How reliable are lower limb biomechanical evaluations during volleyball-specific jump-landing tasks?

BACKGROUND: Biomechanical evaluations of sport-specific jump-landing tasks may provide a more ecologically valid interpretation compared to generic jump-landing tasks. For accurate interpretation of longitudinal research, it is essential to understand the reliability of biomechanical parameters of sport-specific jump-landing tasks. RESEARCH QUESTION: How reliable are hip, knee and ankle joint angles and moment curves during two volleyball-specific jump-landing tasks and is this comparable with the reliability of a generic jump-landing task? METHODS: Three-dimensional (3D) biomechanical analyses of 27 male volleyball players were performed in two sessions separated by one week. Test-retest reliability was analyzed by calculating integrated as well as 1D intraclass correlation coefficient (ICC) and integrated standard error of measurement (SEM) for hip, knee and ankle angles and moments during a spike and block jump (volleyball-specific tasks), and during a drop vertical jump (generic task). RESULTS: Reliability of joint angles of volleyball-specific and generic jump-landing tasks are similar with excellent-to-good integrated ICC for hip, knee and ankle flexion/extension (ICC= 0.61-0.89) and hip and knee abduction/adduction (ICC=0.61-0.78) but fair-to-poor ICC for ankle abduction/adduction (ICC=0.28-0.52) and hip, knee and ankle internal/external rotation (ICC=0.29-0.53). Reliability of hip, knee and ankle joint moments was good-to excellent (ICC= 0.62-0.86) except for hip flexion moment during spike jump and drop vertical jump (ICC=0.43-0.47) and knee flexion moment during both volleyball-specific tasks (ICC=0.56-0.57). For all tasks, curve analysis revealed poorer reliability at start and end of the landing phase than during the midpart. SIGNIFICANCE: Our data suggests that kinematic evaluations of volleyball-specific jump-landing tasks are reliable to use in screening programs, especially in the sagittal plane. Notably, reliability is poorer at the beginning and end of the landing phase, requiring careful interpretation. In conclusion, the results of this study indicate the potential for integration of sport-specific jump-landing tasks in screening programs, which will be more ecologically valid.

Peak patellar tendon force progressions during heavy load single-leg squats on level ground and decline board.

BACKGROUND: Progressive tendon loading programs for patellar tendinopathy typically include single-leg squats with heavy weights either on level ground or on a decline board. Changes in patellar tendon force due to variations of the heavy load single-leg squat have not yet been objectively quantified. The objective of this study was to investigate the influence of the mass of an external weight and the use of a decline board on the peak patellar tendon force during a heavy load single-leg squat. METHODS: Twelve healthy participants performed single-leg back squats on a decline board and level ground at 70%, 80% and 90% of their one repetition maximum. Three-dimensional kinematics and ground reaction forces were measured and the peak patellar tendon force was calculated using musculoskeletal modelling. A two-way repeated measures ANOVA determined the main effects for the mass of the external weights and the use of a decline board as well as their interaction effect. FINDINGS: Peak patellar tendon forces were significantly higher on the decline board compared to level ground (p < 0.05). Neither on the decline board, nor on level ground did the peak patellar tendon force increase significantly when increasing the external weights (p > 0.05). INTERPRETATION: Progression in peak patellar tendon forces during a heavy load single-leg squat can only be obtained with a decline board. Increasing the mass of the external weight from 70% to 90% of the one repetition maximum does not result in a progressively higher peak patellar tendon force.

External weight mass and carrying position influence peak patellar tendon force and patellofemoral joint contact force independently during forward lunge.

BACKGROUND: The forward lunge is a common exercise in the rehabilitation of patellar tendinopathy and patellofemoral pain syndrome. External weights are frequently used to increase the peak patellar tendon force and patellofemoral joint contact force during this exercise. The weight's position might influence this relationship. The objective of this study was to investigate the combined effect of an external weight's mass and carrying position on the peak patellar tendon force and patellofemoral joint contact force during a forward lunge. METHODS: Ten healthy individuals performed forward lunges holding external weights between 0.1 and 0.3 times body mass either in one hand at the ipsilateral or contralateral side of the leading leg, or in two hands at the side or in front of the trunk. Three-dimensional kinematic data and ground reaction forces were collected and peak patellar tendon force and patellofemoral joint contact force were calculated using musculoskeletal modelling. Two-way repeated measures ANOVA's determined the main effects for the external weight's mass and position as well as their interaction effect. FINDINGS: Increasing the mass of the external weights increased both the peak patellar tendon force and patellofemoral joint contact force linearly and at the same rate in all positions. Both peak forces were larger in the one-hand ipsilateral and two-hand side positions. INTERPRETATION: An external weight's mass and position both influence the peak patellar tendon force and patellofemoral joint contact force during a forward lunge. The rate of increase in peak forces with increasing mass was similar for all weight-carrying positions.

