PTCohortJournal of sport rehabilitation2020

High-Risk Lower-Extremity Biomechanics Evaluated in Simulated Soccer-Specific Virtual Environments.

Christopher A DiCesare, Adam W Kiefer, Scott Bonnette and 1 others

PMID 30676190

WHAT IT FOUND

In 22 of 38 female adolescent soccer athletes, landing after a virtual soccer header showed less hip and ankle flexion than a lab jump.

The paper did not test injury or treatment.

Key findings

01During landing after the virtual header, athletes showed less forward bending movement at the lower limb, with large differences at the ankle and moderate trends at the hip and knee.

02At peak knee flexion, hip and ankle flexion were lower in the virtual condition than the standard condition, both adjusted P < .05.

03In the standard condition, hip abduction at peak knee flexion and ankle inversion at initial contact were higher, both adjusted P < .05.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only 22 of the 38 recruited athletes were analysed because they did not perform at least 2 acceptable trials from either side. The participants were healthy female adolescent soccer athletes, so the paper does not report how other groups would move. The study measured landing movement, not injury, so it cannot show that these patterns predict ACL injury. Ground reaction forces and joint moments were not captured in the virtual condition, so the risk interpretation is based on movement patterns alone. The authors note participants may not have been comfortable or fully immersed in the virtual environment, and the landing phase may not be perfectly comparable between conditions.

The easy way to misread this

Do not read this as proof that virtual soccer assessment prevents injury or improves screening. The study compared movement patterns in 22 athletes, did not follow anyone for injury, and excluded athletes who did not perform acceptable trials.

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