Does the 2D Frontal Plane Projection Angle Predict Frontal Plane Knee Moments during Stepping, Landing, and Change of Direction Tasks?

Background Although dynamic knee valgus can be visually identified using the 2D frontal plane projection angle (FPPA), the validity of the FPPA in terms of predicting frontal plane knee kinematics has been questioned. The biomechanical utility of the FPPA may lie in its ability to predict frontal pl...

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Publicado en:International Journal of Sports Physical Therapy Vol. 17; no. 7; pp. 1259 - 1271
Autores principales: Straub, Powers K., Powers, Christopher M.
Formato: pictorial research tables/charts Journal Article
Publicado: North American Journal of Sports Physical Therapy 2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2022
      vid: 17
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      pub: North American Journal of Sports Physical Therapy
      place: Indianapolis, Indiana
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        atl: Does the 2D Frontal Plane Projection Angle Predict Frontal Plane Knee Moments during Stepping, Landing, and Change of Direction Tasks?
      aug:
        au:
          Straub, Powers K.
          Powers, Christopher M.
        affil: PT, PhD, FACSM, FAPTA USC Division of Biokinesiology & Physical Therapy 1540 E. Alcazar St. CHP-155 Los Angeles, CA 90089-9006
      sug:
        subj:
          Knee Physiology
          Step
          Jumping
          Exercise Test Methods
          Task Performance and Analysis
          Kinetics
          Human
          Crossover Design
          Validation Studies
          Kinematics
          Flexion
          Male
          Female
          Linear Regression
          Descriptive Statistics
          Knee Abnormalities
          Musculoskeletal Diseases Diagnosis
          Athletes
          Motion Analysis Systems
          Ground Reaction Force
          Lower Extremity Exercises
          Data Analysis Software
          Adolescence
          Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Background Although dynamic knee valgus can be visually identified using the 2D frontal plane projection angle (FPPA), the validity of the FPPA in terms of predicting frontal plane knee kinematics has been questioned. The biomechanical utility of the FPPA may lie in its ability to predict frontal plane knee moments. Hypothesis/Purpose The purpose of the current study was to comprehensively evaluate the ability of the FPPA to predict the frontal plane knee kinetics (peak moment, average moment, and moment at peak knee flexion) across a wide range of tasks (stepping, landing, and change of direction). Design Crossover Study Design. Methods Three-dimensional lower-extremity kinetics and 2D video were obtained from 39 healthy athletes (15 males and 24 females) during execution of six tasks (step down, drop jump, lateral shuffle, deceleration, triple hop, side-step-cut). Linear regression analysis was performed to determine if the 2D FPPA at peak knee flexion predicted frontal plane knee moment variables during the deceleration phase of each task (peak moment, average moment, moment at peak knee flexion). Results The FPPA was found to significantly predict the peak frontal plane knee moment for two tasks (deceleration and side-step-cut, R² = 12% to 25%), average frontal plane knee moment for five tasks (drop jump, shuffle, deceleration, triple hop, side-step-cut, R² = 15% to 40%), and frontal plane knee moment at peak knee flexion for five tasks (drop jump, shuffle, deceleration, triple hop, side-step-cut, R² = 16% to 45%). Conclusion An increased FPPA (medial knee collapse) predicted increased knee valgus moments (or decreased knee varus moments) during landing and change of direction tasks (but not stepping). However, the predictive ability of the FPPA was weak to moderate.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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