Fatigue-induced Landing Alterations in ACL Reconstructed Athletes after Return-to-Sport.

At the time of return-to-sport, anterior cruciate ligament reconstructed athletes still show altered neuromechanics in their injured leg during single leg hopping tasks. Part of these alterations can be magnified when these athletes are fatigued. So far, little is known whether fatigue-induced landing alterations persist after return-to-sport. Therefore, the aim of this study was to evaluate whether these alterations persist in the six months following return-to-sport. Sixteen anterior cruciate ligament reconstructed athletes performed five unilateral hop tasks before and after a fatigue protocol. The hop tasks were executed at three different time points (return-to-sport, 3 and 6 months post-return-to-sport). A 2-by-3 repeated measures ANOVA was performed to evaluate whether fatigue-induced landing alterations persisted 3 and 6 months following return-to-sport. At 6 months following return-to-sport, fatigue still induces a reduction in hamstring medialis activation and an increase in the knee abduction moment during a vertical hop with 90-degree inward rotation. Most fatigue-induced landing alterations present at the time of return-to-sport normalize after resumption of sports activities. However, a larger knee abduction moment in the injured leg after resumption of sports activities can still be observed.

The effect of fatigue on spike jump biomechanics in view of patellar tendon loading in volleyball.

BACKGROUND AND OBJECTIVE: Patellar tendinopathy (PT) is a highly prevalent overuse injury in volleyball and is often linked with overloading of the patellar tendon. Little is known, however, about whether and how patellar tendon loading is affected by fatigue during the most challenging jump activity in volleyball. Therefore, this study investigates the effect of a high-intensity, intermittent fatigue protocol on movement alterations in terms of patellar tendon loading during a volleyball spike jump. METHODS: Forty-three male volleyball players participated in this study. Three-dimensional full-body kinematics and kinetics were collected when performing a spike jump before and after the fatigue protocol. Sagittal plane joint angles, joint work and patellar tendon loading were calculated and analyzed with curve analyses using paired sample t-tests to investigate fatigue effects (p < 0.05). RESULTS: Fatigue induced a stiffer lower extremity landing strategy together with prolonged pelvis-trunk flexion compared to baseline (p = 0.001-0.005). Decreased patellar tendon forces (p = 0.001-0.010) and less eccentric knee joint work (-5%, p < 0.001) were observed after the fatigue protocol compared to baseline. CONCLUSION: Protective strategies seem to be utilized in a fatigued state to avoid additional tensile forces acting on the patellar tendon, including proximal compensations and stiff lower extremity landings. We hypothesize that players might be more prone for developing PT if eccentric patellar tendon loads are high in the non-fatigued state and/or these loads are somehow not decreased after fatigue.

The Effect of Fatigue on Trunk and Pelvic Jump-Landing Biomechanics in View of Lower Extremity Loading: A Systematic Review.

Fatigue has often been considered a risk factor for developing sports injuries, modulating lower extremity jump-landing biomechanics. The impact of fatigue on proximal trunk and pelvic biomechanics has been suggested to play an important role in lower extremity loading and injury risk, yet the available evidence remains ambiguous as the trunk and pelvis were often not the primary focus of research. Therefore, the purpose of this systematic review was to determine how fatigue affects trunk and pelvic three-dimensional jump-landing biomechanics. PubMed (MEDLINE), Web of Science, Embase, CINAHL and SPORTDiscus were consulted up to and including April 2022 for potential studies investigating the effect of fatigue on trunk and pelvic kinematics, kinetics and/or muscular activity during jump-landing tasks in healthy, physically active populations. Methodological quality of the studies was assessed by the modified Downs and Black checklist. Twenty-one studies were included and methodological quality was moderate to high among these studies. The results indicate prevailing evidence for more trunk flexion during standardized jump-landing tasks after lower extremity muscle fatigue. Otherwise, lumbo-pelvic-hip muscle fatigue does not seem to elicit major detrimental changes to these jump-landing biomechanics. Although a wide variability of trunk and pelvic jump-landing strategies was observed, the results provide evidence for increased trunk flexion after lower extremity muscle fatigue. This proximal strategy is suggested to help unload fatigued lower extremity structures and lack of this compensation might increase knee injury risk.

