PMID- 34909248
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231113
IS  - 2159-2896 (Print)
IS  - 2159-2896 (Electronic)
IS  - 2159-2896 (Linking)
VI  - 16
IP  - 6
DP  - 2021
TI  - The Relationship between Landing Error Scoring System Performance and Injury in 
      Female Collegiate Athletes.
PG  - 1415-1425
LID - 10.26603/001c.29873 [doi]
AB  - BACKGROUND: The Landing Error Scoring System (LESS) is a standardized tool used 
      to identify aberrant biomechanical movement patterns during a jump-landing task. 
      Prior authors have examined the value of the LESS in identifying ACL injury risk 
      in athletic populations. Yet, no study has evaluated the association between LESS 
      performance and incidence of any type of lower extremity injury in female 
      collegiate athletes across multiple sports. PURPOSE: The purpose of this study 
      was to examine the association between LESS performance as measured with a 
      markerless motion-capture system and lower extremity injury in female collegiate 
      athletes. STUDY DESIGN: Prospective cohort study. METHODS: One hundred and ten DI 
      female collegiate athletes (basketball, n=12; field hockey, n=17; gymnastics, 
      n=14; lacrosse, n=27; softball, n=23; volleyball, n=17) completed a jump-landing 
      test prior to the start of their sport seasons. The LESS was automatically scored 
      using a Microsoft Kinect sensor and Athletic Movement Assessment software 
      (PhysiMax(R)). Participants were tracked throughout one competitive season for 
      incidence of time-loss lower extremity injury. A Receiver Operating 
      Characteristic curve determined the optimal cutpoint for the total LESS score for 
      predicting injury. Pearson's Chi squared statistics examined the association 
      between injury and LESS total scores >5. The Fisher exact test evaluated group 
      differences for the frequency of receiving an error on individual LESS test 
      items. RESULTS: Female collegiate athletes with LESS scores >5 were not more 
      likely to be injured than those with scores </=5 (chi2=2.53, p=0.111). The relative 
      risk of injury to this group was 1.78 (95% CI=0.86, 3.68) while the odds ratio 
      was 2.10 (95% CI=0.83, 5.27). The uninjured group was more likely to receive an 
      error on lateral trunk flexion at initial contact than the injured group 
      (p=0.023). CONCLUSION: The LESS total score was not associated with an increased 
      odds of lower extremity injury in this cohort of female collegiate athletes. 
      Future studies to examine the association between individual LESS item scores and 
      injury are warranted. LEVEL OF EVIDENCE: 1b.
FAU - Lisman, Peter
AU  - Lisman P
AD  - Department of Kinesiology, Towson University.
FAU - Wilder, Joshua N
AU  - Wilder JN
AD  - Department of Athletics, Towson University.
FAU - Berenbach, Joshua
AU  - Berenbach J
AD  - Department of Kinesiology, Towson University.
FAU - Jiao, Enric
AU  - Jiao E
AD  - Department of Kinesiology, Towson University.
FAU - Hansberger, Bethany
AU  - Hansberger B
AD  - Department of Athletics, Towson University.
LA  - eng
PT  - Journal Article
DEP - 20211201
PL  - United States
TA  - Int J Sports Phys Ther
JT  - International journal of sports physical therapy
JID - 101553140
PMC - PMC8637302
OTO - NOTNLM
OT  - collegiate athletes
OT  - landing error scoring system
OT  - markerless motion-capture
OT  - musculoskeletal injury
EDAT- 2021/12/16 06:00
MHDA- 2021/12/16 06:01
PMCR- 2021/12/01
CRDT- 2021/12/15 12:29
PHST- 2021/07/14 00:00 [received]
PHST- 2021/10/14 00:00 [accepted]
PHST- 2021/12/15 12:29 [entrez]
PHST- 2021/12/16 06:00 [pubmed]
PHST- 2021/12/16 06:01 [medline]
PHST- 2021/12/01 00:00 [pmc-release]
AID - 29873 [pii]
AID - 10.26603/001c.29873 [doi]
PST - epublish
SO  - Int J Sports Phys Ther. 2021 Dec 1;16(6):1415-1425. doi: 10.26603/001c.29873. 
      eCollection 2021.