Research Article

3-Dimensional Versus 2-Dimensional Comparison of Knee Valgus Collapse during Vertical Jump: Clinical Implications for ACL Risk of Injury Assessment

Guilherme M. Cesar*, Chase M. Pfeifer and Judith M. Burnfield

Published: 03/21/2017 | Volume 2 - Issue 1 | Pages: 032-038

Abstract

Time-efficient screening of lower extremity biomechanics to identify potential injurious movement patterns is crucial within athletic medicine settings. When considering biomechanical risk factors for anterior cruciate ligament injuries, several screening tests have been used to assess dynamic knee valgus. Current methods involving 3-dimensional motion capture systems are considered gold standard for such assessment; however, these methods are time consuming and require expensive materials. This study investigated the use of 2-dimentional kinematic evaluation during a standardized vertical jump athletic assessment to screen for potential lower extremity risk of injury. 50 collegiate athletes, 25 male and 25 female, from various sports participated in the study. The vertical jump was chosen because it is a common performance evaluation test that is regularly performed several times a year, providing consistent opportunities for screening while not creating additional obligations for the student athletes. Results showed that the 2-dimentional evaluation method had strong correlations (P<0.0001) with the gold standard 3-dimensional evaluation, suggesting that an accelerated 2-dimentional screening process can be used as a first step to screen for potential injurious lower extremity movement patterns.

Read Full Article HTML DOI: 10.29328/journal.jsmt.1001006 Cite this Article

References

  1. Chmielewski TL, Hodges MJ, Horodyski M, Bishop MD, Conrad BP, et al. Investigation of clinician agreement in evaluating movement quality during unilateral lower extremity functional tasks: a comparison of 2 rating methods. J Orthop Sports Phys Ther. 2007; 37: 122-129. Ref.: https://goo.gl/ZQcuQ5
  2. Ekegren CL, Miller WC, Celebrini RG, Eng JJ, Macintyre DL. Reliability and validity of observational risk screening in evaluating dynamic knee valgus. J Orthop Sports Phys Ther. 2009; 39: 665-674. Ref.: https://goo.gl/MWVea5
  3. Noyes FR, Barber-Westin SD, Fleckenstein C, Walsh C, West J. The drop-jump screening test: difference in lower limb control by gender and effect of neuromuscular training in female athletes. Am J Sports Med. 2005; 33: 197-207. Ref.: https://goo.gl/ADHyC7
  4. Barber-Westin SD, Noyes FR, Galloway M. Jump-land characteristics and muscle strength development in young athletes: a gender comparison of 1140 athletes 9 to 17 years of age. Am J Sports Med. 2006; 34: 375-384. Ref.: https://goo.gl/WbSn9Y
  5. McLean SG, Walker K, Ford KR, Myer GD, Hewett TE, et al. Evaluation of a two dimensional analysis method as a screening and evaluation tool for anterior cruciate ligament injury. Br J Sports Med. 2005; 39: 355-362. Ref.: https://goo.gl/Tzuzpz
  6. Sigward SM, Havens KL, Powers CM. Knee separation distance and lower extremity kinematics during a drop land: implications for clinical screening. J Athl Train. 2011; 46: 471-475. Ref.: https://goo.gl/aFS7TZ
  7. Sigward SM, Cesar GM, Havens KL. Predictors of Frontal Plane Knee Moments during Side-Step Cutting to 45 and 110 Degrees in Men and Women: Implications for Anterior Cruciate Ligament Injury. Clin J Sport Med. 2015; 25: 529-534. Ref.: https://goo.gl/YoYW4C
  8. Stearns KM, Powers CM. Improvements in hip muscle performance result in increased use of the hip extensors and abductors during a landing task. Am J Sports Med. 2014; 42: 602-609. Ref.: https://goo.gl/UoGzgB
  9. Pollard CD, Sigward SM, Powers CM. Limited hip and knee flexion during landing is associated with increased frontal plane knee motion and moments. Clin Biomech (Bristol, Avon). 2010; 25: 142-146. Ref.: https://goo.gl/aM3HUU
  10. Cesar GM, Pereira VS, Santiago PR, Benze BG, da Costa PH, et al. Variations in dynamic knee valgus and gluteus medius onset timing in non-athletic females related to hormonal changes during the menstrual cycle. Knee. 2011; 18: 224-230. Ref.: https://goo.gl/s7seq6
  11. Cesar GM, Tomasevicz CL, Burnfield JM. Frontal plane comparison between drop jump and vertical jump: implications for the assessment of ACL risk of injury. Sports Biomech. 2016; 15: 440-449. Ref.: https://goo.gl/Cf8ARl
  12. Nesser TW, Lee WL. The relationship between core strength and performance in division I female soccer players. Journal of Exercise Physiology Online. 2009; 12: 21-28. Ref.: https://goo.gl/1sDxha
  13. Robbins DW, Goodale TL, Kuzmits FE, Adams AJ. Changes in the athletic profile of elite college American football players. J Strength Cond Res. 2013; 27: 861-874. Ref.: https://goo.gl/Nazo4K
  14. Keller RA, Mehran N, Austin W, Marshall NE, Bastin K, et al. Athletic Performance at the NFL Scouting Combine After Anterior Cruciate Ligament Reconstruction. Am J Sports Med. 2015; 43: 3022-3026. Ref.: https://goo.gl/NAlTnh
  15. Bell DR, Oates DC, Clark MA, Padua DA. Two- and 3-dimensional knee valgus are reduced after an exercise intervention in young adults with demonstrable valgus during squatting. J Athl Train. 2013; 48: 442-449. Ref.: https://goo.gl/UmlJDq
  16. Chappell JD, Yu B, Kirkendall DT, Garrett WE. A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks. Am J Sports Med. 2002; 30: 261-267. Ref.: https://goo.gl/8qt2um
  17. Bendjaballah MZ, Shirazi-Adl A, Zukor DJ. Finite element analysis of human knee joint in varus-valgus. Clin Biomech. 1997; 12: 139-148. Ref.: https://goo.gl/R5Z6Ws
  18. Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GA, et al. Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res. 1995; 13: 930-935. Ref.: https://goo.gl/dXAEwU
  19. Ford KR, GD Myer, TE Hewett. Valgus knee motion during landing in high school female and male basketball players. Med Sci Sports Exerc. 2003; 35: 1745-1750. Ref.: https://goo.gl/WYqg5Y
  20. Grood ES, WJ Suntay. A joint coordinate system for the clinical description of three-dimensional motions: Application to the knee. Journal of Biomechanical Engineering. 1983; 105: 136–144. Ref.: https://goo.gl/f7Pe1f
  21. Evans JD. Straightforward statistics for the behavioral sciences. Pacific Grove, CA, Brooks/Cole Publishing.1996; Ref.: https://goo.gl/a6j39l
  22. Mizner RL, Chmielewski TL, Toepke JJ, Tofte KB. Comparison of 2-dimensional measurement techniques for predicting knee angle and moment during a drop vertical jump. Clin J Sport Med. 2012; 22: 221-227. Ref.: https://goo.gl/9sOsJh