Augmented Feedback Response Prediction by Peak Vertical Ground Reaction Force in Adolescent Female Athletes

# Background and Purpose Anterior cruciate ligament (ACL) tears often occur due to non-contact mechanisms in landing within females. Impact loading and aberrant landings may be addressed with augmented feedback training. The purpose of this study was to identify which female athletes most readily r...

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Main Authors: Hannah Jaime, Drew Rutherford, Becky Heinert, C. Nate Vannatta, Sherwin Toribio, Thomas W Kernozek
Format: Article
Language:English
Published: North American Sports Medicine Institute 2025-01-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.127139
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author Hannah Jaime
Drew Rutherford
Becky Heinert
C. Nate Vannatta
Sherwin Toribio
Thomas W Kernozek
author_facet Hannah Jaime
Drew Rutherford
Becky Heinert
C. Nate Vannatta
Sherwin Toribio
Thomas W Kernozek
author_sort Hannah Jaime
collection DOAJ
description # Background and Purpose Anterior cruciate ligament (ACL) tears often occur due to non-contact mechanisms in landing within females. Impact loading and aberrant landings may be addressed with augmented feedback training. The purpose of this study was to identify which female athletes most readily respond to a single session of augmented feedback to attenuate vGRF, by considering baseline peak vGFR and change in vGRF during training. # Design Repeated Measures # Methods One hundred, forty-seven female athletes landed from 50 cm onto two force platforms with and without augmented feedback of vertical ground reaction force (vGRF), vGRF symmetry, and lower extremity position. Each performed six baseline trials and two sets of six training trials with cues. Following training, athletes completed six post-feedback trials (with no feedback) and six dual-task (transfer) trials where they randomly caught a basketball during landing. Peak vGRF was measured. Mean responses were reported for the sets of six trials. Participants were grouped based on their responses to training. Linear regression was used to indicate how well initial performance and response predicted the final response. # Results Four groups were identified, with 107 participants showing high baseline ground reaction forces and response to training. Only 23 participants (16.4%) did not respond to training. Baseline vGRF predicted post-feedback vGRF and transfer task vGRF (R2=0.508 and R2=0.400) across all participants. When change in vGRF was assessed following two blocks of augmented feedback training, prediction of responders improved with post-feedback vGRF and transfer vGRF (R2=0.911 and R2=0.761). # Conclusions The combination of both baseline ground reaction force and response to initial training is more accurate than baseline measures alone in identifying those who respond to training. Assessing initial response to training may be necessary to more accurately identify individuals most likely to benefit from augmented feedback training and who may require further evaluation and training. # Level of Evidence 2b
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spelling doaj-art-1cdf051fe44540378a614c3d78c09a4b2025-02-11T20:29:50ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962025-01-01201Augmented Feedback Response Prediction by Peak Vertical Ground Reaction Force in Adolescent Female AthletesHannah JaimeDrew RutherfordBecky HeinertC. Nate VannattaSherwin ToribioThomas W Kernozek# Background and Purpose Anterior cruciate ligament (ACL) tears often occur due to non-contact mechanisms in landing within females. Impact loading and aberrant landings may be addressed with augmented feedback training. The purpose of this study was to identify which female athletes most readily respond to a single session of augmented feedback to attenuate vGRF, by considering baseline peak vGFR and change in vGRF during training. # Design Repeated Measures # Methods One hundred, forty-seven female athletes landed from 50 cm onto two force platforms with and without augmented feedback of vertical ground reaction force (vGRF), vGRF symmetry, and lower extremity position. Each performed six baseline trials and two sets of six training trials with cues. Following training, athletes completed six post-feedback trials (with no feedback) and six dual-task (transfer) trials where they randomly caught a basketball during landing. Peak vGRF was measured. Mean responses were reported for the sets of six trials. Participants were grouped based on their responses to training. Linear regression was used to indicate how well initial performance and response predicted the final response. # Results Four groups were identified, with 107 participants showing high baseline ground reaction forces and response to training. Only 23 participants (16.4%) did not respond to training. Baseline vGRF predicted post-feedback vGRF and transfer task vGRF (R2=0.508 and R2=0.400) across all participants. When change in vGRF was assessed following two blocks of augmented feedback training, prediction of responders improved with post-feedback vGRF and transfer vGRF (R2=0.911 and R2=0.761). # Conclusions The combination of both baseline ground reaction force and response to initial training is more accurate than baseline measures alone in identifying those who respond to training. Assessing initial response to training may be necessary to more accurately identify individuals most likely to benefit from augmented feedback training and who may require further evaluation and training. # Level of Evidence 2bhttps://doi.org/10.26603/001c.127139
spellingShingle Hannah Jaime
Drew Rutherford
Becky Heinert
C. Nate Vannatta
Sherwin Toribio
Thomas W Kernozek
Augmented Feedback Response Prediction by Peak Vertical Ground Reaction Force in Adolescent Female Athletes
International Journal of Sports Physical Therapy
title Augmented Feedback Response Prediction by Peak Vertical Ground Reaction Force in Adolescent Female Athletes
title_full Augmented Feedback Response Prediction by Peak Vertical Ground Reaction Force in Adolescent Female Athletes
title_fullStr Augmented Feedback Response Prediction by Peak Vertical Ground Reaction Force in Adolescent Female Athletes
title_full_unstemmed Augmented Feedback Response Prediction by Peak Vertical Ground Reaction Force in Adolescent Female Athletes
title_short Augmented Feedback Response Prediction by Peak Vertical Ground Reaction Force in Adolescent Female Athletes
title_sort augmented feedback response prediction by peak vertical ground reaction force in adolescent female athletes
url https://doi.org/10.26603/001c.127139
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