Increasing Step Frequency Reduces Patellofemoral Joint Stress and Patellar Tendon Force Impulse More at Low Running Speed.

PURPOSE: Patellofemoral pain syndrome and patellar tendinopathy are important running-related overuse injuries. This study investigated the interaction of running speed and step frequency alterations on peak and cumulative patellofemoral joint stress (PFJS) and patellar tendon force (PTF) parameters. METHODS: Twelve healthy individuals completed an incremental running speed protocol on a treadmill at habitual, increased and decreased step frequency. Peak PFJS and PTF, peak rate of PFJS and PTF development, and PFJS and PTF impulse per kilometer (km) were calculated using musculoskeletal modeling. RESULTS: With increasing running speed, peak PFJS ( P < 0.001) and PTF ( P < 0.001) and peak rate of PFJS ( P < 0.001) and PTF ( P < 0.001) development increased, whereas PFJS ( P < 0.001) and PTF ( P < 0.001) impulse per km decreased. While increasing step frequency by 10%, the peak PFJS ( P < 0.001) and PTF ( P < 0.001) and the PFJS ( P < 0.001) and PTF ( P < 0.001) impulse per kilometer decreased. No significant effect of step frequency alteration was found for the peak rate of PFJS ( P = 0.008) and PTF ( P = 0.213) development. A significant interaction effect was found for PFJS ( P < 0.001) and PTF ( P < 0.001) impulse per km, suggesting that step frequency alteration was more effective at low running speed. CONCLUSIONS: The effectiveness of step frequency alteration on PFJS and PTF impulse per km is dependent on the running speed. With regard to peak PFJS and PTF, step frequency alteration is equally effective at low and high running speeds. Step frequency alteration was not effective for peak rate of PFJS and PTF development. These findings can assist the optimization of patellofemoral joint and patellar tendon load management strategies.

The non-sagittal knee moment vector identifies 'at risk' individuals that the knee abduction moment alone does not.

Multi-planar forces and moments are known to injure the anterior cruciate ligament (ACL). In ACL injury risk studies, however, the uni-planar frontal plane external knee abduction moment is frequently studied in isolation. This study aimed to determine if the frontal plane knee moment (KM-Y) could classify all individuals crossing a risk threshold compared to those classified by a multi-planar non-sagittal knee moment vector (KM-YZ). Recreationally active females completed three sports tasks-drop vertical jumps, single-leg drop vertical jumps and planned sidesteps. Peak knee abduction moments and peak non-sagittal resultant knee moments were obtained for each task, and a risk threshold of the sample mean plus 1.6 standard deviations was used for classification. A sensitivity analysis of the threshold from 1-2 standard deviations was also conducted. KM-Y did not identify all participants who crossed the risk threshold as the non-sagittal moment identified unique individuals. This result was consistent across tasks and threshold sensitivities. Analysing the peak uni-planar knee abduction moment alone is therefore likely overly reductionist, as this study demonstrates that a KM-YZ threshold identifies 'at risk' individuals that a KM-Y threshold does not. Multi-planar moment metrics such as KM-YZ may help facilitate the development of screening protocols across multiple tasks.

A lab-based comparison of differential ratings of perceived exertion between a run and jump protocol involving low or high impacts on the lower extremities.

