2D kinematic analysis of knee frontal plane knee valgus angle: A methodological approach
DOI:
https://doi.org/10.24310/riccafd.2022.v11i3.15370Keywords:
genu valgum, anterior cruciate ligament injuries, patellofemoral pain syndrome, anterior knee painAbstract
Kinematic assessment of lower limb motion in three dimensions (3D) requires the use of advanced technology, specialized training and laboratories that do not meet the requirements of the clinical and sporting environment. Two-dimensional (2D) frontal plane knee valgus angle (FPPA) assessment has demonstrated consistently its validity, accuracy and reliability in comparison with 3D analysis methodology for the detection of dynamic valgus associated with increased external hip adduction and internal rotation torques during the execution of functional movements that require eccentric muscle control. Dynamic valgus has shown to be a predictor of anterior cruciate ligament injury and patellofemoral pain syndrome especially in women. Early detection and monitoring of kinematic behavior with low cost, low complexity and basic level of expertise instruments using 2D analysis is emerging as an important assessment strategy in sports training and clinical treatments for the prevention and rehabilitation of knee injuries associated with these movement disorders. Therefore, this narrative review aims to provide essential knowledge for the correct assessment, interpretation, and analysis of FPPA in Physiotherapists and Sports Professionals.
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Lopes TJA, Ferrari D, Ioannidis J, Simic M, Mícolis de Azevedo F, Pappas E. Reliability and Validity of Frontal Plane Kinematics of the Trunk and Lower Extremity Measured With 2-Dimensional Cameras During Athletic Tasks: A Systematic Review With Meta-analysis. The Journal of orthopaedic and sports physical therapy. 2018;48(10):812-22.
Dingenen B, Malfait B, Vanrenterghem J, Verschueren SM, Staes FF. The reliability and validity of the measurement of lateral trunk motion in two-dimensional video analysis during unipodal functional screening tests in elite female athletes. Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine. 2014;15(2):117-23.
McLean SG, Walker K, Ford KR, Myer GD, Hewett TE, van den Bogert AJ. Evaluation of a two dimensional analysis method as a screening and evaluation tool for anterior cruciate ligament injury. British journal of sports medicine. 2005;39(6):355-62.
Bittencourt NF, Ocarino JM, Mendonça LD, Hewett TE, Fonseca ST. Foot and hip contributions to high frontal plane knee projection angle in athletes: a classification and regression tree approach. The Journal of orthopaedic and sports physical therapy. 2012;42(12):996-1004.
Munro A, Herrington L, Carolan M. Reliability of 2-dimensional video assessment of frontal-plane dynamic knee valgus during common athletic screening tasks. Journal of sport rehabilitation. 2012;21(1):7-11.
Willson JD, Davis IS. Utility of the Frontal Plane Projection Angle in Females With Patellofemoral Pain. 2008;38(10):606-15.
Jones D, Tillman SM, Tofte K, Mizner RL, Greenberg S, Moser MW, et al. Observational ratings of frontal plane knee position are related to the frontal plane projection angle but not the knee abduction angle during a step-down task. The Journal of orthopaedic and sports physical therapy. 2014;44(12):973-8.
Maykut JN, Taylor-Haas JA, Paterno MV, DiCesare CA, Ford KR. Concurrent validity and reliability of 2d kinematic analysis of frontal plane motion during running. International journal of sports physical therapy. 2015;10(2):136-46.
Schurr SA, Marshall AN, Resch JE, Saliba SA. Two-dimensional video analysis is comparable to 3d motion capture in lower extremity movement assessment. International journal of sports physical therapy. 2017;12(2):163-72.
Downing SM. Validity: on meaningful interpretation of assessment data. Medical education. 2003;37(9):830-7.
Downing SM. Reliability: on the reproducibility of assessment data. 2004;38(9):1006-12.
Brink Y, Louw QA. Clinical instruments: reliability and validity critical appraisal. Journal of evaluation in clinical practice. 2012;18(6):1126-32.
Mizner RL, Chmielewski TL, Toepke JJ, Tofte KB. Comparison of 2-dimensional measurement techniques for predicting knee angle and moment during a drop vertical jump. Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine. 2012;22(3):221-7.
Harris-Hayes M, Steger-May K, Koh C, Royer NK, Graci V, Salsich GB. Classification of lower extremity movement patterns based on visual assessment: reliability and correlation with 2-dimensional video analysis. Journal of athletic training. 2014;49(3):304-10.
Ortiz A, Rosario-Canales M, Rodríguez A, Seda A, Figueroa C, Venegas-Ríos HL. Reliability and concurrent validity between two-dimensional and three-dimensional evaluations of knee valgus during drop jumps. Open access journal of sports medicine. 2016;7:65-73.
Herrington L, Myer GD, Munro A. Intra and inter-tester reliability of the tuck jump assessment. Physical Therapy in Sport. 2013;14(3):152-5.
Herrington L, Alenezi F, Alzhrani M, Alrayani H, Jones R. The reliability and criterion validity of 2D video assessment of single leg squat and hop landing. Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology. 2017;34:80-5.
