Concurrent Validity of Movement Screening Criteria Designed to Identify Injury Risk Factors in Adolescent Female Volleyball Players.
agreement
anterior cruciate ligament injury
injury prevention
motion capture
risk reduction
sports medicine
youth sport
Journal
Frontiers in sports and active living
ISSN: 2624-9367
Titre abrégé: Front Sports Act Living
Pays: Switzerland
ID NLM: 101765780
Informations de publication
Date de publication:
2022
2022
Historique:
received:
07
04
2022
accepted:
23
05
2022
entrez:
11
7
2022
pubmed:
12
7
2022
medline:
12
7
2022
Statut:
epublish
Résumé
Anterior cruciate ligament (ACL) injuries in female adolescent athletes occur at disproportionately high levels compared to their male counterparts. However, limited prospective data exist on the validity of low-cost screening tools that can proactively identify ACL injury risk, specifically for female athletes. The purpose of this study was to assess the concurrent validity of a three-task injury risk factor assessment by comparing visually derived outcome scores from two-dimensional (2D) video data with dichotomized three-dimensional (3D) biomechanical variables collected using motion capture technology. A total of 41 female club volleyball athletes (14.7 ± 1.4 years) were tested and asked to perform three tasks: double-leg vertical jump (DLVJ), single-leg squat (SLS), and single-leg drop landing (SLDL). One rater was trained on the scoring criteria for the 2D data and independently scored one forward-facing and one side-facing video for each task. Risk factors identified included poor knee position, lateral trunk lean, and excessive trunk flexion/extension. In addition, 3D joint angles were calculated for the trunk and knee in the sagittal and frontal planes and converted to dichotomous variables based on biomechanical thresholds of injury risk. For comparison of 2D and 3D outcomes, percent agreement and Cohen's kappa were calculated for each risk factor individually. Overall, 2D scores were found to exhibit moderate to excellent percent agreement with 3D outcomes for trunk position (69.1-97.1%). Specifically, ipsilateral trunk lean during single-leg tasks exhibited the highest agreement (85.3-88.2%) with moderate reliability (κ = 0.452-0.465). In addition, moderate to substantial reliability was found for trunk flexion during double-leg tasks (κ = 0.521-0.653); however, an evaluation of single-leg tasks resulted in only fair reliability (κ = 0.354). Furthermore, 2D scores were not successful in identifying poor knee position as percent agreement fell below 50% for both the single-leg tasks and averaged 60% agreement across both the phases of the DLVJ. Kappa coefficients further emphasized these trends indicating no to slight concurrent validity (κ = -0.047-0.167) across tasks. Overall, these findings emphasize the potential for valid, low-cost screening tools that can identify high-risk movement patterns. Further study is needed to develop improved assessment guidelines that may be employed through visual assessment in sports environments.
Identifiants
pubmed: 35813049
doi: 10.3389/fspor.2022.915230
pmc: PMC9263117
doi:
Types de publication
Journal Article
Langues
eng
Pagination
915230Informations de copyright
Copyright © 2022 Ulman, Erdman, Loewen, Dressing, Wyatt, Oliver, Butler, Sugimoto, Black and Janosky.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
J Orthop Sports Phys Ther. 2018 Oct;48(10):812-822
pubmed: 29895235
Sports Med Open. 2021 Nov 22;7(1):85
pubmed: 34807359
J Gend Specif Med. 2001;4(4):25-34
pubmed: 11727468
Clin Orthop Relat Res. 2002 Sep;(402):76-94
pubmed: 12218474
Am J Sports Med. 2021 Jun;49(7):1962-1972
pubmed: 33090889
J Athl Train. 2017 Jan;52(1):58-64
pubmed: 27977300
Br J Sports Med. 2019 Aug;53(16):1003-1012
pubmed: 29514822
Am J Sports Med. 2014 Oct;42(10):2363-70
pubmed: 25086064
Biometrics. 1977 Jun;33(2):363-74
pubmed: 884196
Int J Sports Phys Ther. 2017 Jun;12(3):333-340
pubmed: 28593087
Phys Ther Sport. 2014 May;15(2):117-23
pubmed: 23891143
Sports Health. 2020 Mar/Apr;12(2):181-188
pubmed: 31961778
J Orthop Sports Phys Ther. 2010 Feb;40(2):42-51
pubmed: 20118526
Am J Sports Med. 2007 Mar;35(3):359-67
pubmed: 17092928
J Orthop Sports Phys Ther. 2009 Sep;39(9):665-74
pubmed: 19721212
Osteoarthritis Cartilage. 2008 May;16(5):591-9
pubmed: 18206395
Phys Ther Sport. 2012 Nov;13(4):259-64
pubmed: 23068903
Pediatrics. 2017 Mar;139(3):
pubmed: 28228501
Br J Sports Med. 2011 Jun;45(7):589-95
pubmed: 21148569
Eur J Sport Sci. 2017 Jul;17(6):765-793
pubmed: 28391750
Sports Med. 2014 Jun;44(6):815-32
pubmed: 24682949
J Exp Orthop. 2021 Apr 2;8(1):25
pubmed: 33796962
Sports Biomech. 2021 Mar 4;:1-19
pubmed: 33663318
J Sport Rehabil. 2015 May;24(2):198-209
pubmed: 25658173
Am J Sports Med. 2005 Apr;33(4):492-501
pubmed: 15722287
Int J Sports Phys Ther. 2017 Nov;12(6):948-959
pubmed: 29158956
J Sport Rehabil. 2010 Feb;19(1):41-56
pubmed: 20231744
J Athl Train. 2007 Apr-Jun;42(2):311-9
pubmed: 17710181
Br J Sports Med. 2005 Jun;39(6):355-62
pubmed: 15911607
J Athl Train. 2018 Jan;53(1):20-28
pubmed: 29332470
Scand J Med Sci Sports. 2000 Apr;10(2):90-7
pubmed: 10755279
Sports Med. 2000 May;29(5):313-27
pubmed: 10840866
Am J Sports Med. 2006 Sep;34(9):1512-32
pubmed: 16905673
Int J Environ Res Public Health. 2020 Nov 06;17(21):
pubmed: 33172101
Int J Sports Phys Ther. 2014 Aug;9(4):420-7
pubmed: 25133070
Int J Sports Phys Ther. 2017 Apr;12(2):163-172
pubmed: 28515970
Med Sci Sports Exerc. 2004 Jun;36(6):1008-16
pubmed: 15179171
Int J Sports Phys Ther. 2022 Feb 01;17(2):139-147
pubmed: 35136682
Clin Orthop Relat Res. 1985 Sep;(198):43-9
pubmed: 4028566
Am J Sports Med. 2012 Mar;40(3):521-6
pubmed: 22116669
J Sports Sci. 2020 Oct;38(20):2367-2373
pubmed: 32608344
Am J Sports Med. 2007 Jul;35(7):1123-30
pubmed: 17468378
Br J Sports Med. 2009 Jun;43(6):417-22
pubmed: 19372088
J Athl Train. 2009 Mar-Apr;44(2):174-9
pubmed: 19295962
BMJ. 2008 Dec 09;337:a2469
pubmed: 19066253
Phys Ther Sport. 2020 Sep;45:181-187
pubmed: 32823213
Phys Ther Sport. 2021 May;49:21-30
pubmed: 33550202