The Effect of Thigh Marker Placement on Knee Valgus Angles in Vertical Drop Jumps and Sidestep Cutting


*Corresponding author for this work

Research output: Journal PublicationsJournal Article (refereed)peer-review

16 Citations (Scopus)


Knee valgus angles measured in sidestep cutting and vertical drop jumps are key variables in research on anterior cruciate ligament (ACL) injury causation. These variables are also used to quantify knee neuromuscular control and ACL injury risk. The aims of the current study were to (1) quantify the differences in the calculated knee valgus angles between 6 different thigh marker clusters, (2) investigate the trial ranking based on their knee valgus angles, and (3) investigate the influence of marker clusters on the cross-talk effect. Elite female handball and football players (n = 41) performed sidestep cutting and vertical drop jumping motions. We found systematic differences up to almost 15° of peak valgus between the marker sets in the drop jump test. The Spearman’s rank correlation coefficient varied from .505 to .974 among the 6 marker sets. In addition, the cross-talk effect varied considerably between the marker clusters. The results of the current study indicate that the choice of thigh marker cluster can have a substantial impact on the magnitude of knee valgus angle, as well as the trial ranking. A standardized thigh marker cluster, including nonanatomical landmark, is needed to minimize the variation of the measurement.
Original languageEnglish
Pages (from-to)269-274
Number of pages6
JournalJournal of Applied Biomechanics
Issue number4
Publication statusPublished - 2014
Externally publishedYes


  • motion analysis
  • knee biomechanics
  • kinematics
  • marker cluster


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