SynthesisSports health
Is the Landing Error Scoring System Reliable and Valid? A Systematic Review.
Synthesis in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Preventive interventions on ACL injury reduction based on the landing error scoring system evaluation tool: a systematic review and network meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- Training interventions to reduce the risk of injury to the lower extremity joints during landing movements in adult athletes: a systematic review and meta-analysis.BMJ open sport & exercise medicine · 2023Pooled it
- Does the static Q angle reflect dynamic landing mechanics?BMC sports science, medicine & rehabilitation · 2026Article
- Influence of a head-turned position on landing movement patterns: a crossover trial.BMC sports science, medicine & rehabilitation · 2026Article
- The psychometric properties of the Dubousset Functional Test in patients with thoracic hyperkyphosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Key biomechanical features of jump-landing under cognitive dual-task conditions: an XGBoost-SHAP-based explainable machine learning analysis.Frontiers in bioengineering and biotechnology · 2026Article
- Impact of an 8-week integrated neuromuscular training program on anthropometric and body composition profiles, jump-landing mechanics, and vertical jump height in male volleyball athletes-A non-randomized matched controlled study protocol.Frontiers in sports and active living · 2026Article
- Inter-rater and Intra-rater Reliability of the Cutting Movement Assessment Score Among Physical Therapists.International journal of sports physical therapy · 2026Article
- Machine learning prediction of ACL loading during the wide lunge: a multifactorial coupling analysis based on kinematic and electromyographic signals.Frontiers in bioengineering and biotechnology · 2026Article
- Philippine Clinical Practice Guidelines for Periodic Health Examination: Screening for Musculoskeletal Disorders.Acta medica Philippina · 2026Article
- Quality of Movement Assessment after ACL Reconstruction in Youth: A Clinical Framework to Guide Rehabilitation and Return-to-Sport Decision-Making.International journal of sports physical therapy · 2026Article
- OpenCap vs. LESS: Sport-Specific Profiling of Dynamic Knee Valgus.Journal of clinical medicine · 2025Article
- Discriminative efficacy and comparative analysis of functional performance tests for lower-limb injuries in Chinese elite female basketball athletes: a pilot cross-sectional study.BMC musculoskeletal disorders · 2025Article
- Comparison of multimodal return-to-sport testing and force plate-based balance testing among anterior cruciate ligament reconstruction patients.Bulletin of the Hospital for Joint Disease (2013) · 2025Article
- Article
- The effect of pilates training on knee functional tests in youth female volleyball player.BMC sports science, medicine & rehabilitation · 2025Article
- Open Source, Open Science: Development of OpenLESS as the Automated Landing Error Scoring System.Journal of athletic training · 2025Article
- The relationship between attentional control and injury-related biomechanics in young female volleyball players.Frontiers in physiology · 2025Article
- Cognitive-Motor Dual-Task Performance of the Landing Error Scoring System.Journal of athletic training · 2025Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextThe Landing Error Scoring System (LESS) is a clinical tool often used in research and practice to identify athletes presenting high injury-risk biomechanical patterns during a jump-landing task.
objectiveTo systematically review the literature addressing the psychometric properties of the LESS. DATA SOURCES: Three electronic databases (PubMed, Web of Science, and Scopus) were searched on March 28, 2018, using the term "Landing Error Scoring System." STUDY SELECTION: All studies using the LESS as main outcome measure and addressing its reliability, validity against motion capture system, and predictive validity were included. Original English-language studies published in peer-reviewed journals were reviewed. Studies using modified versions of the LESS were excluded. STUDY
designSystematic literature review. LEVEL OF EVIDENCE: Level 4. DATA EXTRACTION: Study design, population, LESS testing procedures, LESS scores, statistical analysis, and main results were extracted from studies using a standardized template.
resultsTen studies met inclusion criteria and were appraised using Newcastle-Ottawa Quality Assessment Scale adapted for cross-sectional studies. The overall LESS score demonstrated good-to-excellent intrarater (intraclass correlation coefficient [ICC], 0.82-0.99), interrater (ICC, 0.83-0.92), and intersession reliability (ICC, 0.81). The validity of the overall LESS score against 3-dimensional jump-landing biomechanics was good when individuals were divided into 4 quartiles based on LESS scores. The validity of individual LESS items versus 3-dimensional motion capture data was moderate-to-excellent for most of the items addressing key risk factors for anterior cruciate ligament (ACL) injury. The predictive value of the LESS for ACL and other noncontact lower-extremity injuries remains uncertain based on the current scientific evidence.
conclusionThe LESS is a reliable screening tool. However, further work is needed to improve the LESS validity against motion capture system and confirm its predictive validity for ACL and other noncontact lower-extremity injuries.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.