The rating of perceived exertion method (RPE) allows to describe training intensity in a single value. To better understand the underlying components, the separate rating of perceived breathlessness (RPE-B) and leg-muscle exertion (RPE-L) has been proposed. Here we hypothesised that the separation between the two components may (partly) be determined by the impacts on the lower extremities. In this study, we aimed to experimentally evaluate the differential effect of high versus low impact running and jumping on RPE-B and RPE-L in team sport activities by manipulating the movement strategy (heel strike and passive landing pattern versus forefoot strike and active landing pattern). Eighteen recreational team sport players participated in two submaximal tests consisting of a sequence of running and jumping bouts, whilst ground reaction forces (GRF) were collected. RPE-B and RPE-L data were collected after each bout using the CR100 scale. Paired-samples t-tests were used to analyse between-session differences in these variables. GRF analysis showed that absorption mechanics differed considerably between the two sessions. RPE-L was on average 6.50 AU higher in the low impact session (p = 0.006). However, RPE-B was also increased by 4.96 AU with low impact (p = 0.009). We conclude that the extent to which the lower extremities are being exposed to high or low impacts does not explain a possible separation between the two RPE types.HighlightsThe separate rating of the different underlying components of RPE (e.g. variables related to the cardiorespiratory and the muscular system) may provide more insight in the relationship between training load and training outcomes, which likely differs between these components.The findings of this study do not support the idea that the separation in rating between perceived breathlessness (RPE-B, cardiorespiratory) and leg-muscle exertion (RPE-L, muscular) is also rooted in the extent to which musculoskeletal structures in the lower extremities are being exposed to high or low impacts.

Postural balance strategies during landing at the moment of return-to-sports after anterior cruciate ligament reconstruction.

Most athletes that return to sport (RTS) after Anterior Cruciate Ligament (ACL) injury undergo reconstruction (ACLR) to restore their knee stability. The major concern for RTS is for the patient to be able to perform challenging dynamic tasks whilst adequately stabilizing the knee joint and maintaining their postural balance. Nevertheless, the interaction between knee protective mechanisms (such as knee unloading and knee stabilisation) and postural balance strategies has not yet been comprehensively analyzed. Thus, the aim of this study was to investigate landing balance strategies in ACLR athletes at time of RTS. Twenty-one athletes with a unilateral ACLR were tested at the time of RTS while performing a single leg hop for distance on both limbs. Three balance mechanisms that influence the GRF during the landing phase (foot placement, center of pressure (CoP) excursion, counter-rotation of segments) were investigated and compared between the ACL injured and uninjured limb. Interactions between knee protective mechanisms and postural balance strategies were tested using a statistical parametric mapping regression analysis. Results show that CoP excursions in the injured limb increased, as well as ankle joint moment contribution to anterior-posterior (A-P) GRF. Besides, patients presenting reduced knee joint contribution to A-P GRF had to compensate with higher hip joint contribution in order to maintain postural balance. In conclusion, ACLR athletes who at RTS still protect their reconstructed knee are forced to employ compensatory postural balance strategies. Therefore, there is a persistent trade-off between knee protection and postural balance at the moment of RTS.

Push-Off Dynamics Reveal Task-Independent Alterations in Athletes Returning to Sport after ACL Reconstruction.

PURPOSE: Athletes with an anterior cruciate ligament (ACL) reconstruction (ACLR) show persisting biomechanical and neuromuscular landing alterations. So far, most research focused on the landing phase of dynamic tasks where most ACL injuries occur. This study will assess whether these landing alterations are also present in the propulsion phase, in an attempt to identify generalized movement alterations. METHODS: Twenty-one athletes with ACLR (cleared by their surgeon and/or physiotherapist for return-to-sport) and twenty-one controls performed five single-leg hop tasks. Propulsion kinematics, kinetics, and muscle activations were compared between legs and between groups. RESULTS: Increased hamstrings activation was found during propulsion when comparing the ACLR limb with both the uninjured limb and the controls. In addition, decreased internal knee extension moments were found in the ACLR limb compared with the uninjured limb. CONCLUSIONS: Athletes with ACLR show task-independent alterations that unload the knee during the propulsion phase of single-leg hopping tasks. If longitudinal data deem these alterations to be maladaptive, more emphasis must be placed on their normalization during the propulsion phase, assuming beneficial carryover effects into the landing phase. Normalizing these patterns during rehabilitation may potentially reduce the risk of long-term complications such as reinjuries and posttraumatic osteoarthritis.

Monitoring Elite Youth Football Players' Physiological State Using a Small-Sided Game: Associations With a Submaximal Running Test.

