The Effects of a Field-Based Priming Session on Perceptual, Physiological, and Performance Markers in Female Rugby Sevens Players.

PURPOSE: This study aimed to determine the effects of a field-based priming session on perceptual, physiological, and performance responses in female rugby sevens athletes. METHODS: Thirteen highly trained female rugby sevens players (age: 20.7 [2.0] y; height: 169.3 [4.8] cm; weight: 68.8 [7.9] kg) completed either a 20-minute field-based priming session or a control condition. Perceptual, physiological, and performance variables were collected at baseline (PRE) and 5 (POST5), 30 (POST30), and 120 minutes (POST120) postintervention. Data were analyzed using Bayesian mixed effects models. RESULTS: The priming protocol had a larger increase in mental readiness (maximum a posteriori [MAP] = 20, 95% high-density intervals [HDI] = -4 to 42, probability of direction [PD]% = 95, % in region of practical equivalence [ROPE] = 9.7), physical readiness (MAP = 20.1, 95% HDI = -4.6 to 42.1, PD% = 93, % in ROPE = 10.6), and testosterone (MAP = 14.9, 95% HDI = 0.5 to 27.7, PD% = 98, % in ROPE = 5.6) than the control POST30. Cognitive performance decreased POST120 in the priming condition for congruent (MAP = 0.02, 95% HDI = -0.06 to 0.00, PD% = 95, % in ROPE = 6.4) and incongruent tasks (MAP = 0.00, 95% HDI = -0.07 to 0.00, PD% = 98, % in ROPE = 3.2) when compared with the control. CONCLUSIONS: Perceptual and physiological markers improved POST30 in the priming condition. Findings indicate that perceptual and physiological responses to priming were not coupled with performance improvements. Priming was not accompanied by perceptual, physiological, or performance improvements at POST120.

A Multidisciplinary Approach to Game Day Preparation for Team Sports: A Delphi Study With Expert Consensus.

ABSTRACT: Mason, BRJ, Pumpa, KL, McKune, AJ, Gill, ND, and Ball, NB. A multidisciplinary approach to game day preparation for team sports: A Delphi study with expert consensus. J Strength Cond Res 36(5): 1345-1352, 2022-The aim of this study was to identify game day preparation strategies used by performance staff to improve team sport performance and to determine consensus regarding the application and importance of these strategies. Twenty-five performance staff working in high performance or professional team sports participated in this Delphi study, which implemented 3 survey rounds. The first round sought responses to open-ended questions relating to the use of game day preparation strategies. These responses were developed into statements and recirculated (round-2 survey), with subjects asked to rate their level of agreement with each statement. The third and final survey presented revised versions of statements that did not reach a consensus in the previous round, along with new statements derived from subject responses. A thematic analysis of the open-ended responses in the first survey identified 5 key themes relating to game day preparation strategies: "exercise," "nutrition," "psychological," "technical and tactical," and "other." The round-2 survey included 38 statements across the 5 themes, with 22 reaching the consensus threshold (≥75%) for agreement. The remaining 16 statements did not reach consensus. The final survey included 18 statements (16 revised and 2 new) with 12 reaching the consensus threshold for agreement. Key preparation strategies identified in this study include structured and progressive warm-ups, strength and power-based priming sessions, individualized nutrition plans, and precooling in hot conditions. Performance staff working in similar environments should consider adopting these strategies to improve athlete or team performance.

Measurement bias in estimates of system power during a vertical jump.

This investigation sought to quantify the level of measurement agreement in system force, velocity and power values derived across three commonly applied assessment techniques during a countermovement jump (CMJ). Twenty-five male national representative athletes completed three CMJs under unloaded (0%1RM) and loaded (40%1RM) jump conditions. Associated values of force, velocity and power were captured simultaneously from either a linear optical encoder (LOE) or force plate (FP) and then compared to the gold-standard reference values derived from a combined force plate and three-dimensional motion capture system (FPMC). The LOE significantly (p < 0.001) overestimated and failed to meet the minimum level of relatedness (<0.80) for measures of peak velocity, peak force, peak power and mean power across both conditions compared to the FPMC reference values. A reduction in measurement dispersion and bias was, however, evident during the loaded condition. The FP significantly (p < 0.05) underestimated mean and peak power across both conditions, yet measurement bias and dispersion remained consistent. These findings highlight a disparity in measurement agreement in force, velocity and power values across alternative assessment techniques and loads. Such variance in measurement agreement will uniquely alter derived force-velocity profiles, and thus the prescription of training loads to maximise system power during unrestricted CMJs.

