Reliability and Differences Between Sexes in Landing Mechanics when Performing the Lateral Bound Test

# Background and Purpose Anterior cruciate ligament injuries are prevalent among the athletic population, imposing a heavy economic burden, and the risk of re-injury. Most current biomechanical screening tasks are performed in the sagittal plane, and there is a need for more screening tools that a...

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Main Authors: Andy Waldhelm, Sydney Allen, Lacy Grand, Carolyn Bopp, Kristian Foster, Ginger Muckridge, Neil Schwarz
Format: Article
Language:English
Published: North American Sports Medicine Institute 2022-04-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.33067
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author Andy Waldhelm
Sydney Allen
Lacy Grand
Carolyn Bopp
Kristian Foster
Ginger Muckridge
Neil Schwarz
author_facet Andy Waldhelm
Sydney Allen
Lacy Grand
Carolyn Bopp
Kristian Foster
Ginger Muckridge
Neil Schwarz
author_sort Andy Waldhelm
collection DOAJ
description # Background and Purpose Anterior cruciate ligament injuries are prevalent among the athletic population, imposing a heavy economic burden, and the risk of re-injury. Most current biomechanical screening tasks are performed in the sagittal plane, and there is a need for more screening tools that assess sports specific movements in the frontal plane. The purpose of this study was to determine the reliability of and examine differences between sexes in the performance of the Lateral Bound Test (LBT). # Materials/Methods Each subject performed three trials of a LBT which included jumping laterally from one leg over a hurdle and landing on the opposite leg. Two cameras were placed six feet from the landing marker. Maximum dynamic knee valgus using the frontal plane projection angle and knee flexion angle at initial contact and maximal knee flexion were measured upon landing leg using 2D video analysis software. Additionally, video of 10 individuals’ trials were analyzed twice with one week between the analyses to obtain intra-rater reliability while 12 participants were retested one week later to determine test-retest reliability. # Results Thirty healthy subjects, 16 males, 14 females participated. Intra-rater reliability was determined to be excellent for all variables (ICC>0.96). In contrast, the test-retest reliability had greater disparity. Test-retest reliability ranged from poor (ICC = 0.47) to excellent (ICC > 0.90). Significant differences existed between the sexes, including males being significantly taller, weighing more, and demonstrating greater bilateral dynamic knee valgus (p < 0.05). No significant differences existed between sexes for knee flexion angles. # Conclusion The new LBT had excellent intra-rater reliability for assessing dynamic knee valgus and initial and maximum knee flexion angle when performing a functional movement in the frontal plane. Furthermore, males landed with more dynamic knee valgus than females which is contradictory to what has been observed with functional screening tools performed in the sagittal plane. # Level of Evidence 3b (reliability study)
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publishDate 2022-04-01
publisher North American Sports Medicine Institute
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series International Journal of Sports Physical Therapy
spelling doaj-art-2df68fe3448943439ff6c80740f0b0d42025-02-11T20:29:56ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962022-04-01173Reliability and Differences Between Sexes in Landing Mechanics when Performing the Lateral Bound TestAndy WaldhelmSydney AllenLacy GrandCarolyn BoppKristian FosterGinger MuckridgeNeil Schwarz# Background and Purpose Anterior cruciate ligament injuries are prevalent among the athletic population, imposing a heavy economic burden, and the risk of re-injury. Most current biomechanical screening tasks are performed in the sagittal plane, and there is a need for more screening tools that assess sports specific movements in the frontal plane. The purpose of this study was to determine the reliability of and examine differences between sexes in the performance of the Lateral Bound Test (LBT). # Materials/Methods Each subject performed three trials of a LBT which included jumping laterally from one leg over a hurdle and landing on the opposite leg. Two cameras were placed six feet from the landing marker. Maximum dynamic knee valgus using the frontal plane projection angle and knee flexion angle at initial contact and maximal knee flexion were measured upon landing leg using 2D video analysis software. Additionally, video of 10 individuals’ trials were analyzed twice with one week between the analyses to obtain intra-rater reliability while 12 participants were retested one week later to determine test-retest reliability. # Results Thirty healthy subjects, 16 males, 14 females participated. Intra-rater reliability was determined to be excellent for all variables (ICC>0.96). In contrast, the test-retest reliability had greater disparity. Test-retest reliability ranged from poor (ICC = 0.47) to excellent (ICC > 0.90). Significant differences existed between the sexes, including males being significantly taller, weighing more, and demonstrating greater bilateral dynamic knee valgus (p < 0.05). No significant differences existed between sexes for knee flexion angles. # Conclusion The new LBT had excellent intra-rater reliability for assessing dynamic knee valgus and initial and maximum knee flexion angle when performing a functional movement in the frontal plane. Furthermore, males landed with more dynamic knee valgus than females which is contradictory to what has been observed with functional screening tools performed in the sagittal plane. # Level of Evidence 3b (reliability study)https://doi.org/10.26603/001c.33067
spellingShingle Andy Waldhelm
Sydney Allen
Lacy Grand
Carolyn Bopp
Kristian Foster
Ginger Muckridge
Neil Schwarz
Reliability and Differences Between Sexes in Landing Mechanics when Performing the Lateral Bound Test
International Journal of Sports Physical Therapy
title Reliability and Differences Between Sexes in Landing Mechanics when Performing the Lateral Bound Test
title_full Reliability and Differences Between Sexes in Landing Mechanics when Performing the Lateral Bound Test
title_fullStr Reliability and Differences Between Sexes in Landing Mechanics when Performing the Lateral Bound Test
title_full_unstemmed Reliability and Differences Between Sexes in Landing Mechanics when Performing the Lateral Bound Test
title_short Reliability and Differences Between Sexes in Landing Mechanics when Performing the Lateral Bound Test
title_sort reliability and differences between sexes in landing mechanics when performing the lateral bound test
url https://doi.org/10.26603/001c.33067
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