{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T21:50:28Z","timestamp":1793397028890,"version":"4.5.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2010,7,1]],"date-time":"2010-07-01T00:00:00Z","timestamp":1277942400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2010,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Prospective measures of high knee abduction moment (KAM) during landing identify female athletes at high risk for anterior cruciate ligament injury. Laboratory-based measurements demonstrate 90% accuracy in prediction of high KAM. Clinic-based prediction algorithms that employ correlates derived from laboratory-based measurements also demonstrate high accuracy for prediction of high KAM mechanics during landing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypotheses<\/jats:title>\n                    <jats:p>Clinic-based measures derived from highly predictive laboratory-based models are valid for the accurate prediction of high KAM status, and simultaneous measurements using laboratory-based and clinic-based techniques highly correlate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Cohort study (diagnosis); Level of evidence, 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred female athletes (basketball, soccer, volleyball players) were tested using laboratory-based measures to confirm the validity of identified laboratory-based correlate variables to clinic-based measures included in a prediction algorithm to determine high KAM status. To analyze selected clinic-based surrogate predictors, another cohort of 20 female athletes was simultaneously tested with both clinic-based and laboratory-based measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prediction model (odds ratio: 95% confidence interval), derived from laboratory-based surrogates including (1) knee valgus motion (1.59: 1.17-2.16 cm), (2) knee flexion range of motion (0.94: 0.89\u00b0-1.00\u00b0), (3) body mass (0.98: 0.94-1.03 kg), (4) tibia length (1.55: 1.20-2.07 cm), and (5) quadriceps-to-hamstrings ratio (1.70: 0.48%-6.0%), predicted high KAM status with 84% sensitivity and 67% specificity (P &lt; .001). Clinic-based techniques that used a calibrated physician's scale, a standard measuring tape, standard camcorder, ImageJ software, and an isokinetic dynamometer showed high correlation (knee valgus motion, r = .87; knee flexion range of motion, r = .95; and tibia length, r = .98) to simultaneous laboratory-based measurements. Body mass and quadriceps-to-hamstrings ratio were included in both methodologies and therefore had r values of 1.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinically obtainable measures of increased knee valgus, knee flexion range of motion, body mass, tibia length, and quadriceps-to-hamstrings ratio predict high KAM status in female athletes with high sensitivity and specificity. Female athletes who demonstrate high KAM landing mechanics are at increased risk for anterior cruciate ligament injury and are more likely to benefit from neuromuscular training targeted to this risk factor. Use of the developed clinic-based assessment tool may facilitate high-risk athletes\u2019 entry into appropriate interventions that will have greater potential to reduce their injury risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546510370933","type":"journal-article","created":{"date-parts":[[2010,7,1]],"date-time":"2010-07-01T22:38:18Z","timestamp":1278023898000},"page":"2025-2033","source":"Crossref","is-referenced-by-count":159,"title":["Development and Validation of a Clinic-Based Prediction Tool to Identify Female Athletes at High Risk for Anterior Cruciate Ligament Injury"],"prefix":"10.1177","volume":"38","author":[{"given":"Gregory D.","family":"Myer","sequence":"first","affiliation":[{"name":"Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio"},{"name":"Sports Medicine Biodynamics Center and Human Performance Laboratory, Cincinnati, Ohio"},{"name":"Rocky Mountain University of Health Professions, Provo, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin R.","family":"Ford","sequence":"additional","affiliation":[{"name":"Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio"},{"name":"Sports Medicine Biodynamics Center and Human Performance Laboratory, Cincinnati, Ohio"},{"name":"Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Khoury","sequence":"additional","affiliation":[{"name":"Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Succop","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, Division of Epidemiology and Biostatistics, University of Cincinnati, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy E.","family":"Hewett","sequence":"additional","affiliation":[{"name":"Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio"},{"name":"Sports Medicine Biodynamics Center and Human Performance Laboratory, Cincinnati, Ohio"},{"name":"Department of Environmental Health, Division of Epidemiology and Biostatistics, University of Cincinnati, Cincinnati, Ohio"},{"name":"Departments of Orthopaedic Surgery, Biomedical Engineering, and Rehabilitation Sciences, The Ohio State University, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2010,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504269937"},{"key":"e_1_3_2_3_2","first-page":"37","volume-title":"Musculoskeletal dynamics, locomotion, and clinical applicationsBasic Orthopaedic Biomechanics","author":"Andriacchi TP","year":"1997","unstructured":"AndriacchiTP, NatarajanRN, HurwitzDEMusculoskeletal dynamics, locomotion, and clinical applications. In: MowVC, HayesWC, eds. Basic Orthopaedic Biomechanics. 