What did the ankle say to the knee? Estimating knee dynamics during landing - A systematic review and meta-analysis.

BACKGROUND: Landing-based measures of the knee are often used to assess risk of anterior cruciate ligament (ACL) injury and inform prevention strategies. There is less understanding of the ankle's influence on knee measures during landing. OBJECTIVE: 1. Examine interactions of dynamic ankle measures alongside various subject and task characteristics on knee dynamics in vertical landing and 2. Determine whether ankle measures alone can estimate dynamic knee measures associated with ACL injury risk. DESIGN: Systematic review and meta-analysis. METHODS: Electronic databases Medline, EMBASE, CINAHL, Web of Science and Cochrane were screened for studies that included measurement of initial contact angles and internal joint moments of both the ankle and knee during landing in uninjured individuals. RESULTS: 28 studies were included for analysis. Using 1144 landing trials from 859 individuals, RRelief F algorithm ranked dynamic ankle measures more important than landing task and subject characteristics in estimating knee dynamics. An adaptive boosting model using four dynamic ankle measures accurately estimated knee extension (R2 = 0.738, RMSE = 3.65) and knee abduction (R2 = 0.999, RMSE = 0.06) at initial contact and peak knee extension moment (R2 = 0.988, RMSE = 0.13) and peak knee adduction moment (R2 = 1, RMSE = 0.00). CONCLUSIONS: Dynamic ankle measures can accurately estimate initial contact angles and peak moments of the knee in vertical landing, regardless of landing task or individual subject characteristics. This study provides a theoretical basis for the importance of the ankle in ACL injury prevention.

Identifying problems that female soldiers experience with current-issue body armour.

Despite female soldiers representing a growing user population, military body armour systems are currently better suited to the anthropometric dimensions of male soldiers. The aim of this study was to explore issues that female soldiers experience with current Australian Defence Force (ADF)-issue body armour. Following a sequential exploratory design, an initial questionnaire was completed by 97 Australian female soldiers. Subsequently, 33 Australian female soldiers participated in one of three focus groups. Descriptive statistics of questionnaire data considered alongside thematic analysis of focus group transcripts revealed problems with the design (fit, form and function) of current ADF-issue body armour, as well as problems with the issuance and education surrounding use of the system. It is recommended that anthropometric data of female soldiers be better incorporated into future body armour designs, that these data inform processes surrounding both acquisition and issuance of body armour and that training protocols for body armour use be reviewed.

Injury epidemiology and risk factors in competitive artistic gymnasts: a systematic review.

BACKGROUND: Artistic gymnastics is reported to have some of the highest injury rates in sports, which limits participation and often involves considerable medical expenses. PURPOSE: To critically appraise the epidemiological literature on injury patterns and risk factors in competitive artistic gymnastics. STUDY DESIGN: Systematic review. METHODS: Six databases were searched for articles that investigated injuries in competitive artistic gymnasts. Injury incidence, prevalence and risk factor data were extracted, alongside information on injury location, type, severity, nature and mechanism of injury. Quality and level of evidence were assessed using a modified Downs and Black quality index checklist and the Oxford Centre for Evidence-based Medicine guidelines. RESULTS: The search identified 894 articles, with 22 eligible for inclusion. Descriptive analysis showed that injury incidence and prevalence varied from 0.3 to 3.6 injuries per gymnast (female=0.3-3.6, male=0.7) and 2.0-2.3 (female=2.0-2.3, male=2.0), respectively. Male gymnasts sustained mostly upper limb injuries, while female gymnast reported lower limb injuries. Floor was associated with the greatest number of injuries for both male and female gymnasts. Higher competitive level and exposure to competition were risk factors for gymnastics injury: age, body mass, body size, training duration and life stress were significant associated factors. CONCLUSION: Injury incidence and prevalence results are substantial among artistic gymnasts of all competitive levels. Gymnasts who train at highly competitive levels and are exposed to competition environments are a greater risk of injury. Future researchers should implement consistent reporting methods.

Load-Power Relationship During a Countermovement Jump: A Joint Level Analysis.

