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Clinical Implications of Landing Distance on Landing Error Scoring System Scores
Abstract
Context: The Landing Error Scoring System (LESS) screens for the risk of non-contact anterior cruciate ligament injury. The LESS requires individuals to jump forward from a 30-cm box to a distance of 50% of their body height. However, different landing distances have been cited in the scientific literature.
Objective: To examine whether landing distance influences LESS outcomes.
Design: Cross-sectional study.
Setting: Laboratory.
Participants or Other Participants: Seventy young active individuals (34 males, 36 females).
Intervention(s): Participants performed 33 30-cm jump landing tasks under 2 landing conditions in randomized order: (1) 50% of body height (d50%), (2) self-selected distance (dss).
Main Outcome Measure(s): Mean LESS scores, proportions of individuals categorized at high (LESS: 5 errors) and low (LESS: <5 errors) injury risk, and landing distances were compared between conditions using generalized estimating equations. Consistency of risk categorization was examined using odds ratios (ORs) and McNemar tests. McNemar and Wilcoxon signed rank tests were used to compare the occurrence of specific LESS errors.
Results: Participants landed closer to the box under the dss condition (difference = 23.28 [95% CI = 20.73, 25.81]%, P < .001). Group mean LESS scores (difference = 0.01 [95% CI = 0.59, 0.57] error, P = .969) and risk categorization (OR = 0.94 [95% CI = 0.47, 1.88], P = .859) were similar between conditions. However, individual-level risk categorization was inconsistent in 33% of participants, as was the occurrence of specific errors.
Conclusions: Using dss during the LESS might lead to different LESS errors and risk categorizations at an individual level than using d50%. Given that individual LESS scores are of primary interest in clinical and sport settings and the injury-risk threshold has not been validated for dss, we recommend the use of the original LESS protocol. When only group mean LESS scores or proportions of at-risk individuals are of interest, using dss is feasible to facilitate the testing of large cohorts.
Type
Journal Article
Type of thesis
Series
Citation
Date
2021-06-01
Publisher
NATL ATHLETIC TRAINERS ASSOC INC
Degree
Supervisors
Rights
© by the National Athletic Trainers' Association, Inc. This work is licensed under a CC BY 4.0 licence.