2nd ed. Philadelphia, PA: Lippincott-Raven; 1997:37\u201368."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2005.07.021"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-20000601-15"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300021901"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1115\/1.2895496"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1249\/mss.0b013e318149332d"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000089346.85744.D9"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2005.08.010"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508318188"},{"issue":"4","key":"e_1_3_2_12_2","first-page":"450","article-title":"Neuromuscular control training programs and noncontact anterior cruciate ligament injury rates in female athletes: a numbers-needed-to-treat analysis","volume":"41","author":"Grindstaff TL","year":"2006","unstructured":"GrindstaffTL, HammillRR, TuzsonAE, HertelJ. Neuromuscular control training programs and noncontact anterior cruciate ligament injury rates in female athletes: a numbers-needed-to-treat analysis. J Athl Train. 2006;41(4):450\u2013456.","journal-title":"J Athl Train"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505282619"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20056"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270060301"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200408000-00001"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1248163"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504269591"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659602400611"},{"issue":"6","key":"e_1_3_2_20_2","first-page":"1003","article-title":"Gender differences in frontal and sagittal plane biomechanics during drop landings","volume":"37","author":"Kernozek TW","year":"2005","unstructured":"KernozekTW, TorryMR, Van HoofH., CowleyH., TannerS. Gender differences in frontal and sagittal plane biomechanics during drop landings. Med Sci Sports Exerc. 2005;37(6):1003\u20131013.","journal-title":"Med Sci Sports Exerc"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506293899"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2005.019083"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(01)00019-5"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504272261"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2004.06.006"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2007.046086"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e318190bddb"},{"issue":"6","key":"e_1_3_2_28_2","first-page":"397","article-title":"The effects of plyometric versus dynamic balance training on landing force and center of pressure stabilization in female athletes","volume":"39","author":"Myer GD","year":"2005","unstructured":"MyerGD, FordKR, BrentJL, HewettTE The effects of plyometric versus dynamic balance training on landing force and center of pressure stabilization in female athletes. Br J Sports Med. 2005;39(6):397.","journal-title":"Br J Sports Med"},{"issue":"2","key":"e_1_3_2_29_2","first-page":"345","article-title":"The effects of plyometric versus dynamic balance training on power, balance and landing force in female athletes","volume":"20","author":"Myer GD","year":"2006","unstructured":"MyerGD, FordKR, BrentJL, HewettTE The effects of plyometric versus dynamic balance training on power, balance and landing force in female athletes. J Strength Cond Res. 2006;20(2):345\u2013353.","journal-title":"J Strength Cond Res"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-8-39"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510370933"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2010.04.016"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505281241"},{"issue":"1","key":"e_1_3_2_34_2","first-page":"51","article-title":"Neuromuscular training improves performance and lower-extremity biomechanics in female athletes","volume":"19","author":"Myer GD","year":"2005","unstructured":"MyerGD, FordKR, PalumboJP, HewettTE Neuromuscular training improves performance and lower-extremity biomechanics in female athletes. J Strength Cond Res. 2005; 19(1):51\u201360.","journal-title":"J Strength Cond Res"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200303000-00002"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503261724"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e31811f415b"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2004.34.6.305"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200605000-00006"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310061801"},{"key":"e_1_3_2_41_2","first-page":"91","volume-title":"Biomechanics and Motor Control of Human Movement","author":"Winter DA","year":"1990","unstructured":"WinterDABiomechanics and Motor Control of Human Movement. 2nd ed. New York, NY: John Wiley & Sons; 1990:91\u201395."},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310032101"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546510370933","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0363546510370933","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546510370933","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:40:56Z","timestamp":1777369256000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0363546510370933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,7]]},"references-count":41,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2010,10]]}},"alternative-id":["10.1177\/0363546510370933"],"URL":"https:\/\/doi.org\/10.1177\/0363546510370933","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,7]]}}}