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Jump-landing mechanics assessment using landing error scoring system in athletes with and without patellofemoral pain

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Abstract

Purpose

This study was a cross-sectional study that aimed to compare the total Landing error scoring system (LESS) scores of individuals with Patellofemoral pain (PFP) with healthy controls and assess the association of pain, function, and psychological factors with LESS score.

Methods

Twenty-seven male athletes with PFP completed a standardized jump-landing task. They were compared with a matched, healthy group. Also, participants completed four questionnaires involving the visual analog scale (VAS), Anterior knee pain scale (AKPS), Tampa scale of kinesiophobia (TSK), Beck anxiety and depression inventory scale (BAI, BDI).

Results

PFP group had significantly a higher total LESS score than the control group. They displayed lateral trunk flexion and less knee flexion in the initial contact of landing. Our results showed a significant strong correlation between VAS, AKPS, and TSK with a final score LESS. In addition, a low to moderate significant correlation obtained between BAI, BDI and final score LESS.

Conclusions

The LESS is a useful clinical test for evaluating landing errors in people with PFP. Greater kinesiophobia, pain, poorer self-reported function and psychological factors were correlated with a total LESS score.

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Data availability

The datasets are not public available due to the confidentiality of the data, but are available from the corresponding author on reasonable request.

References

  1. Hiemstra LA, Kerslake S, Irving C (2014) Anterior knee pain in the athlete. Clin Sports Med 33(3):437–459

    Article  PubMed  Google Scholar 

  2. Petersen W et al (2014) Patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc 22(10):2264–2274

    Article  PubMed  Google Scholar 

  3. Priore LB et al (2019) Influence of kinesiophobia and pain catastrophism on objective function in women with patellofemoral pain. Phys Ther Sport 35:116–121

    Article  PubMed  Google Scholar 

  4. Boling MC et al (2009) A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome: the Joint Undertaking to Monitor and Prevent ACL Injury (JUMP-ACL) cohort. Am J Sports Med 37(11):2108–2116

    Article  PubMed  PubMed Central  Google Scholar 

  5. Witvrouw E et al (2005) Clinical classification of patellofemoral pain syndrome: guidelines for non-operative treatment. Knee Surg Sports Traumatol Arthrosc 13(2):122–130

    Article  PubMed  Google Scholar 

  6. Padua DA et al (2011) Reliability of the landing error scoring system-real time, a clinical assessment tool of jump-landing biomechanics. J Sport Rehabil 20(2):145–156

    Article  PubMed  Google Scholar 

  7. Loudon JK et al (2002) Intrarater reliability of functional performance tests for subjects with patellofemoral pain syndrome. J Athl Train 37(3):256–261

    PubMed  PubMed Central  Google Scholar 

  8. Padua DA et al (2015) The landing error scoring system as a screening tool for an anterior cruciate ligament injury–prevention program in elite-youth soccer athletes. J Athl Train 50(6):589–595

    Article  PubMed  PubMed Central  Google Scholar 

  9. Hanzlíková I, Hébert-Losier K (2020) Is the Landing Error Scoring System reliable and valid? A systematic review. Sports Health 12(2):181–188

    Article  PubMed  PubMed Central  Google Scholar 

  10. Nunes GS, Barton CJ, Serrão FV (2019) Females with patellofemoral pain have impaired impact absorption during a single-legged drop vertical jump. Gait Posture 68:346–351

    Article  PubMed  Google Scholar 

  11. Willson JD, Davis IS (2009) Lower extremity strength and mechanics during jumping in women with patellofemoral pain. J Sport Rehabil 18(1):76–90

    Article  PubMed  Google Scholar 

  12. Briani RV et al (2022) Exacerbating patellofemoral pain alters trunk and lower limb coordination patterns and hip-knee mechanics. J Biomech 141:111215

    Article  PubMed  Google Scholar 

  13. Maclachlan LR et al (2017) The psychological features of patellofemoral pain: a systematic review. Br J Sports Med 51(9):732–742

    Article  PubMed  Google Scholar 

  14. Ferrari D et al (2018) Higher pain level and lower functional capacity are associated with the number of altered kinematics in women with patellofemoral pain. Gait Posture 60:268–272

    Article  PubMed  Google Scholar 

  15. Witvrouw E et al (2000) Open versus closed kinetic chain exercises for patellofemoral pain. Am J Sports Med 28(5):687–694

