A wearable system to assess risk for anterior cruciate ligament injury during jump landing: measurements of temporal events, jump height, and sagittal plane kinematics.

Details

Serval ID
serval:BIB_43226A655729
Type
Article: article from journal or magazin.
Collection
Publications
Title
A wearable system to assess risk for anterior cruciate ligament injury during jump landing: measurements of temporal events, jump height, and sagittal plane kinematics.
Journal
Journal of biomechanical engineering
Author(s)
Dowling A.V., Favre J., Andriacchi T.P.
ISSN
1528-8951 (Electronic)
ISSN-L
0148-0731
Publication state
Published
Issued date
07/2011
Peer-reviewed
Oui
Volume
133
Number
7
Pages
071008
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
Publication Status: ppublish
Abstract
The incidence of anterior cruciate ligament (ACL) injury remains high, and there is a need for simple, cost effective methods to identify athletes at a higher risk for ACL injury. Wearable measurement systems offer potential methods to assess the risk of ACL injury during jumping tasks. The objective of this study was to assess the capacity of a wearable inertial-based system to evaluate ACL injury risk during jumping tasks. The system accuracy for measuring temporal events (initial contact, toe-off), jump height, and sagittal plane angles (knee, trunk) was assessed by comparing results obtained with the wearable system to simultaneous measurements obtained with a marker-based optoelectronic reference system. Thirty-eight healthy participants (20 male and 18 female) performed drop jumps with bilateral and unilateral support landing. The mean differences between the temporal events obtained with both systems were below 5 ms, and the precisions were below 24 ms. The mean jump heights measured with both systems differed by less than 1 mm, and the associations (Pearson correlation coefficients) were above 0.9. For the discrete angle parameters, there was an average association of 0.91 and precision of 3.5° for the knee flexion angle and an association of 0.77 and precision of 5.5° for the trunk lean. The results based on the receiver-operating characteristic (ROC) also demonstrated that the proposed wearable system could identify movements at higher risk for ACL injury. The area under the ROC plots was between 0.89 and 0.99 for the knee flexion angle and between 0.83 and 0.95 for the trunk lean. The wearable system demonstrated good concurrent validity with marker-based measurements and good discriminative performance in terms of the known risk factors for ACL injury. This study suggests that a wearable system could be a simple cost-effective tool for conducting risk screening or for providing focused feedback.

Keywords
Adult, Anterior Cruciate Ligament/physiology, Anterior Cruciate Ligament/physiopathology, Anterior Cruciate Ligament Injuries, Athletic Injuries/physiopathology, Athletic Injuries/prevention & control, Biomechanical Phenomena, Clothing, Equipment Design, Female, Humans, Knee Injuries/epidemiology, Knee Injuries/prevention & control, Knee Joint/physiology, Knee Joint/physiopathology, Male, Monitoring, Ambulatory/instrumentation, Movement, Reproducibility of Results, Risk Assessment, Risk Factors, Sports/physiology, Sports Medicine/instrumentation, Task Performance and Analysis
Pubmed
Web of science
Create date
22/11/2017 20:03
Last modification date
20/08/2019 14:46
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