A predictive model to estimate knee-abduction moment : implications for development of a clinically applicable patellofemoral pain screening tool in female athletes
Gespeichert in:
| Deutscher übersetzter Titel: | Ein Vorhersagemodell für die Abschätzung des Knieabduktionsmoments : Implikationen für die Entwicklung eines klinisch anwendbaren Screeninginstruments bei Sportlerinnen mit patellofemoralem Schmerz |
|---|---|
| Autor: | Myer, Gregory D.; Ford, Kevin R.; Barber Foss, Kim D.; Rauh, Mitchell J.; Paterno, Mark V.; Hewett, Timothy E. |
| Erschienen in: | Journal of athletic training |
| Veröffentlicht: | 49 (2014), 3, S. 389-398, Lit. |
| Format: | Literatur (SPOLIT) |
| Publikationstyp: | Zeitschriftenartikel |
| Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
| Sprache: | Englisch |
| ISSN: | 1062-6050, 0160-8320, 1938-162X |
| DOI: | 10.4085/1062-6050-49.2.17 |
| Schlagworte: | |
| Online Zugang: | |
| Erfassungsnummer: | PU201407007215 |
| Quelle: | BISp |
| id |
PU201407007215 |
|---|---|
| bisp-collection |
db |
| format |
Literatur |
| last_indexed |
2014-08-19T13:12:11Z |
| first_indexed |
2014-07-28T12:21:15Z |
| publication_source |
BISp |
| subformat |
Zeitschriftenartikel |
| hierarchy_top_id |
JO00000000720 |
| hierarchy_parent_id |
JOI201400030000720 |
| hierarchy_top_title |
Journal of athletic training |
| hierarchy_parent_title |
Journal of athletic training, 2014, 3 |
| is_hierarchy_id |
PU201407007215 |
| is_hierarchy_title |
A predictive model to estimate knee-abduction moment : implications for development of a clinically applicable patellofemoral pain screening tool in female athletes |
| hierarchy_sequence |
0389 |
| recordtype |
bisparticle |
| publishDate |
2014 |
| publishDate_facet |
2014 |
| language |
eng |
| title |
A predictive model to estimate knee-abduction moment : implications for development of a clinically applicable patellofemoral pain screening tool in female athletes |
| spellingShingle |
A predictive model to estimate knee-abduction moment : implications for development of a clinically applicable patellofemoral pain screening tool in female athletes Anthropometrie Diagnostische Verfahren Gelenkbelastung Kniegelenk Kniegelenkverletzung Knieschmerz Landung Modell, biomechanisches Neuromotorik Risikofaktor Screening Sportlerin Sportmedizin Sportphysiotherapie Untersuchung, empirische Valgusstellung Verletzungsgefahr Verletzungsprophylaxe |
| title_sort |
a predictive model to estimate kneeabduction moment implications for development of a clinically applicable patellofemoral pain screening tool in female athletes |
| title_short |
A predictive model to estimate knee-abduction moment : implications for development of a clinically applicable patellofemoral pain screening tool in female athletes |
| title_alt |
Ein Vorhersagemodell für die Abschätzung des Knieabduktionsmoments : Implikationen für die Entwicklung eines klinisch anwendbaren Screeninginstruments bei Sportlerinnen mit patellofemoralem Schmerz |
| title_alt_lang |
deu |
| media_type |
Elektronische Ressource (online) Gedruckte Ressource |
| city |
Dallas (Tex) |
| abstract |