    Article  CAS  PubMed  Google Scholar 

  16. Cichanowski HR et al (2007) Hip strength in collegiate female athletes with patellofemoral pain. Med Sci Sports Exerc 39(8):1227

    Article  PubMed  Google Scholar 

  17. Herbst KA et al (2015) Hip strength is greater in athletes who subsequently develop patellofemoral pain. Am J Sports Med 43(11):2747–2752

    Article  PubMed  PubMed Central  Google Scholar 

  18. Scott J, Huskisson E (1976) Graphic representation of pain. Pain 2(2):175–184

    Article  CAS  PubMed  Google Scholar 

  19. Negahban H, Pouretezad M, Yazdi M, Sohani S, Mazaheri M, Salavati M et al (2012) Persian translation and validation of the Kujala Patellofemoral Scale in patients with patellofemoral pain syndrome. Disabil Rehabil 34(26):2259–2263

  20. Kaviani H, Mousavi AS (2008) Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran Univ Med J 66(2):136–140

  21. Dadfar M, Kalibatseva Z (2016) Psychometric properties of the persian version of the short beck depression inventory with Iranian psychiatric outpatients. Scientifica (Cairo) 2016:8196463

  22. Portney LG, Watkins MP (2009) Foundations of clinical research: applications to practice, vol 892. Pearson/Prentice Hall, Upper Saddle River

    Google Scholar 

  23. Rojhani Shirazi Z, Biabani Moghaddam M, Motealleh A (2014) Comparative evaluation of core muscle recruitment pattern in response to sudden external perturbations in patients with patellofemoral pain syndrome and healthy subjects. Arch Phys Med Rehab 95(7):1383–1389

    Article  Google Scholar 

  24. Boling M, Padua D (2013) Relationship between hip strength and trunk, hip, and knee kinematics during a jump-landing task in individuals with patellofemoral pain. Int J Sports Phys Ther 8(5):661–669

    PubMed  PubMed Central  Google Scholar 

  25. Chu DA, Meyer GC (2013) Plyometrics. Human kinetics.

  26. Willson JD, Davis IS (2008) Utility of the frontal plane projection angle in females with patellofemoral pain. J Orthop Sports Phys Ther 38(10):606–615

    Article  PubMed  Google Scholar 

  27. Dos Reis AC et al (2015) Kinematic and kinetic analysis of the single-leg triple hop test in women with and without patellofemoral pain. J Orthopaedic Sports Phys Ther 45(10):799–807

    Article  Google Scholar 

  28. Paoloni M et al (2010) Kinematic and kinetic features of normal level walking in patellofemoral pain syndrome: more than a sagittal plane alteration. J Biomech 43(9):1794–1798

    Article  PubMed  Google Scholar 

  29. Glaviano NR, Saliba S (2018) Association of altered frontal plane kinematics and physical activity levels in females with patellofemoral pain. Gait Posture 65:86–88

    Article  PubMed  Google Scholar 

  30. de Oliveira Silva D et al (2019) Kinesiophobia, but not strength is associated with altered movement in women with patellofemoral pain. Gait Posture 68:1–5

    Article  PubMed  Google Scholar 

  31. Selhorst M et al (2020) Adolescent psychological beliefs, but not parent beliefs, associated with pain and function in adolescents with patellofemoral pain. Phys Ther Sport 45:155–160

    Article  PubMed  Google Scholar 

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Funding

This project was supported by a grant from the Ahvaz Jundishapur University of Medical Sciences for financial support (Grant number: PHT-9913).

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Authors and Affiliations

Authors

Contributions

MS had the primary responsibility for writing the manuscript. FS and MS devised the project and its main conceptual ideas, devised the study design, MR collected data, and MJ analyzed the data. FS edited the final paper version. All authors have read and approved the final paper version of the manuscript and agree with the order of presentation of the authors.

Corresponding author

Correspondence to Mayam Saadat.

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Conflict of interest

Authors report no conflicts of interest.

Ethical approval and informed consent

The present study was approved by Ethics Committee of Ahvaz Jundishapur University of Medical Science and was conducted in accordance with the World Medical Association Declaration of Helsinki. All participants signed informed consent before the entry of the study (Number: IR.AJUMS.REC.1399.374).

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Rabbani Havigh, M., Esfandiarpour, F., Saadat, M. et al. Jump-landing mechanics assessment using landing error scoring system in athletes with and without patellofemoral pain. Sport Sci Health 20, 97–102 (2024). https://doi.org/10.1007/s11332-023-01070-y

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