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A 2D video-based assessment is associated with 3D biomechanical contributors to dynamic knee valgus in the coronal plane.

作者信息

Erdman Ashley, Loewen Alex, Dressing Michael, Wyatt Charles, Oliver Gretchen, Butler Lauren, Sugimoto Dai, Black Amanda M, Tulchin-Francis Kirsten, Bazett-Jones David M, Janosky Joseph, Ulman Sophia

机构信息

Movement Science Lab, Division of Sports Medicine, Scottish Rite for Children, Frisco, TX, United States.

Department of Orthopedics, Joe DiMaggio Children's Hospital, Hollywood, FL, United States.

出版信息

Front Sports Act Living. 2024 Mar 15;6:1352286. doi: 10.3389/fspor.2024.1352286. eCollection 2024.


DOI:10.3389/fspor.2024.1352286
PMID:38558858
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10978775/
Abstract

INTRODUCTION: Adolescent athletes involved in sports that involve cutting and landing maneuvers have an increased risk of anterior cruciate ligament (ACL) tears, highlighting the importance of identifying risky movement patterns such as dynamic knee valgus (DKV). Qualitative movement screenings have explored two-dimensional (2D) scoring criteria for DKV, however, there remains limited data on the validity of these screening tools. Determining a 2D scoring criterion for DKV that closely aligns with three-dimensional (3D) biomechanical measures will allow for the identification of poor knee position in adolescent athletes on a broad scale. The purpose of this study was to establish a 2D scoring criterion that corresponds to 3D biomechanical measures of DKV. METHODS: A total of 41 adolescent female club volleyball athletes performed a three-task movement screen consisting of a single-leg squat (SLS), single-leg drop landing (SLDL), and double-leg vertical jump (DLVJ). A single rater scored 2D videos of each task using four criteria for poor knee position. A motion capture system was used to calculate 3D joint angles, including pelvic obliquity, hip adduction, knee abduction, ankle eversion, and foot progression angle. Receiver operating characteristic curves were created for each 2D scoring criterion to determine cut points for the presence of movement faults, and areas under the curve (AUC) were computed to describe the accuracy of each 2D criterion compared to 3D biomechanical data. RESULTS: 3D measures indicated knee abduction angles between 2.4°-4.6° (SD 4.1°-4.3°) at the time point when the center of the knee joint was most medial during the three tasks. AUCs were between 0.62 and 0.93 across scoring items. The MEDIAL scoring item, defined as the knee joint positioned inside the medial border of the shoe, demonstrated the greatest association to components of DKV, with AUCs ranging from 0.67 to 0.93. CONCLUSION: The MEDIAL scoring criterion demonstrated the best performance in distinguishing components of DKV, specifically pelvic obliquity, hip adduction, ankle eversion, and foot progression. Along with the previously published scoring definitions for trunk-specific risk factors, the authors suggest that the MEDIAL criterion may be the most indicative of DKV, given an association with 3D biomechanical risk factors.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a0/10978775/516df88941d2/fspor-06-1352286-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a0/10978775/cac90b6e3339/fspor-06-1352286-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a0/10978775/ec3651523b52/fspor-06-1352286-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a0/10978775/516df88941d2/fspor-06-1352286-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a0/10978775/cac90b6e3339/fspor-06-1352286-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a0/10978775/ec3651523b52/fspor-06-1352286-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a0/10978775/516df88941d2/fspor-06-1352286-g003.jpg

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[1]
A 2D video-based assessment is associated with 3D biomechanical contributors to dynamic knee valgus in the coronal plane.

Front Sports Act Living. 2024-3-15

[2]
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[3]
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[4]
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引用本文的文献

[1]
Impact of Neuromuscular Fatigue on Dynamic Knee Valgus in Female Basketball Players.

Life (Basel). 2025-5-20

本文引用的文献

[1]
Depth of single-leg squat influences the two-dimensional analysis of knee, hip, and pelvis frontal plane motion in pain-free women.

Gait Posture. 2022-10

[2]
Women's College Volleyball Players Exhibit Asymmetries During Double-Leg Jump Landing Tasks.

J Sport Rehabil. 2023-1-1

[3]
Concurrent Validity of Movement Screening Criteria Designed to Identify Injury Risk Factors in Adolescent Female Volleyball Players.

Front Sports Act Living. 2022-6-24

[4]
Biomechanical features of drop vertical jump are different among various sporting activities.

BMC Musculoskelet Disord. 2022-4-8

[5]
Evaluation of the Functional Movement Screen (FMS) in Identifying Active Females Who are Prone to Injury. A Systematic Review.

Sports Med Open. 2021-11-22

[6]
Sex and Limb Differences in Lower Extremity Alignment and Kinematics during Drop Vertical Jumps.

Int J Environ Res Public Health. 2021-4-3

[7]
Dynamic Knee Valgus in Single-Leg Movement Tasks. Potentially Modifiable Factors and Exercise Training Options. A Literature Review.

Int J Environ Res Public Health. 2020-11-6

[8]
Anterior Cruciate Ligament Injury Incidence in Adolescent Athletes: A Systematic Review and Meta-analysis.

Am J Sports Med. 2021-6

[9]
Validity and reliability of 2-dimensional trunk, hip, and knee frontal plane kinematics during single-leg squat, drop jump, and single-leg hop in females with patellofemoral pain.

Phys Ther Sport. 2020-9

[10]
Associated ACL risk factors differences during an unanticipated volleyball blocking movement.

J Sports Sci. 2020-7-1

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