The Relationship between Landing Error Scoring System Performance and Injury in Female Collegiate Athletes

# 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...

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Autores principales:	Peter Lisman, Joshua N. Wilder, Joshua Berenbach, Enric Jiao, Bethany Hansberger
Formato:	article
Lenguaje:	EN
Publicado:	North American Sports Medicine Institute 2021
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/a235393600574d00b92c1c05247ebb01
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spelling	oai:doaj.org-article:a235393600574d00b92c1c05247ebb012021-12-02T00:38:45ZThe Relationship between Landing Error Scoring System Performance and Injury in Female Collegiate Athletes2159-2896https://doaj.org/article/a235393600574d00b92c1c05247ebb012021-12-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/29873-the-relationship-between-landing-error-scoring-system-performance-and-injury-in-female-collegiate-athletes.pdfhttps://doaj.org/toc/2159-2896# 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®). 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 (χ2=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.Peter LismanJoshua N. WilderJoshua BerenbachEnric JiaoBethany HansbergerNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Peter Lisman Joshua N. Wilder Joshua Berenbach Enric Jiao Bethany Hansberger The Relationship between Landing Error Scoring System Performance and Injury in Female Collegiate Athletes
description	# 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®). 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 (χ2=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.
format	article
author	Peter Lisman Joshua N. Wilder Joshua Berenbach Enric Jiao Bethany Hansberger
author_facet	Peter Lisman Joshua N. Wilder Joshua Berenbach Enric Jiao Bethany Hansberger
author_sort	Peter Lisman
title	The Relationship between Landing Error Scoring System Performance and Injury in Female Collegiate Athletes
title_short	The Relationship between Landing Error Scoring System Performance and Injury in Female Collegiate Athletes
title_full	The Relationship between Landing Error Scoring System Performance and Injury in Female Collegiate Athletes
title_fullStr	The Relationship between Landing Error Scoring System Performance and Injury in Female Collegiate Athletes
title_full_unstemmed	The Relationship between Landing Error Scoring System Performance and Injury in Female Collegiate Athletes
title_sort	relationship between landing error scoring system performance and injury in female collegiate athletes
publisher	North American Sports Medicine Institute
publishDate	2021
url	https://doaj.org/article/a235393600574d00b92c1c05247ebb01
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The Relationship between Landing Error Scoring System Performance and Injury in Female Collegiate Athletes

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