Williams, KJ, Chapman, DW, Phillips, EJ, and Ball, N. Load-power relationship during a countermovement jump: A joint level analysis. J Strength Cond Res 32(4): 955-961, 2018-This study aimed to investigate whether hip, knee, and ankle peak power is influenced by the relative load lifted, altering the joint and system load-power relationship during a countermovement jump (CMJ). Twenty-three male national representative athletes (age: 20.3 ± 3.1 years, squat 1 repetition maximum [1RM]: 133.8 ± 24.8 kg) completed 3 CMJs at relative barbell loads of 0, 10, 20, 30, and 40% of an athlete's estimated back squat 1RM. Ground reaction force and joint kinematics were captured using a 16 camera motion capture array integrated with 2 in-ground triaxial force plates. Hip ((Equation is included in full-text article.)= 20%, range 0 > 40%), knee ((Equation is included in full-text article.)= 0%, 0 > 20%), and ankle ((Equation is included in full-text article.)= 40%, 0 > 40%) peak power was maximized at different percentages of absolute strength, with an athlete-dependent variation in load-power profiles observed across all lower-body joints. A decrease in system (body + barbell mass) peak power was significantly (p ≤ 0.05, r = 0.45) correlated with a reduction in knee peak power. Timing of instantaneous system and hip peak power occurred significantly closer to toe-off as load increased. The findings highlight that the generation and translation of lower-body joint power is influenced by external load and athlete-dependent traits. This subsequently alters the load-power profile at a system level, explaining the broad spectrums of loads reported to optimize system power during a CMJ. When training, we recommend that a combination of barbell loads based on assorted percentages of the estimated 1RM be prescribed to optimize joint and system power during a CMJ.

Resistance Training Priming Activity Improves Upper-Body Power Output in Rugby Players: Implications for Game Day Performance.

Mason, BRJ, Argus, CK, Norcott, B, and Ball, NB. Resistance training priming activity improves upper-body power output in rugby players: implications for game day performance. J Strength Cond Res 31(4): 913-920, 2017-"Priming" or preactivation strategies performed in the hours leading into competition have been suggested to improve game day performance. Therefore, this study assessed the effectiveness of a resistance training priming activity on eliciting changes in lower- and upper-body power output, along with perceptual measures. To assess these changes, 13 state-level rugby players (aged 18.5 ± 0.5 years) completed a test-retest protocol using a counterbalanced crossover design. Perceptual (readiness to perform questionnaire) and performance measures (20-kg countermovement jump [CMJ], 20-kg bench throw) were completed before either a control (rest) or priming activity (4 sets of 3 banded back squats and banded bench press). After a 1-hour and 45-minute recovery period, perceptual and performance measures were repeated. Readiness to perform showed no meaningful differences pre- and postintervention. Bench throw peak power (8.5 ± 5.8%, 90% confidence limit; p ≤ 0.05) improved after the priming activity when compared with the control trial. Countermovement jump peak power (3.4 ± 4.9%; p > 0.05) had a small decrease after the priming activity when compared with the control trial. Therefore, completing a priming activity 1 hour and 45 minutes before competition is recommended to improve upper-body power output. However, further research into lower-body priming protocols should be conducted before implementing a lower-body priming activity before competition.

Vertical stiffness is not related to anterior cruciate ligament elongation in professional rugby union players.

BACKGROUND: Novel research surrounding anterior cruciate ligament (ACL) injury is necessary because ACL injury rates have remained unchanged for several decades. An area of ACL risk mitigation which has not been well researched relates to vertical stiffness. The relationship between increased vertical stiffness and increased ground reaction force suggests that vertical stiffness may be related to ACL injury risk. However, given that increased dynamic knee joint stability has been shown to be associated with vertical stiffness, it is possible that modification of vertical stiffness could help to protect against injury. We aimed to determine whether vertical stiffness is related to measures known to load, or which represent loading of, the ACL. METHODS: This was a cross-sectional observational study of 11 professional Australian rugby players. Knee kinematics and ACL elongation were measured from a 4-dimensional model of a hopping task which simulated the change of direction manoeuvre typically observed when non-contact ACL injury occurs. The model was generated from a CT scan of the participant's knee registered frame by frame to fluoroscopy images of the hopping task. Vertical stiffness was calculated from force plate data. RESULTS: There was no association found between vertical stiffness and anterior tibial translation (ATT) or ACL elongation (r=-0.05; p=0.89, and r=-0.07; p=0.83, respectively). ATT was related to ACL elongation (r=0.93; p=0.0001). CONCLUSIONS: Vertical stiffness was not associated with ACL loading in this cohort of elite rugby players but a novel method for measuring ACL elongation in vivo was found to have good construct validity.

Validity of a Wearable Accelerometer Device to Measure Average Acceleration Values During High-Speed Running.