Simon M, Parizek C, Earl-Boehm JE, Bazett-Jones DM. Quantitative and qualitative assessment of frontal plane knee motion in males and females: A reliability and validity study. The Knee. 2018;25(6):1057-64.
Ageberg E, Bennell KL, Hunt MA, Simic M, Roos EM, Creaby MW. Validity and inter-rater reliability of medio-lateral knee motion observed during a single-limb mini squat. BMC musculoskeletal disorders. 2010;11(1):265.
Nguyen AD, Shultz SJ, Schmitz RJ. Landing biomechanics in participants with different static lower extremity alignment profiles. Journal of athletic training. 2015;50(5):498-507.
Kingston B, Murray A, Norte GE, Glaviano NR. Validity and reliability of 2-dimensional trunk, hip, and knee frontal plane kinematics during single-leg squat, drop jump, and single-leg hop in females with patellofemoral pain. Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine. 2020;45:181-7.
Bittencourt N, Leite M, Zuin A, Pereira M, Gonçalves G, Signoretti S. Dynamic taping and high frontal plane knee projection angle in female volleyball athletes. 2017;51(4):297-8.
Gwynne CR, Curran SA. Quantifying frontal plane knee motion during single limb squats: reliability and validity of 2-dimensional measures. International journal of sports physical therapy. 2014;9(7):898-906.
Knudson DV. Qualitative Diagnosis of Human Movement: Improving Performance in Sport and Exercise: Human Kinetics; 2013.
Puig-Diví A, Escalona-Marfil C, Padullés-Riu JM, Busquets A, Padullés-Chando X, Marcos-Ruiz D. Validity and reliability of the Kinovea program in obtaining angles and distances using coordinates in 4 perspectives. PloS one. 2019;14(6):e0216448.
Vaara R-L, Gomes Sasaki DG. Teaching kinematic graphs in an undergraduate course using an active methodology mediated by video analysis. LUMAT: International Journal on Math, Science and Technology Education. 2019;7(1):1–26.
Barber-Westin SD, Noyes FR, Galloway M. Jump-land characteristics and muscle strength development in young athletes: a gender comparison of 1140 athletes 9 to 17 years of age. The American journal of sports medicine. 2006;34(3):375-84.
Shin CS, Chaudhari AM, Andriacchi TP. The effect of isolated valgus moments on ACL strain during single-leg landing: a simulation study. Journal of biomechanics. 2009;42(3):280-5.
Nakagawa TH, Moriya ET, Maciel CD, Serrão FV. Trunk, pelvis, hip, and knee kinematics, hip strength, and gluteal muscle activation during a single-leg squat in males and females with and without patellofemoral pain syndrome. The Journal of orthopaedic and sports physical therapy. 2012;42(6):491-501.
Richards J, Thewlis D, Selfe J, Cunningham A, Hayes C. A biomechanical investigation of a single-limb squat: implications for lower extremity rehabilitation exercise. Journal of athletic training. 2008;43(5):477-82.
Paz GA, de Freitas Maia M, Santana HG, Miranda H, Lima V, Willson JD. Knee Frontal Plane Projection Angle: A Comparison Study Between Drop Vertical Jump and Step-Down Tests With Young Volleyball Athletes. Journal of sport rehabilitation. 2019;28(2):153-8.
Dingenen B, Malfait B, Nijs S, Peers KH, Vereecken S, Verschueren SM, et al. Can two-dimensional video analysis during single-leg drop vertical jumps help identify non-contact knee injury risk? A one-year prospective study. Clinical biomechanics (Bristol, Avon). 2015;30(8):781-7.
Howe L, Bampouras TM, North JS, Waldron MJMSSSM. Reliability of two-dimensional measures associated with bilateral drop-landing performance. 2020(108):39-47.
Hass CJ, Schick EA, Tillman MD, Chow JW, Brunt D, Cauraugh JH. Knee biomechanics during landings: comparison of pre- and postpubescent females. Medicine and science in sports and exercise. 2005;37(1):100-7.
Walsh M, Boling MC, McGrath M, Blackburn JT, Padua DA. Lower extremity muscle activation and knee flexion during a jump-landing task. Journal of athletic training. 2012;47(4):406-13.
Powers CM, Bolgla LA, Callaghan MJ, Collins N, Sheehan FT. Patellofemoral Pain: Proximal, Distal, and Local Factors—Second International Research Retreat, August 31–September 2, 2011, Ghent, Belgium. 2012;42(6):A1-A54.
Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. The Journal of orthopaedic and sports physical therapy. 2010;40(2):42-51.
Bell-Jenje T, Olivier B, Wood W, Rogers S, Green A, McKinon W. The association between loss of ankle dorsiflexion range of movement, and hip adduction and internal rotation during a step down test. Manual Therapy. 2016;21:256-61.
Wyndow N, De Jong A, Rial K, Tucker K, Collins N, Vicenzino B, et al. The relationship of foot and ankle mobility to the frontal plane projection angle in asymptomatic adults. Journal of foot and ankle research. 2016;9:3.
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