Validity of the modified landing error scoring system (LESS–M) for screening non-contact ACL injury risk using a lateral single-leg jump-landing task.

To develop the Landing Error Scoring System–Modified (LESS–M) and assess its content and concurrent validity. Content and concurrent validity study. Online expert survey and laboratory-based testing. Five field experts and 29 healthy individuals. Content Validity Index (CVI) and Spearman's rank corr...

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Publicado en:Physical Therapy in Sport Vol. 75; pp. 98 - 105
Autores principales: Subedi, Miraj, Sinsurin, Komsak, Suttiwong, Jatuporn, Warathanagasame, Pinyada, Gao, Yu
Formato: research Journal Article
Publicado: Elsevier B.V. Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
      vid: 75
      pid: 82545
      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        187817860
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        10.1016/j.ptsp.2025.08.003
        187817860
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        atl: Validity of the modified landing error scoring system (LESS–M) for screening non-contact ACL injury risk using a lateral single-leg jump-landing task.
      aug:
        au:
          Subedi, Miraj
          Sinsurin, Komsak
          Suttiwong, Jatuporn
          Warathanagasame, Pinyada
          Gao, Yu
        affil: Biomechanics and Sports Research Unit, Faculty of Physical Therapy, Mahidol University, Thailand
      sug:
        subj:
          Instrument Construction
          Instrument Validation
          Clinical Assessment Tools
          Anterior Cruciate Ligament Injuries Diagnosis
          Jumping
          Content Validity Evaluation
          Task Performance and Analysis
          Concurrent Validity Evaluation
          Human
          In Vitro Studies
          Motion Capture
          Validation Studies
          Correlational Studies
          Descriptive Statistics
          Ground Reaction Force
          Consensus
          Spearman's Rank Correlation Coefficient
          Range of Motion
          Biomechanics
      ab: To develop the Landing Error Scoring System–Modified (LESS–M) and assess its content and concurrent validity. Content and concurrent validity study. Online expert survey and laboratory-based testing. Five field experts and 29 healthy individuals. Content Validity Index (CVI) and Spearman's rank correlation between LESS–M scores and standard 3D motion analysis. All experts endorsed the lateral single-leg jump-landing task and the modified assessment tool. The ave-CVI and I-CVI were 0.97 and 0.8–1.0, respectively. Moderate correlations were found between the LESS–M score and both knee valgus (ρ = 0.425; p = 0.001) and hip adduction moment (ρ = 0.446; p = 0.001) at peak vertical ground reaction force (vGRF). The LESS–M demonstrated strong content validity based on expert consensus and showed moderate concurrent validity with 3D motion capture for assessing lateral single-leg jump landing. It may be a potential tool for identifying individuals at risk for non-contact ACL injury. Nonetheless, further investigation is required to determine an appropriate cutoff score and to assess the reliability of the LESS–M for broader application. • The original LESS limitation was jump-landing test with doubled legs in forward direction. • The LESS-M is designed to assess lateral single-leg jump-landing tasks. • The LESS-M demonstrated strong content validity and moderate concurrent validity. • The LESS-M shows moderate concurrent validity with the 3D motion analysis. • The LESS-M could serve as a potential tool for identifying non-contact ACL injury risk.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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