Evaluation of a two dimensional analysis method as a screening and evaluation tool for anterior cruciate ligament injury

Background: Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on detecting and continually evaluating people with relatively large valgus motions. Objectives: To examine the potential of a two dimensional (2D)...

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Published inBritish journal of sports medicine Vol. 39; no. 6; pp. 355 - 362
Main Authors McLean, S G, Walker, K, Ford, K R, Myer, G D, Hewett, T E, van den Bogert, A J
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine 01.06.2005
BMJ Publishing Group LTD
BMJ Publishing Group
BMJ Group
Subjects
Online AccessGet full text
ISSN0306-3674
1473-0480
1473-0480
DOI10.1136/bjsm.2005.018598

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Abstract Background: Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on detecting and continually evaluating people with relatively large valgus motions. Objectives: To examine the potential of a two dimensional (2D) video analysis method for screening for excessive valgus. Methods: Ten female and 10 male National Collegiate Athletic Association basketball players had three dimensional (3D) knee valgus and two dimensional (2D) frontal plane knee angle quantified during side step, side jump, and shuttle run tasks. 3D valgus was quantified from external marker coordinates using standard techniques, and 2D data were obtained from both the frontal plane projections of these coordinates (2D-Mot) and manual digitisation of digital video footage (2D-Cam). A root mean square (RMS) error was calculated between 2D-Mot and 2D-Cam data to evaluate the reliability of the latter. Correlations between 2D-Cam and 3D data (intersubject and intrasubject) were also conducted, and regression slope and r2 values obtained. Results: 2D-Cam and 2D-Mot data were consistent for side step (RMS  =  1.7°) and side jump (RMS  =  1.5°) movements. Between subjects, 2D-Cam and 3D data correlated well for the side step (r2  =  0.58) and side jump (r2  =  0.64). Within subjects, 2D-Cam and 3D data correlated moderately for the side step (r2  =  0.25 (0.19)) and side jump (r2  =  0.36 (0.27)). Conclusions: The 2D-Cam method can be used to screen for excessive valgus in elite basketball players, particularly for movements occurring primarily in the frontal plane. This method may also be a useful training evaluation tool when large reductions in dynamic valgus motions are required.
AbstractList Background: Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on detecting and continually evaluating people with relatively large valgus motions. Objectives: To examine the potential of a two dimensional (2D) video analysis method for screening for excessive valgus. Methods: Ten female and 10 male National Collegiate Athletic Association basketball players had three dimensional (3D) knee valgus and two dimensional (2D) frontal plane knee angle quantified during side step, side jump, and shuttle run tasks. 3D valgus was quantified from external marker coordinates using standard techniques, and 2D data were obtained from both the frontal plane projections of these coordinates (2D-Mot) and manual digitisation of digital video footage (2D-Cam). A root mean square (RMS) error was calculated between 2D-Mot and 2D-Cam data to evaluate the reliability of the latter. Correlations between 2D-Cam and 3D data (intersubject and intrasubject) were also conducted, and regression slope and r2 values obtained. Results: 2D-Cam and 2D-Mot data were consistent for side step (RMS  =  1.7°) and side jump (RMS  =  1.5°) movements. Between subjects, 2D-Cam and 3D data correlated well for the side step (r2  =  0.58) and side jump (r2  =  0.64). Within subjects, 2D-Cam and 3D data correlated moderately for the side step (r2  =  0.25 (0.19)) and side jump (r2  =  0.36 (0.27)). Conclusions: The 2D-Cam method can be used to screen for excessive valgus in elite basketball players, particularly for movements occurring primarily in the frontal plane. This method may also be a useful training evaluation tool when large reductions in dynamic valgus motions are required.
BACKGROUND: Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on detecting and continually evaluating people with relatively large valgus motions. OBJECTIVES: To examine the potential of a two dimensional (2D) video analysis method for screening for excessive valgus. METHODS: Ten female and 10 male National Collegiate Athletic Association basketball players had three dimensional (3D) knee valgus and two dimensional (2D) frontal plane knee angle quantified during side step, side jump, and shuttle run tasks. 3D valgus was quantified from external marker coordinates using standard techniques, and 2D data were obtained from both the frontal plane projections of these coordinates (2D-Mot) and manual digitisation of digital video footage (2D-Cam). A root mean square (RMS) error was calculated between 2D-Mot and 2D-Cam data to evaluate the reliability of the latter. Correlations between 2D-Cam and 3D data (intersubject and intrasubject) were also conducted, and regression slope and r super(2) values obtained. RESULTS: 2D-Cam and 2D-Mot data were consistent for side step (RMS = 1.7 degree ) and side jump (RMS = 1.5 degree ) movements. Between subjects, 2D-Cam and 3D data correlated well for the side step (r super(2) = 0.58) and side jump (r super(2) = 0.64). Within subjects, 2D-Cam and 3D data correlated moderately for the side step (r super(2) = 0.25 (0.19)) and side jump (r super(2) = 0.36 (0.27)). CONCLUSIONS: The 2D-Cam method can be used to screen for excessive valgus in elite basketball players, particularly for movements occurring primarily in the frontal plane. This method may also be a useful training evaluation tool when large reductions in dynamic valgus motions are required.
