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Open Source, Open Science: Development of OpenLESS as the Automated Landing Error Scoring System.

Jeffrey A Turner1,2, Elaine T Reiche1,2, Matthew T Hartshorne1,2,3

  • 11Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, NC, USA.

Journal of Athletic Training
|April 16, 2025
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Summary
This summary is machine-generated.

OpenLESS, an automated tool for jump-landing analysis, shows good validity in healthy and post-ACLR populations. This markerless motion capture system offers efficient and reliable lower extremity movement assessment for clinical and athletic settings.

Keywords:
Landing Error Scoring Systemanterior cruciate ligamentclinical motion analysismarkerless motion capturemovement assessment

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Area of Science:

  • Biomechanics
  • Movement Analysis
  • Sports Science

Background:

  • Clinical assessments for movement quality are time-consuming.
  • Automated tools are needed to improve efficiency in monitoring patient outcomes.
  • The Landing Error Scoring System (LESS) requires objective and rapid scoring methods.

Purpose of the Study:

  • Develop and validate the Open Landing Error Scoring System (OpenLESS), an automated tool for jump-landing analysis.
  • Assess the validity of OpenLESS against expert LESS scores in healthy and clinical populations.
  • Evaluate the intersession reliability of OpenLESS in athletes.

Main Methods:

  • OpenLESS utilizes markerless motion capture and 3D kinematics to interpret movement quality.
  • Validity was assessed by comparing OpenLESS scores to expert LESS scores in healthy and post-ACLR cohorts.
  • Reliability was determined using intraclass correlation coefficients (ICC), SEM, and MDC in an athlete cohort.

Main Results:

  • OpenLESS demonstrated good agreement with expert LESS scores in healthy (ICC2,k=0.79) and post-ACLR (ICC2,k=0.88) cohorts.
  • Automated scoring significantly reduced analysis time, processing 353 trials in under 25 minutes versus 35 hours for manual scoring.
  • Excellent intersession reliability (ICC2,k>0.89) was observed in field-based testing, with a SEM of 0.98 and MDC of 2.72 errors.

Conclusions:

  • OpenLESS is a valid and efficient tool for automated jump-landing movement quality assessment.
  • The system demonstrates good validity in healthy and post-ACLR populations.
  • OpenLESS provides excellent reliability for field-based assessments, addressing the need for objective movement analysis.