Anthropometric Characteristics, Age, Sex, Drop Height, and Visual Feedback as Predictors of Dynamic Knee Valgus During Single-Leg Drop Landing

Abstract

The knee is a complex joint essential for locomotion, providing stability that is crucial for avoiding biomechanical deviations such as dynamic knee valgus (DKV), a contributing injury risk factor. This study aimed to assess the influence of body mass index (BMI), age, sex, anthropometric variables, visual feedback, and drop height on the occurrence of DKV. Forty healthy adults aged between 18 and 45 years, with a BMI between 18.5–29.9 kg/m2 and no lower limb injuries, were evaluated. Participants underwent a standardized warm-up, anthropometric measurements, and a single-leg drop-landing test from 20 to 30 cm, with and without visual feedback. Women exhibited significantly higher DKV in nearly all conditions. Statistically significant differences were observed between legs when no feedback was provided. Visual feedback significantly reduced DKV in one condition (left limb at 30 cm). Significant weak negative correlations with DKV were found for age, BMI, thigh length, and leg length. These data suggest that women may have higher DKV, anatomical variables may be associated with DKV, and visual feedback may have the potential to attenuate its occurrence. These findings highlight the importance of targeted interventions to attenuate DKV and underscore the role of body awareness and feedback in improving knee alignment.