a few details about your clinic.

01Send a de-identified file
Share an isokinetic strength export from a recent RTS test.
02Get QC findings & symmetry metrics
We standardize limbs, run QC, and calculate LSI, H:Q, and difference.
03Receive an example ACL report
See a clinician-ready report with criteria status you can review.

We'll only use your details to respond to your request.