Cross-validation of a machine learning algorithm that determines anterior cruciate ligament rehabilitation status and evaluation of its ability to predict future injury.

Classification algorithms determine the similarity of an observation to defined classes, e.g., injured or healthy athletes, and can highlight treatment targets or assess progress of a treatment. The primary aim was to cross-validate a previously developed classification algorithm using a different s...

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Publicado en:Sports Biomechanics Vol. 22; no. 1; pp. 91 - 102
Autores principales: Richter, Chris, Petushek, Erich, Grindem, Hege, Franklyn-Miller, Andrew, Bahr, Roald, Krosshaug, Tron
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2023
      vid: 22
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14763141.2021.1947358
        160565298
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        atl: Cross-validation of a machine learning algorithm that determines anterior cruciate ligament rehabilitation status and evaluation of its ability to predict future injury.
      aug:
        au:
          Richter, Chris
          Petushek, Erich
          Grindem, Hege
          Franklyn-Miller, Andrew
          Bahr, Roald
          Krosshaug, Tron
        affil: Sports Medicine Department, Sports Surgery Clinic, Santry Demesne, Ireland
      sug:
        subj:
          Machine Learning
          Algorithms
          Anterior Cruciate Ligament Injuries Rehabilitation
          Anterior Cruciate Ligament Injuries Diagnosis
          Predictive Validity
          Instrument Validation
          Human
          Probability
          Comparative Studies
          Incidence
      ab: Classification algorithms determine the similarity of an observation to defined classes, e.g., injured or healthy athletes, and can highlight treatment targets or assess progress of a treatment. The primary aim was to cross-validate a previously developed classification algorithm using a different sample, while a secondary aim was to examine its ability to predict future ACL injuries. The examined outcome measure was 'healthy-limb' class membership probability, which was compared between a cohort of athletes without previous or future (No Injury) previous (PACL) and future ACL injury (FACL). The No Injury group had significantly higher probabilities than the PACL (p < 0.001; medium effect) and FACL group (p ≤ 0.045; small effect). The ability to predict group membership was poor for the PACL (area under curve [AUC]; 0.61<AUC<0.62) and FACL group (0.57<AUC<0.59). The ACL injury incidence proportion was highest in athletes with probabilities below 0.20 (9.4%; +2.7% to baseline), while athletes with probabilities above 0.80 had an incidence proportion of 4.1% (−2.6%). While findings that a low probability might represent an increase in injury risk on a group level, it is not sensitive enough for injury screening to predict a future injury on the individual level.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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