Context: Prospective measures of high external knee-abduction moment (KAM) during landing identify female athletes at increased risk of patellofemoral pain (PFP). A clinically applicable screening protocol is needed. Objective: To identify biomechanical laboratory measures that would accurately quantify KAM loads during landing that predict increased risk of PFP in female athletes and clinical correlates to laboratory-based measures of increased KAM status for use in a clinical PFP injury-risk prediction algorithm. We hypothesized that we could identify clinical correlates that combine to accurately determine increased KAM associated with an increased risk of developing PFP. Design: Descriptive laboratory study. Setting: Biomechanical laboratory. Patients or Other Participants: Adolescent female basketball and soccer players (n = 698) from a single-county public school district. Main Outcome Measure(s): We conducted tests of anthropometrics, maturation, laxity, flexibility, strength, and landing biomechanics before each competitive season. Pearson correlation and linear and logistic regression modeling were used to examine high KAM (>15.4 Nm) compared with normal KAM as a surrogate for PFP injury risk. Results: The multivariable logistic regression model that used the variables peak knee-abduction angle, center-of-mass height, and hip rotational moment excursion predicted KAM associated with PFP risk (>15.4 NM of KAM) with 92% sensitivity and 74% specificity and a C statistic of 0.93. The multivariate linear regression model that included the same predictors accounted for 70% of the variance in KAM. We identified clinical correlates to laboratory measures that combined to predict high KAM with 92% sensitivity and 47% specificity. The clinical prediction algorithm, including knee-valgus motion (odds ratio [OR] = 1.46, 95% confidence interval [CI] = 1.31, 1.63), center-of-mass height (OR = 1.21, 95% CI = 1.15, 1.26), and hamstrings strength/body fat percentage (OR = 1.80, 95% CI = 1.02, 3.16) predicted high KAM with a C statistic of 0.80. Conclusions: Clinical correlates to laboratory-measured biomechanics associated with an increased risk of PFP yielded a highly sensitive model to predict increased KAM status. This screening algorithm consisting of a standard camcorder, physician scale for mass, and handheld dynamometer may be used to identify athletes at increased risk of PFP. Verf.-Referat |
| abstract_lang |
eng |
| abstract_type |
abstract |
| author2 |
Myer, Gregory D. Ford, Kevin R. Barber Foss, Kim D. Rauh, Mitchell J. Paterno, Mark V. Hewett, Timothy E. |
| author_facet |
Myer, Gregory D. Ford, Kevin R. Barber Foss, Kim D. Rauh, Mitchell J. Paterno, Mark V. Hewett, Timothy E. |
| author2-role |
Autor Autor Autor Autor Autor Autor |
| author2-authorityid |
P135297 P135296 P158540 P151440 P150401 P78010 |
| author_author_facet |
Myer, Gregory D. Ford, Kevin R. Barber Foss, Kim D. Rauh, Mitchell J. Paterno, Mark V. Hewett, Timothy E. |
| author2-synonym |
|
| author2_hierarchy_facet |
0/Autor/ 1/Autor/Myer, Gregory D./ 0/Autor/ 1/Autor/Ford, Kevin R./ 0/Autor/ 1/Autor/Barber Foss, Kim D./ 0/Autor/ 1/Autor/Rauh, Mitchell J./ 0/Autor/ 1/Autor/Paterno, Mark V./ 0/Autor/ 1/Autor/Hewett, Timothy E./ |
| doi |
10.4085/1062-6050-49.2.17 |
| spelling |
10.4085/1062-6050-49.2.17 1062-6050 0160-8320 1938-162X 1202960-9 Anthropometrie Diagnostische Verfahren Gelenkbelastung Kniegelenk Kniegelenkverletzung Knieschmerz Landung Modell, biomechanisches Neuromotorik Risikofaktor Screening Sportlerin Sportmedizin Sportphysiotherapie Untersuchung, empirische Valgusstellung Verletzungsgefahr Verletzungsprophylaxe anthropometry biomechanical model diagnostic procedures empirical investigation injury prophylaxis injury risk joint load knee-joint knee-joint injury knee pain landing neuromotor system risk factor screening sport physiotherapy sports medicine valgus deformity woman athlete Knie Genu varum Knieaussenband Kniebandverletzung