Background: Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on detecting and continually evaluating people with relatively large valgus motions. Objectives: To examine the potential of a two dimensional (2D) video analysis method for screening for excessive valgus. Methods: Ten female and 10 male National Collegiate Athletic Association basketball players had three dimensional (3D) knee valgus and two dimensional (2D) frontal plane knee angle quantified during side step, side jump, and shuttle run tasks. 3D valgus was quantified from external marker coordinates using standard techniques, and 2D data were obtained from both the frontal plane projections of these coordinates (2D-Mot) and manual digitisation of digital video footage (2D-Cam). A root mean square (RMS) error was calculated between 2D-Mot and 2D-Cam data to evaluate the reliability of the latter. Correlations between 2D-Cam and 3D data (intersubject and intrasubject) were also conducted, and regression slope and r 2 values obtained. Results: 2D-Cam and 2D-Mot data were consistent for side step (RMS = 1.7°) and side jump (RMS = 1.5°) movements. Between subjects, 2D-Cam and 3D data correlated well for the side step ( r 2 = 0.58) and side jump ( r 2 = 0.64). Within subjects, 2D-Cam and 3D data correlated moderately for the side step ( r 2 = 0.25 (0.19)) and side jump ( r 2 = 0.36 (0.27)). Conclusions: The 2D-Cam method can be used to screen for excessive valgus in elite basketball players, particularly for movements occurring primarily in the frontal plane. This method may also be a useful training evaluation tool when large reductions in dynamic valgus motions are required.
Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on detecting and continually evaluating people with relatively large valgus motions. To examine the potential of a two dimensional (2D) video analysis method for screening for excessive valgus. Ten female and 10 male National Collegiate Athletic Association basketball players had three dimensional (3D) knee valgus and two dimensional (2D) frontal plane knee angle quantified during side step, side jump, and shuttle run tasks. 3D valgus was quantified from external marker coordinates using standard techniques, and 2D data were obtained from both the frontal plane projections of these coordinates (2D-Mot) and manual digitization of digital video footage (2D-Cam). A root mean square (RMS) error was calculated between 2D-Mot and 2D-Cam data to evaluate the reliability of the latter. Correlations between 2D-Cam and 3D data (intersubject and intrasubject) were also conducted, and regression slope and r2 values obtained. 2D-Cam and 2D-Mot data were consistent for side step (RMS = 1.7 degrees) and side jump (RMS = 1.5 degrees) movements. Between subjects, 2D-Cam and 3D data correlated well for the side step (r2 = 0.58) and side jump (r2 = 0.64). Within subjects, 2D-Cam and 3D data correlated moderately for the side step (r2 = 0.25 (0.19)) and side jump (r2 = 0.36 (0.27)). The 2D-Cam method can be used to screen for excessive valgus in elite basketball players, particularly for movements occurring primarily in the frontal plane. This method may also be a useful training evaluation tool when large reductions in dynamic valgus motions are required.