PURPOSE: To examine the utility of a standardized small-sided game (SSG) for monitoring within-player changes in mean exercise heart rate (HRex) when compared with a submaximal interval shuttle-run test (ISRT). METHODS: Thirty-six elite youth football players (17 [1] y) took part in 6 test sessions across an in-season period (every 4 wk). Sessions consisted of the ISRT (20-m shuttles, 30″:15″ work:rest ratio, 70% maximal ISRT) followed by an SSG (7v7, 80 × 56 m, 6 min). HRex was collected during both protocols, with SSG external load measured as high-speed running distance (>19.8 km·h-1) and acceleration distance (>2 m·s-2). Data were analyzed using linear mixed-effect models. RESULTS: Controlling for SSG external load improved the model fit describing the SSG-ISRT HRex relationship (χ2 = 12.6, P = .002). When SSG high-speed running distance and SSG acceleration distance were held constant, a 1% point change in SSG HRex was associated with a 0.5% point change in ISRT HRex (90% CI: 0.4 to 0.6). Inversely, when SSG HRex was held constant, the effects of a 100-m change in SSG high-speed running distance and a 21-m change in SSG acceleration distance on ISRT HRex were -1.0% (-1.5 to -0.4) and -0.6% points (-1.1 to 0.0), respectively. CONCLUSIONS: An SSG can be used to track within-player changes in HRex for monitoring physiological state. Given the uncertainty in estimates, we advise to only give meaning to changes in SSG HRex >2% points. Additionally, we highlight the importance of considering external load when monitoring SSG HRex.

Differential Ratings of Perceived Exertion: Relationships With External Intensity and Load in Elite Men's Football.

PURPOSE: To examine the utility of differential ratings of perceived exertion (dRPE) for monitoring internal intensity and load in association football. METHODS: Data were collected from 2 elite senior male football teams during 1 season (N = 55). External intensity and load data (duration × intensity) were collected during each training and match session using electronic performance and tracking systems. After each session, players rated their perceived breathlessness and leg-muscle exertion. Descriptive statistics were calculated to quantify how often players rated the 2 types of rating of perceived exertion differently (dRPEDIFF). In addition, the association between dRPEDIFF and external intensity and load was examined. First, the associations between single external variables and dRPEDIFF were analyzed using a mixed-effects logistic regression model. Second, the link between dRPEDIFF and session types with distinctive external profiles was examined using the Pearson chi-square test of independence. RESULTS: On average, players rated their session perceived breathlessness and leg-muscle exertion differently in 22% of the sessions (range: 0%-64%). Confidence limits for the effect of single external variables on dRPEDIFF spanned across largely positive and negative values for all variables, indicating no conclusive findings. The analysis based on session type indicated that players differentiated more often in matches and intense training sessions, but there was no pattern in the direction of differentiation. CONCLUSIONS: The findings of this study provide no evidence supporting the utility of dRPE for monitoring internal intensity and load in football.

Simultaneously assessing amplitude and temporal effects in biomechanical trajectories using nonlinear registration and statistical nonparametric mapping.

Biomechanical trajectories generally embody amplitude and temporal effects, but these effects are often analyzed separately. Here we demonstrate how amplitude-phase separation techniques from the statistics literature can be used to simultaneously analyze both. The approach hinges on nonlinear registration, which temporally warps trajectories to minimize timing effects, and the resulting optimal time warps can be combined with the resulting amplitudes in a simultaneous test. We first analyzed two simulated datasets with controlled amplitude and temporal effects to demonstrate how amplitude-timing separation can avoid incorrect conclusions from common amplitude-only hypothesis testing. We then analyzed two experimental datasets, demonstrating how amplitude-phase separation can yield unique perspectives on the relative contributions of amplitude and timing effects embodied in biomechanical trajectories. Last, we show that the proposed approach can be sensitive to procedural and parameter specifics, so we recommend that these sensitivities should be explored and reported.

Effects of integrative neuromuscular training on the gait biomechanics of children with overweight and obesity.