Alexander, JP, Hopkinson, TL, Wundersitz, DWT, Serpell, BG, Mara, JK, and Ball, NB. Validity of a wearable accelerometer device to measure average acceleration values during high-speed running. J Strength Cond Res 30(11): 3007-3013, 2016-The aim of this study was to determine the validity of an accelerometer to measure average acceleration values during high-speed running. Thirteen subjects performed three sprint efforts over a 40-m distance (n = 39). Acceleration was measured using a 100-Hz triaxial accelerometer integrated within a wearable tracking device (SPI-HPU; GPSports). To provide a concurrent measure of acceleration, timing gates were positioned at 10-m intervals (0-40 m). Accelerometer data collected during 0-10 m and 10-20 m provided a measure of average acceleration values. Accelerometer data was recorded as the raw output and filtered by applying a 3-point moving average and a 10-point moving average. The accelerometer could not measure average acceleration values during high-speed running. The accelerometer significantly overestimated average acceleration values during both 0-10 m and 10-20 m, regardless of the data filtering technique (p < 0.001). Body mass significantly affected all accelerometer variables (p < 0.10, partial η = 0.091-0.219). Body mass and the absence of a gravity compensation formula affect the accuracy and practicality of accelerometers. Until GPSports-integrated accelerometers incorporate a gravity compensation formula, the usefulness of any accelerometer-derived algorithms is questionable.

The effect of limb dominance on lower limb functional performance--a systematic review.

Lower limb dominance (or lateral preference) could potentially effect functional performance. Clinicians are often asked to make judgements as to when a patient has sufficiently "recovered" from an injury, typically using strength and dynamic performance outcome measures. The primary purpose of this study was to systematically review the literature in relation to limb dominance within active adult populations and discuss some limitations to current methods and relate this to current clinical practice. A search of MEDLINE and CINAHL and EMBASE databases and reference lists of those articles identified was performed. Eleven articles were selected for meta-analysis. There was no statistical effect of limb dominance for any of the functional tests: isokinetic quadriceps and hamstring tests, hamstring:quadriceps ratios, single-leg hop for distance, single-leg vertical jump and vertical ground reaction force following a single-leg vertical jump. Pooled symmetry values varied from 94.6% to 99.6% across the tests, above the clinically accepted benchmark of 90% used in clinical practice. Although the results of this study must be used with discretion, asymmetries in the tasks described in this analysis should be viewed as undesirable and remedied accordingly. Further research is needed to quantify asymmetries, particularly in relation to sport-specific contexts.

Time Course of Improvements in Power Characteristics in Elite Development Netball Players Entering a Full-Time Training Program.

We describe the time course of adaptation to structured resistance training on entering a full-time high-performance sport program. Twelve international caliber female netballers (aged 19.9 ± 0.4 years) were monitored for 18 weeks with countermovement (CMJ: performed with body weight and 15 kg) and drop jumps (0.35-m box at body weight) at the start of each training week. Performance did not improve linearly or concurrently with loaded CMJ power improving 11% by Week 5 (effect size [ES] 0.93 ± 0.72) in contrast, substantial positive changes were observed for unloaded CMJ power (12%; ES 0.78 ± 0.39), and CMJ velocity (unloaded: 7.1%; ES 0.66 ± 0.34; loaded: 7.5%; ES 0.90 ± 0.41) by week 7. Over the investigation duration, large improvements were observed in unloaded CMJ power (24%; ES 1.45 ± 1.11) and velocity (12%; ES 1.13 ± 0.76). Loaded CMJ power also showed a large improvement (19%; ES 1.49 ± 0.97) but only moderate changes were observed for loaded CMJ velocity (8.4%; ES 1.01 ± 0.67). Jump height changes in either unloaded or loaded CMJ were unclear over the 18-week period. Drop jump performance improved throughout the investigation period with moderate positive changes in reactive strength index observed (35%; ES 0.97 ± 0.69). The adaptation response to a structured resistance training program does not occur linearly in young female athletes. Caution should be taken if assessing jump height only, as this will provide a biased observation to a training response. Frequently assessing CMJ performance can aid program design coaching decisions to ensure improvements are seen past the initial neuromuscular learning phase in performance training.

Medial and lateral hamstrings and quadriceps co-activation affects knee joint kinematics and ACL elongation: a pilot study.

