Association Between Markerless Motion Capture Screenings and Musculoskeletal Injury Risk for Military Trainees: A Large Cohort and Reliability Study

Background: Markerless motion capture (MMC) systems used to screen for musculoskeletal injury (MSKI) risk have become popular in military and collegiate athletic settings. However, little is known regarding the test-retest reliability or, more importantly, the ability of these systems to accurately...

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Veröffentlicht in:Orthopaedic journal of sports medicine 2021-10, Vol.9 (10), p.23259671211041656-23259671211041656
Hauptverfasser: Hando, Ben R., Scott, W. Casan, Bryant, Jacob F., Tchandja, Juste N., Scott, Ryan M., Angadi, Siddhartha S.
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container_issue 10
container_start_page 23259671211041656
container_title Orthopaedic journal of sports medicine
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creator Hando, Ben R.
Scott, W. Casan
Bryant, Jacob F.
Tchandja, Juste N.
Scott, Ryan M.
Angadi, Siddhartha S.
description Background: Markerless motion capture (MMC) systems used to screen for musculoskeletal injury (MSKI) risk have become popular in military and collegiate athletic settings. However, little is known regarding the test-retest reliability or, more importantly, the ability of these systems to accurately identify individuals at risk for MSKI. Purpose: To determine the association between scores from a proprietary MMC movement screen test and the likelihood of suffering a subsequent MSKI and establish the test-retest reliability of the MMC system used. Study Design: Cohort study; Level of evidence, 3. Methods: Trainees for the Air Force Special Warfare program underwent MMC screenings immediately before entering the 8-week training course. MSKI data were extracted from a database for the surveillance period for each trainee. Logistic regression analyses were performed to identify associations between baseline MMC scores and the likelihood of suffering any MSKI or, specifically, a lower extremity MSKI. The test-retest portion of the study collected MMC scores from 10 separate participants performing 4 trials of the standard test procedures. Reliability was assessed using intraclass correlation coefficients by a single rater. Results: Overall, 1570 trainees, of whom 800 (51%) suffered an MSKI, were included in the analysis. MMC scores poorly predicted the likelihood of any or a lower extremity MSKI (odds ratio, 1.01-1.02). Further, receiver operating characteristic curve analyses demonstrated poor sensitivity and specificity for prediction of MSKI with MMC scores (area under the curve = 0.53). Finally, intraclass correlation coefficients from the test-retest analysis of MMC scores ranged from 0.157 to 0.602. Conclusion: This MMC system displayed poor to moderate test-retest reliability and did not demonstrate the ability to discriminate between individuals who were and were not likely to suffer an MSKI.
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Casan ; Bryant, Jacob F. ; Tchandja, Juste N. ; Scott, Ryan M. ; Angadi, Siddhartha S.</creator><creatorcontrib>Hando, Ben R. ; Scott, W. Casan ; Bryant, Jacob F. ; Tchandja, Juste N. ; Scott, Ryan M. ; Angadi, Siddhartha S.</creatorcontrib><description>Background: Markerless motion capture (MMC) systems used to screen for musculoskeletal injury (MSKI) risk have become popular in military and collegiate athletic settings. However, little is known regarding the test-retest reliability or, more importantly, the ability of these systems to accurately identify individuals at risk for MSKI. Purpose: To determine the association between scores from a proprietary MMC movement screen test and the likelihood of suffering a subsequent MSKI and establish the test-retest reliability of the MMC system used. Study Design: Cohort study; Level of evidence, 3. Methods: Trainees for the Air Force Special Warfare program underwent MMC screenings immediately before entering the 8-week training course. MSKI data were extracted from a database for the surveillance period for each trainee. Logistic regression analyses were performed to identify associations between baseline MMC scores and the likelihood of suffering any MSKI or, specifically, a lower extremity MSKI. The test-retest portion of the study collected MMC scores from 10 separate participants performing 4 trials of the standard test procedures. Reliability was assessed using intraclass correlation coefficients by a single rater. Results: Overall, 1570 trainees, of whom 800 (51%) suffered an MSKI, were included in the analysis. MMC scores poorly predicted the likelihood of any or a lower extremity MSKI (odds ratio, 1.01-1.02). Further, receiver operating characteristic curve analyses demonstrated poor sensitivity and specificity for prediction of MSKI with MMC scores (area under the curve = 0.53). Finally, intraclass correlation coefficients from the test-retest analysis of MMC scores ranged from 0.157 to 0.602. 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Casan</au><au>Bryant, Jacob F.</au><au>Tchandja, Juste N.</au><au>Scott, Ryan M.</au><au>Angadi, Siddhartha S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association Between Markerless Motion Capture Screenings and Musculoskeletal Injury Risk for Military Trainees: A Large Cohort and Reliability Study</atitle><jtitle>Orthopaedic journal of sports medicine</jtitle><addtitle>Orthop J Sports Med</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>9</volume><issue>10</issue><spage>23259671211041656</spage><epage>23259671211041656</epage><pages>23259671211041656-23259671211041656</pages><issn>2325-9671</issn><eissn>2325-9671</eissn><abstract>Background: Markerless motion capture (MMC) systems used to screen for musculoskeletal injury (MSKI) risk have become popular in military and collegiate athletic settings. 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Reliability was assessed using intraclass correlation coefficients by a single rater. Results: Overall, 1570 trainees, of whom 800 (51%) suffered an MSKI, were included in the analysis. MMC scores poorly predicted the likelihood of any or a lower extremity MSKI (odds ratio, 1.01-1.02). Further, receiver operating characteristic curve analyses demonstrated poor sensitivity and specificity for prediction of MSKI with MMC scores (area under the curve = 0.53). Finally, intraclass correlation coefficients from the test-retest analysis of MMC scores ranged from 0.157 to 0.602. Conclusion: This MMC system displayed poor to moderate test-retest reliability and did not demonstrate the ability to discriminate between individuals who were and were not likely to suffer an MSKI.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>34734097</pmid><doi>10.1177/23259671211041656</doi><oa>free_for_read</oa></addata></record>
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subjects Health risks
Kinesiology
Military training
Motion capture
Orthopedics
Sports medicine
title Association Between Markerless Motion Capture Screenings and Musculoskeletal Injury Risk for Military Trainees: A Large Cohort and Reliability Study
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