OBJECTIVE: To analyze whether 13 weeks of integrative neuromuscular training can benefit spatiotemporal and kinematic parameters of gait in children with overweight/obesity. METHODS: This is a non-randomized controlled trial. Fifty children (10.77 ± 1.24 years, 31 girls) with overweight/obesity were allocated to an exercise group (EG) (n = 25) that carried out a 13-week exercise program based on fundamental movement skills, strength activities and aerobic training, and a control group (CG) (n = 25) that followed their normal lifestyle. Spatiotemporal (i.e., cadence, stance and support times, step length, and stride width) and kinematic (i.e., hip, pelvis, knee, and ankle angles) parameters were evaluated under laboratory conditions through a 3D analysis. ANCOVA was used to test raw and z-score differences between the EG and CG at post-exercise, adjusting for pre-exercise values. RESULTS: The EG maintained their baseline stance and single-limb support times while the CG increased them during walking (groups' difference: 3.1 and 1.9 centiseconds). The EG maintained baseline maximum foot abduction angle during the stance phase whereas the CG showed an increase (groups' difference: 3.9º). Additional analyses on kinematic profiles demonstrated that the EG walked with similar pelvic tilt and ankle abduction angles at post-exercise, while the CG increased the pelvic anterior tilt in the whole stance phase (mean groups' difference: 7.7º) and the ankle abduction angles in early- and mid-stance phases (mean groups' difference: 4.6º). No changes were observed in the rest of spatiotemporal and kinematic parameters. CONCLUSIONS: The integrative neuromuscular training stopped the progression of some biomechanical alterations during walking in children with overweight/obesity. These findings could contribute to preventing common movement-derived musculoskeletal disorders in this population, as well as preserving an optimal mechanical efficiency during walking.

Neuromuscular and biomechanical landing alterations persist in athletes returning to sport after anterior cruciate ligament reconstruction.

BACKGROUND: Anterior cruciate ligament reconstructed (ACLR) athletes show increased hamstrings activation and decreased knee flexion moments (KFMs) during single leg landing tasks at time of return-to-sport (RTS). Although these landing alterations seem protective in the short term, they might become undesirable if they persist after RTS. Therefore, the main aim of this study was to investigate whether those landing alterations persist in the months following RTS. METHODS: Sixteen athletes who had an ACLR performed five unilateral landing tasks at three different time points (at RTS, and at 3 and 6 months after RTS) while KFMs and hamstrings activation were recorded. The following clinical parameters were registered: isokinetic strength of quadriceps and hamstrings, ACL return-to-sport after injury scale (ACL-RSI), Tampa scale of kinesiophobia, self-reported instability and single leg hop distance. A one-way repeated measures analysis of variance (ANOVA) was used to assess whether landing deficits changed over time. Additionally, an explorative analysis was performed to assess whether those athletes whose deficits persisted the most could be identified based on baseline clinical parameters. RESULTS: The ANOVA showed no differences in landing deficits between sessions, indicating persisting reduced KFMs and increased hamstrings activation in the injured leg compared with the contralateral leg. A significant improvement of the quadriceps concentric strength (at 120°/s), ACL-RSI score and jump distance of the single leg hop was found over time. CONCLUSIONS: Landing alterations were not resolved 6 months after RTS. Additional interventions may be needed to normalize landing alterations prior to return to sport.

Load Monitoring Practice in Elite Women Association Football.

The description of current load monitoring practices may serve to highlight developmental needs for both the training ground, academia and related industries. While previous studies described these practices in elite men's football, no study has provided an overview of load monitoring practices in elite women's football. Given the clear organizational differences (i.e., professionalization and infrastructure) between men's and women's clubs, making inferences based on men's data is not appropriate. Therefore, this study aims to provide a first overview of the current load monitoring practices in elite women's football. Twenty-two elite European women's football clubs participated in a closed online survey (40% response rate). The survey consisted of 33 questions using multiple choice or Likert scales. The questions covered three topics; type of data collected and collection purpose, analysis methods, and staff member involvement. All 22 clubs collected data related to different load monitoring purposes, with 18 (82%), 21 (95%), and 22 (100%) clubs collecting external load, internal load, and training outcome data, respectively. Most respondents indicated that their club use training models and take into account multiple indicators to analyse and interpret the data. While sports-science staff members were most involved in the monitoring process, coaching, and sports-medicine staff members also contributed to the discussion of the data. Overall, the results of this study show that most elite women's clubs apply load monitoring practices extensively. Despite the organizational challenges compared to men's football, these observations indicate that women's clubs have a vested interest in load monitoring. We hope these findings encourage future developments within women's football.

Load Monitoring Practice in European Elite Football and the Impact of Club Culture and Financial Resources.