Background: Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on detecting and continually evaluating people with relatively large valgus motions. Objectives: To examine the potential of a two dimensional (2D) video analysis method for screening for excessive valgus. Methods: Ten female and 10 male National Collegiate Athletic Association basketball players had three dimensional (3D) knee valgus and two dimensional (2D) frontal plane knee angle quantified during side step, side jump, and shuttle run tasks. 3D valgus was quantified from external marker coordinates using standard techniques, and 2D data were obtained from both the frontal plane projections of these coordinates (2D-Mot) and manual digitisation of digital video footage (2D-Cam). A root mean square (RMS) error was calculated between 2D-Mot and 2D-Cam data to evaluate the reliability of the latter. Correlations between 2D-Cam and 3D data (intersubject and intrasubject) were also conducted, and regression slope and r2 values obtained. Results: 2D-Cam and 2D-Mot data were consistent for side step (RMS = 1.7 degrees) and side jump (RMS = 1.5 degrees) movements. Between subjects, 2D-Cam and 3D data correlated well for the side step (r2 = 0.58) and side jump (r2 = 0.64). Within subjects, 2D-Cam and 3D data correlated moderately for the side step (r2 = 0.25 (0.19)) and side jump (r2 = 0.36 (0.27)). Conclusions: The 2D-Cam method can be used to screen for excessive valgus in elite basketball players, particularly for movements occurring primarily in the frontal plane. This method may also be a useful training evaluation tool when large reductions in dynamic valgus motions are required. [PUBLICATION ABSTRACT]
Background: Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on detecting and continually evaluating people with relatively large valgus motions. Objectives: To examine the potential of a two dimensional (2D) video analysis method for screening for excessive valgus. Methods: Ten female and 10 male National Collegiate Athletic Association basketball players had three dimensional (3D) knee valgus and two dimensional (2D) frontal plane knee angle quantified during side step, side jump, and shuttle run tasks. 3D valgus was quantified from external marker coordinates using standard techniques, and 2D data were obtained from both the frontal plane projections of these coordinates (2D-Mot) and manual digitisation of digital video footage (2D-Cam). A root mean square (RMS) error was calculated between 2D-Mot and 2D-Cam data to evaluate the reliability of the latter. Correlations between 2D-Cam and 3D data (intersubject and intrasubject) were also conducted, and regression slope and r 2 values obtained. Results: 2D-Cam and 2D-Mot data were consistent for side step (RMS = 1.7°) and side jump (RMS = 1.5°) movements. Between subjects, 2D-Cam and 3D data correlated well for the side step ( r 2 = 0.58) and side jump ( r 2 = 0.64). Within subjects, 2D-Cam and 3D data correlated moderately for the side step ( r 2 = 0.25 (0.19)) and side jump ( r 2 = 0.36 (0.27)). Conclusions: The 2D-Cam method can be used to screen for excessive valgus in elite basketball players, particularly for movements occurring primarily in the frontal plane. This method may also be a useful training evaluation tool when large reductions in dynamic valgus motions are required.
BACKGROUND: Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on detecting and continually evaluating people with relatively large valgus motions. OBJECTIVES: To examine the potential of a two dimensional (2D) video analysis method for screening for excessive valgus. METHODS: Ten female and 10 male National Collegiate Athletic Association basketball players had three dimensional (3D) knee valgus and two dimensional (2D) frontal plane knee angle quantified during side step, side jump, and shuttle run tasks. 3D valgus was quantified from external marker coordinates using standard techniques, and 2D data were obtained from both the frontal plane projections of these coordinates (2D-Mot) and manual digitization of digital video footage (2D-Cam). A root mean square (RMS) error was calculated between 2D-Mot and 2D-Cam data to evaluate the reliability of the latter. Correlations between 2D-Cam and 3D data (intersubject and intrasubject) were also conducted, and regression slope and r2 values obtained. RESULTS: 2D-Cam and 2D- Mot data were consistent for side step (RMS = 1.7 degrees) and side jump (RMS = 1.5 degrees) movements. Between subjects, 2D-Cam and 3D data correlated well for the side step (r2 = 0.58) and side jump (r2 = 0.64). Within subjects, 2D-Cam and 3D data correlated moderately for the side step (r2 = 0.25 (0.19)) and side jump (r2 = 0.36 (0.27)). CONCLUSIONS: The 2D-Cam method can be used to screen for excessive valgus in elite basketball players, particularly for movements occurring primarily in the frontal plane. This method may also be a useful training evaluation tool when large reductions in dynamic valgus motions are required.
Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on detecting and continually evaluating people with relatively large valgus motions.BACKGROUNDIncreased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on detecting and continually evaluating people with relatively large valgus motions.To examine the potential of a two dimensional (2D) video analysis method for screening for excessive valgus.OBJECTIVESTo examine the potential of a two dimensional (2D) video analysis method for screening for excessive valgus.Ten female and 10 male National Collegiate Athletic Association basketball players had three dimensional (3D) knee valgus and two dimensional (2D) frontal plane knee angle quantified during side step, side jump, and shuttle run tasks. 3D valgus was quantified from external marker coordinates using standard techniques, and 2D data were obtained from both the frontal plane projections of these coordinates (2D-Mot) and manual digitization of digital video footage (2D-Cam). A root mean square (RMS) error was calculated between 2D-Mot and 2D-Cam data to evaluate the reliability of the latter. Correlations between 2D-Cam and 3D data (intersubject and intrasubject) were also conducted, and regression slope and r2 values obtained.METHODSTen female and 10 male National Collegiate Athletic Association basketball players had three dimensional (3D) knee valgus and two dimensional (2D) frontal plane knee angle quantified during side step, side jump, and shuttle run tasks. 3D valgus was quantified from external marker coordinates using standard techniques, and 2D data were obtained from both the frontal plane projections of these coordinates (2D-Mot) and manual digitization of digital video footage (2D-Cam). A root mean square (RMS) error was calculated between 2D-Mot and 2D-Cam data to evaluate the reliability of the latter. Correlations between 2D-Cam and 3D data (intersubject and intrasubject) were also conducted, and regression slope and r2 values obtained.2D-Cam and 2D-Mot data were consistent for side step (RMS = 1.7 degrees) and side jump (RMS = 1.5 degrees) movements. Between subjects, 2D-Cam and 3D data correlated well for the side step (r2 = 0.58) and side jump (r2 = 0.64). Within subjects, 2D-Cam and 3D data correlated moderately for the side step (r2 = 0.25 (0.19)) and side jump (r2 = 0.36 (0.27)).RESULTS2D-Cam and 2D-Mot data were consistent for side step (RMS = 1.7 degrees) and side jump (RMS = 1.5 degrees) movements. Between subjects, 2D-Cam and 3D data correlated well for the side step (r2 = 0.58) and side jump (r2 = 0.64). Within subjects, 2D-Cam and 3D data correlated moderately for the side step (r2 = 0.25 (0.19)) and side jump (r2 = 0.36 (0.27)).The 2D-Cam method can be used to screen for excessive valgus in elite basketball players, particularly for movements occurring primarily in the frontal plane. This method may also be a useful training evaluation tool when large reductions in dynamic valgus motions are required.CONCLUSIONSThe 2D-Cam method can be used to screen for excessive valgus in elite basketball players, particularly for movements occurring primarily in the frontal plane. This method may also be a useful training evaluation tool when large reductions in dynamic valgus motions are required.
Author Ford, K R
Hewett, T E
Myer, G D
van den Bogert, A J
Walker, K
McLean, S G
AuthorAffiliation Department of Biomedical Engineering, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA. mcleans@bme.ri.ccf.org
AuthorAffiliation_xml – name: Department of Biomedical Engineering, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA. mcleans@bme.ri.ccf.org
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  surname: Walker
  fullname: Walker, K
  organization: Cincinnati Children’s Hospital, Sports Medicine Biodynamics Center, Cincinnati, OH, USA
– sequence: 3
  givenname: K R
  surname: Ford
  fullname: Ford, K R
  organization: Cincinnati Children’s Hospital, Sports Medicine Biodynamics Center, Cincinnati, OH, USA
– sequence: 4
  givenname: G D
  surname: Myer
  fullname: Myer, G D
  organization: Cincinnati Children’s Hospital, Sports Medicine Biodynamics Center, Cincinnati, OH, USA
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  givenname: A J
  surname: van den Bogert
  fullname: van den Bogert, A J
  organization: Cincinnati Children’s Hospital, Sports Medicine Biodynamics Center, Cincinnati, OH, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/15911607$$D View this record in MEDLINE/PubMed
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 Department of Biomedical Engineering, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA; mcleans@bme.ri.ccf.org
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Snippet Background: Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on...
Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on detecting and...
BACKGROUND: Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on...
Background: Increased knee valgus predicts the risk of anterior cruciate ligament (ACL) injury, particularly in women. Reducing injury rates thus relies on...
SourceID pubmedcentral
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bmj
SourceType Open Access Repository
Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 355
SubjectTerms ACL
Adult
anterior cruciate ligament
Anterior Cruciate Ligament Injuries
Athletic Injuries - prevention & control
Basketball - injuries
Biomechanical Phenomena
degrees of freedom
Dimensional analysis
DOF
Female
Humans
Imaging, Three-Dimensional - methods
injury
Kinematics
Knee
Knee Injuries - prevention & control
Knee Joint - anatomy & histology
knee valgus
Ligaments
Male
Methods
neuromuscular control
Original
Program Evaluation
Range of Motion, Articular
Research methodology
RMS
root mean square
Sports injuries
Studies
three dimensional
two dimensional
Video Recording - methods
Title Evaluation of a two dimensional analysis method as a screening and evaluation tool for anterior cruciate ligament injury
URI http://bjsm.bmj.com/content/39/6/355.full
https://api.istex.fr/ark:/67375/NVC-M38XTHBN-2/fulltext.pdf
https://www.ncbi.nlm.nih.gov/pubmed/15911607
https://www.proquest.com/docview/1778986615
https://www.proquest.com/docview/194498351
https://www.proquest.com/docview/17343198
https://www.proquest.com/docview/67854984
https://www.proquest.com/docview/771693442
https://pubmed.ncbi.nlm.nih.gov/PMC1725240
Volume 39
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