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Record W4411126746 · doi:10.1136/bmjsem-2024-002389

Lower extremity functional performance tests and their measurement properties in athletes: a systematic review and narrative synthesis

2025· review· en· W4411126746 on OpenAlexaff
Rosalyn Cooke, Alison Rushton, James Martín, Lee Herrington, Nicola R Heneghan

Bibliographic record

VenueBMJ Open Sport & Exercise Medicine · 2025
Typereview
Languageen
FieldMedicine
TopicKnee injuries and reconstruction techniques
Canadian institutionsWestern University
Fundersnot available
KeywordsCriterion validitySystematic reviewPhysical therapyChecklistConstruct validityMEDLINESports medicineAthletesPhysical medicine and rehabilitationReliability (semiconductor)RehabilitationMedicineApplied psychologyPsychologyPsychometricsClinical psychology

Abstract

fetched live from OpenAlex

Objective: To identify functional performance tests (FPTs) with potential to identify athletes at risk of lower extremity injury (LEI) and assess their measurement properties. Design: Systematic review conducted in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses and PRISMA in Exercise, Rehabilitation, Sports Medicine and Sports Science guidance. Data sources: Two-stage systematic search of Medline, Embase, Cumulative Index to Nursing and Allied Health Literature and SPORTDiscus databases from inception to 24 November 2023, supplemented by hand searching of reference lists, key journals and grey literature. Eligibility criteria: Search 1 identified FPT predicting LEI in athletes aged >16 years competing at elite, pre-elite or collegiate levels and feasible in the field. Search 2 assessed measurement properties of identified FPT. COnsensus-based Standards for the selection of health Measurement INstruments risk of bias checklist and criteria for good measurement properties were applied, and evidence summarised using modified Grading of Recommendations, Assessment, Development and Evaluations guidelines. Results: Fifty-nine studies evaluating 15 FPTs were included. Reliability (n=14), measurement error (n=11), structural validity/internal consistency (n=2), criterion validity (n=11), construct validity (n=5) and responsiveness (n=1) were assessed. No FPT demonstrated high certainty for measurement properties. Y-balance test (YBT) demonstrated moderate certainty for three properties (intrarater reliability, criterion validity and responsiveness). Knee to wall (KTW), single-leg squat (SLS), drop vertical jump (DVJ) and single hop for distance (SHFD) showed moderate certainty for two properties (reliability, intra/inter test-retest; criterion validity). Side hop, functional movement screen and landing error scoring system showed moderate certainty for one measurement property. Practicability assessment revealed poor reporting of time requirements and results production. Conclusion: CRD42020188932.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.242
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.001
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0100.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.108
GPT teacher head0.345
Teacher spread0.237 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations5
Published2025
Admission routes1
Has abstractyes

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