Load monitoring is considered important to manage the physical training process in team sports such as Association Football. Previous studies have described the load monitoring practices of elite English football clubs and clubs with an established sports-science department. An examination of a broader international sample is currently not available. In addition, previous research has suggested factors that may improve the implementation of load monitoring practices, such as a strong club belief on the benefit of evidence-based practice (EBP) and high club financial resources. However, no study has examined yet the actual impact of these factors on the monitoring practices. Therefore, this study aims (1) to provide an overview of load monitoring practices in European elite football and (2) to provide insight into the differences in implementation between clubs by examining the impact of the club beliefs on the benefit of EBP and the club financial resources. An online survey, consisting of multiple choice and Likert scale questions, was distributed among sports-science and sports-medicine staff (n = 99, 50% response rate). Information was asked about the types of data collected, collection purposes, analysis methods, and staff involvement. The results indicated that external load data (e.g., global navigation satellite system, accelerometer…) was collected the most whilst respondents also indicated to collect internal load (e.g., heart rate, rating of perceived exertion…) and training outcome data (e.g., aerobic fitness, neuromuscular fatigue…) for multiple purposes. Considerable diversity in data analysis was observed suggesting that analysis is often limited to reporting the gathered data. Sports-science staff were responsible for data collection and analysis. Other staff were involved in data discussion to share decision-making. These practices were positively impacted by a stronger club belief on the benefit of EBP and greater financial resources. Creating an organizational culture, characterized by a strong belief on the benefit of EBP, is important to increase the impact of load monitoring. However, the actual potential may still be largely determined by financial resources. High-level clubs could therefore play a leading role in generating and sharing knowledge to improve training practices and player health.

Motor learning methods that induce high practice variability reduce kinematic and kinetic risk factors of non-contact ACL injury.

The prevention of non-contact anterior cruciate ligament (ACL) injuries often involves movement training, but the effectiveness of different motor learning methods has not been fully investigated. The purpose of this study was therefore to examine the effects of linear pedagogy (LP), nonlinear pedagogy (NLP) and differential learning (DL) motor learning methods on changing kinetic and kinematic factors during expected sidestep cutting related to non-contact ACL injuries. These methods primarily differ in the amount and type of movement variability they induce during practice. Sixty-six beginner male soccer players (27.5 ± 2.7 years, 180.6 ± 4.9 cm, 78.2 ± 4.6 kg) were randomly allocated to a group that trained for 12 weeks with either a LP, NLP or DL type of motor learning methods. All participants completed a biomechanical evaluation of side-step cutting before and after the training period. Analysis of covariance was used to compare post-testing outcomes among the groups while accounting for group differences in baseline performance. Changes in all kinematic and kinetic variables in NLP and DL groups were significantly higher compared to the LP group. Most comparisons were also different between NLP and DL group with the exception of vertical ground reaction force, the knee extension/flexion, knee valgus, and ankle dorsiflexion moments. Our findings indicate that beginner male soccer players may benefit from training programs incorporating NLP or DL versus LP to lower biomechanical factors associated with non-contact ACL injury, most likely because of the associated increased execution variability during training. We discuss that practitioners should consider using the NLP or DL methods, and particular the NLP, during which variability is induced to guide search, when implementing training programs to prevent ACL injuries in soccer.

Sample size estimation for biomechanical waveforms: Current practice, recommendations and a comparison to discrete power analysis.

Testing a prediction is fundamental to scientific experiments. Where biomechanical experiments involve analysis of 1-Dimensional (waveform) data, sample size estimation should consider both 1D variance and hypothesised 1D effects. This study exemplifies 1D sample size estimation using typical biomechanical signals and contrasts this with 0D (discrete) power analysis. For context, biomechanics papers from 2018 and 2019 were reviewed to characterise current practice. Sample size estimation occurred in approximately 4% of 653 papers and reporting practice was mixed. To estimate sample sizes, common biomechanical signals were sourced from the literature and 1D effects were generated artificially using the open-source power1d software. Smooth Gaussian noise was added to the modelled 1D effect to numerically estimate the sample size required. Sample sizes estimated using 1D power procedures varied according to the characteristics of the dataset, requiring only small-to-moderate sample sizes of approximately 5-40 to achieve target powers of 0.8 for reported 1D effects, but were always larger than 0D sample sizes (from N + 1 to >N + 20). The importance of a priori sample size estimation is highlighted and recommendations are provided to improve the consistency of reporting. This study should enable researchers to construct 1D biomechanical effects to address adequately powered, hypothesis-driven, predictive research questions.