Kniegelenkoperation Knieinnenband Lig. collaterale mediale Ligamentum collaterale mediale Genu valgum Leistungstest Diagnose Diagnosemethode Diagnostik Untersuchungsdiagnostik Medizin Geschichte der Medizin Untersuchung, sportmedizinische Wasserdampf Empirie Empirismus Untersuchung, experimentelle Untersuchung Kniebinnenschaden Kniebinnenverletzung Knieverletzung Prophylaxe Belastung Verletzungsanfälligkeit Verletzungsrisiko Biostatistik Biometrie Somatometrie Landephase Landetechnik sportswoman physiotherapy in sport athletic training empirical study neuromotor functions neuromotor patterns neuromotor performance injury of the knee-joint injury prevention load on the joint A predictive model to estimate knee-abduction moment : implications for development of a clinically applicable patellofemoral pain screening tool in female athletes PU201407007215 201407007215 |
| url |
http://natajournals.org/doi/full/10.4085/1062-6050-49.2.17 http://natajournals.org/doi/pdf/10.4085/1062-6050-49.2.17 https://dx.doi.org/10.4085/1062-6050-49.2.17 |
| url-type |
fulltext fulltext fulltext |
| url-free |
0 0 0 |
| issn |
1062-6050 0160-8320 1938-162X |
| zdb |
1202960-9 |
| location_hierarchy_facet |
0/USA/ 1/USA/Texas/ |
| topic |
Anthropometrie Diagnostische Verfahren Gelenkbelastung Kniegelenk Kniegelenkverletzung Knieschmerz Landung Modell, biomechanisches Neuromotorik Risikofaktor Screening Sportlerin Sportmedizin Sportphysiotherapie Untersuchung, empirische Valgusstellung Verletzungsgefahr Verletzungsprophylaxe |
| topic_facet |
Anthropometrie Diagnostische Verfahren Gelenkbelastung Kniegelenk Kniegelenkverletzung Knieschmerz Landung Modell, biomechanisches Neuromotorik Risikofaktor Screening Sportlerin Sportmedizin Sportphysiotherapie Untersuchung, empirische Valgusstellung Verletzungsgefahr Verletzungsprophylaxe |
| topic_en |
anthropometry biomechanical model diagnostic procedures empirical investigation injury prophylaxis injury risk joint load knee-joint knee-joint injury knee pain landing neuromotor system risk factor screening sport physiotherapy sports medicine valgus deformity woman athlete |
| topic_en_facet |
anthropometry biomechanical model diagnostic procedures empirical investigation injury prophylaxis injury risk joint load knee-joint knee-joint injury knee pain landing neuromotor system risk factor screening sport physiotherapy sports medicine valgus deformity woman athlete |
| synonym |
Knie Genu varum Knieaussenband Kniebandverletzung Kniegelenkoperation Knieinnenband Lig. collaterale mediale Ligamentum collaterale mediale Genu valgum Leistungstest Diagnose Diagnosemethode Diagnostik Untersuchungsdiagnostik Medizin Geschichte der Medizin Untersuchung, sportmedizinische Wasserdampf Empirie Empirismus Untersuchung, experimentelle Untersuchung Kniebinnenschaden Kniebinnenverletzung Knieverletzung Prophylaxe Belastung Verletzungsanfälligkeit Verletzungsrisiko Biostatistik Biometrie Somatometrie Landephase Landetechnik |
| synonym_en |
sportswoman physiotherapy in sport athletic training empirical study neuromotor functions neuromotor patterns neuromotor performance injury of the knee-joint injury prevention load on the joint |
| journal_facet |
Journal of athletic training |
| container_title |
Journal of athletic training |
| container_volume |
49 |
| container_issue |
3 |
| container_start_page |
S. 389-398 |
| has_references |
1 |
| institution |
BISp |
| journal_fac |
JO00000000720 |
| journal_year |
2014 |
| journal_issue |
3 |
| _version_ |
1796139427891773440 |
| score |
13,047562 |