Correlation between two-dimensional video analysis and subjective assessment in evaluating knee control among elite female team handball players
Abstract
Poor frontal plane knee control has been shown to be a risk factor for anterior cruciate ligament injuries in ball/team sports. It is necessary to develop simple tests that can identify players with poor knee control and among other factors be able to optimise preventive training programmes. The present study investigated the correlation between a two-dimensional (2D) video analysis and subjective assessment performed by one physiotherapist in evaluating knee control. We also tested the correlation between three simple clinical tests using both methods. A cohort of 186 female elite team handball players completed three tests: single-leg squat (SLS), single-leg vertical drop jump (SLVDJ) and two-leg vertical drop jump (VDJ). Receiver operating characteristic (ROC) analyses showed good to excellent agreement between 2D video analysis and subjective assessment for SLS and VDJ (area under the ROC curve (AUC) 0.83–0.89), but not for SLVDJ (AUC 0.65–0.76). Poor knee control was detected in 25–40% of the players using SLS and VDJ. In contrast, poor knee control was identified in less than 1% of the subjects based on the SLVDJ test. This indicates that SLVDJ may be inadequate for evaluating poor frontal plane knee control. The correlation between the SLS and VDJ tests was found to be low, suggesting that these tests identified different subjects with poor knee control. These results indicate that subjective assessment can be used to screen for poor knee control and that both SLS and VDJ tests should be used in screening athletes for poor knee control.
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Biomechanical investigations of the SLS have focused on narrow demographic cohorts or included people with known musculoskeletal conditions such as patellofemoral pain syndrome or anterior cruciate ligament injury.
“Biomechanical investigations of the SLS have focused on narrow demographic cohorts 1,3,9 or have included people with known musculoskeletal conditions such as patellofemoral pain syndrome or anterior cruciate ligament (ACL) injury. 2,6,10”
From Lower-Limb Kinematics of Single-Leg Squat Performance in Young Adults (2014) · cites this paper as [9]
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- Authors
- Stensrud, S., Myklebust, G., Kristianslund, E., Bahr, R., & Krosshaug, T.
- Affiliations
- Oslo Sports Trauma Research Center (NO)
- Corresponding author
- Stensrud, Silje
- Venue
- British Journal of Sports Medicine
- Publisher
- BMJ
- Published
- 2010-12-09
- Volume
- 45
- Issue
- 7
- Pages
- 589-595
- ISSN
- 0306-3674 (ISSN-L)
- 1473-0480
- OpenAlex
- W2158375869
- Cited by
- 175
- References
- 27
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 12 · 2023: 6 · 2022: 8 · 2021: 14 · 2020: 28 · 2019: 10 · 2018: 17 · 2017: 12 · 2016: 8 · 2015: 18 · 2014: 14 · 2013: 10 · 2012: 9
- FWCI
- 6.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- Funders
- Norsk Tipping
- Norges Idrettshøgskole
- Topics
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Keywords
- knee control, anterior cruciate ligament injury risk, handball, female athletes, subjective evaluation, single leg squat test, drop jump, screening test, physiotherapy assessment, injury prevention
- MeSH terms
- Anterior Cruciate Ligament Injuries, Adult, Athletic Injuries, Female, Humans, Knee Joint, Motor Skills, Movement, Sports, Video Recording, Observer Variation, Muscle Stretching Exercises, Arthrometry, Articular, Young Adult
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