PMID- 25811846
OWN - NLM
STAT- MEDLINE
DCOM- 20160115
LR  - 20220411
IS  - 1938-162X (Electronic)
IS  - 1062-6050 (Print)
IS  - 1062-6050 (Linking)
VI  - 50
IP  - 6
DP  - 2015 Jun
TI  - The Landing Error Scoring System as a Screening Tool for an Anterior Cruciate 
      Ligament Injury-Prevention Program in Elite-Youth Soccer Athletes.
PG  - 589-95
LID - 10.4085/1062-6050-50.1.10 [doi]
AB  - CONTEXT: Identifying neuromuscular screening factors for anterior cruciate 
      ligament (ACL) injury is a critical step toward large-scale deployment of 
      effective ACL injury-prevention programs. The Landing Error Scoring System (LESS) 
      is a valid and reliable clinical assessment of jump-landing biomechanics. 
      OBJECTIVE: To investigate the ability of the LESS to identify individuals at risk 
      for ACL injury in an elite-youth soccer population. DESIGN: Cohort study. 
      SETTING: Field-based functional movement screening performed at soccer practice 
      facilities. PATIENTS OR OTHER PARTICIPANTS: A total of 829 elite-youth soccer 
      athletes (348 boys, 481 girls; age = 13.9 +/- 1.8 years, age range = 11 to 18 
      years), of whom 25% (n = 207) were less than 13 years of age. INTERVENTION(S): 
      Baseline preseason testing for all participants consisted of a jump-landing task 
      (3 trials). Participants were followed prospectively throughout their soccer 
      seasons for diagnosis of ACL injuries (1217 athlete-seasons of follow-up). MAIN 
      OUTCOME MEASURE(S): Landings were scored for "errors" in technique using the 
      LESS. We used receiver operator characteristic curves to determine a cutpoint on 
      the LESS. Sensitivity and specificity of the LESS in predicting ACL injury were 
      assessed. RESULTS: Seven participants sustained ACL injuries during the follow-up 
      period; the mechanism of injury was noncontact or indirect contact for all 
      injuries. Uninjured participants had lower LESS scores (4.43 +/- 1.71) than injured 
      participants (6.24 +/- 1.75; t1215 = -2.784, P = .005). The receiver operator 
      characteristic curve analyses suggested that 5 was the optimal cutpoint for the 
      LESS, generating a sensitivity of 86% and a specificity of 64%. CONCLUSIONS: 
      Despite sample-size limitations, the LESS showed potential as a screening tool to 
      determine ACL injury risk in elite-youth soccer athletes.
FAU - Padua, Darin A
AU  - Padua DA
AD  - Department of Exercise and Sport Science, University of North Carolina at Chapel 
      Hill;
FAU - DiStefano, Lindsay J
AU  - DiStefano LJ
AD  - University of Connecticut, Storrs;
FAU - Beutler, Anthony I
AU  - Beutler AI
AD  - Uniformed Services University of the Health Sciences, Bethesda, MD.
FAU - de la Motte, Sarah J
AU  - de la Motte SJ
AD  - Uniformed Services University of the Health Sciences, Bethesda, MD.
FAU - DiStefano, Michael J
AU  - DiStefano MJ
AD  - Department of Exercise and Sport Science, University of North Carolina at Chapel 
      Hill;
FAU - Marshall, Steven W
AU  - Marshall SW
AD  - Department of Exercise and Sport Science, University of North Carolina at Chapel 
      Hill;
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Multicenter Study
DEP - 20150326
PL  - United States
TA  - J Athl Train
JT  - Journal of athletic training
JID - 9301647
SB  - IM
MH  - Adolescent
MH  - *Anterior Cruciate Ligament Injuries
MH  - Athletes
MH  - Athletic Injuries/prevention & control
MH  - Biomechanical Phenomena/physiology
MH  - Case-Control Studies
MH  - Child
MH  - Early Diagnosis
MH  - Female
MH  - Humans
MH  - Knee Injuries/prevention & control
MH  - Male
MH  - Movement/physiology
MH  - Prospective Studies
MH  - Risk Factors
MH  - Soccer/*injuries
MH  - Sports Medicine/*methods
MH  - Video Recording
PMC - PMC4527442
OTO - NOTNLM
OT  - biomechanics
OT  - children
OT  - knee
OT  - movement patterns
EDAT- 2015/03/27 06:00
MHDA- 2016/01/16 06:00
PMCR- 2016/06/01
CRDT- 2015/03/27 06:00
PHST- 2015/03/27 06:00 [entrez]
PHST- 2015/03/27 06:00 [pubmed]
PHST- 2016/01/16 06:00 [medline]
PHST- 2016/06/01 00:00 [pmc-release]
AID - 10.4085/1062-6050-50.1.10 [doi]
PST - ppublish
SO  - J Athl Train. 2015 Jun;50(6):589-95. doi: 10.4085/1062-6050-50.1.10. Epub 2015 
      Mar 26.