BACKGROUND: Many injury prevention and rehabilitation programs aim to train hamstring and quadriceps co-activation to constrain excessive anterior tibial translation and protect the anterior cruciate ligament (ACL) from injury. However, despite strong clinical belief in its efficacy, primary evidence supporting training co-activation of the hamstrings and quadriceps muscles for ACL injury prevention and rehabilitation is quite limited. Therefore, the purpose of the study presented in this paper was to determine if hamstring-quadriceps co-activation alters knee joint kinematics, and also establish if it affects ACL elongation. METHODS: A computed tomography (CT) scan from each participant's dominant leg was acquired prior to performing two step-ups under fluoroscopy: one with 'natural' hamstring-quadriceps co-activation, one with deliberate co-activation. Electromyography was used to confirm increased motor unit recruitment. The CT scan was registered to fluoroscopy for 4-D modeling, and knee joint kinematics subsequently measured. Anterior cruciate ligament attachments were mapped to the 4-D models and its length was assumed from the distance between attachments. Anterior cruciate ligament elongation was derived from the change in distance between those points as they moved relative to each other. RESULTS: Reduced ACL elongation as well as knee joint rotation, abduction, translation, and distraction was observed for the step up with increased co-activation. A relationship was shown to exist for change in ACL length with knee abduction (r = 0.91; p ≤ 0.001), with distraction (r = -0.70; p = 0.02 for relationship with compression), and with anterior tibial translation (r = 0.52; p = 0.01). However, ACL elongation was not associated with internal rotation or medial translation. Medial hamstring-quadriceps co-activation was associated with a shorter ACL (r = -0.71; p = 0.01), and lateral hamstring-quadriceps co-activation was related to ACL elongation (r = 0.46; p = 0.05). CONCLUSION: Net co-activation of the hamstrings and quadriceps muscles will likely reduce ACL elongation provided that the proportion of medial hamstring-quadriceps co-activation exceeds lateral.

Periodization and physical performance in elite female soccer players.

PURPOSE: To investigate the variation in training demands, physical performance, and player well-being across a women's soccer season. METHODS: Seventeen elite female players wore GPS tracking devices during every training session (N=90) throughout 1 national-league season. Intermittent high-speed-running capacity and 5-, 15-, and 25-m-sprint testing were conducted at the beginning of preseason, end of preseason, midseason, and end of season. In addition, subjective well-being measures were self-reported daily by players over the course of the season. RESULTS: Time over 5 m was lowest at the end of preseason (mean 1.148 s, SE 0.017 s) but then progressively deteriorated to the end of the season (P<.001). Sprint performance over 15 m improved by 2.8% (P=.013) after preseason training, while 25-m-sprint performance peaked at midseason, with a 3.1% (P=.05) improvement from the start of preseason, before declining at the end of season (P=.023). Training demands varied between phases, with total distance and high-speed distance greatest during preseason before decreasing (P<.001) during the early- and late-season phases. Endurance capacity and well-being measures did not change across training phases. CONCLUSIONS: Monitoring training demands and subsequent physical performance in elite female soccer players allow coaches to ensure that training periodization goals are being met and related positive training adaptations are being elicited.

Vertical stiffness and muscle strain in professional Australian football.

Abstract The purpose of this study was to establish if vertical stiffness was greater in professional Australian rules footballers who sustained a lower limb skeletal muscle strain compared to those who did not, and to establish if a relationship between age, or training history, and vertical stiffness existed. Thirty-one participants underwent weekly rebound jump testing on a force platform over two seasons. Vertical stiffness was calculated for injured players and the uninjured cohort 1 and 3 weeks prior to sustaining an injury and at the end of preseason. Eighteen athletes were in the "uninjured" cohort and 13 in the "injured" cohort. No significant difference in vertical stiffness was observed between groups (P = 0.18 for absolute stiffness; P = 0.08 for stiffness relative to body mass), within groups (P = 0.83 and P = 0.88, respectively) or for a time*cohort interaction (P = 0.77 and P = 0.80, respectively). No relationship between age and vertical stiffness existed (r = -0.06 for absolute and relative stiffness), or training history and vertical stiffness (r = -0.01 and 0.00 for absolute and relative stiffness, respectively) existed. These results and others lend to suggest that vertical stiffness is not related to lower limb muscle strain injury.

Muscle pre-activation strategies play a role in modulating Kvert for change of direction manoeuvres: an observational study.

The aim of the study presented in this paper was to establish if a relationship existed between lower limb muscle pre-activation strategies and vertical stiffness (Kvert). Participants from a professional rugby union club all performed a multidirectional hopping task on a force platform which measured Kvert. Muscle activity was concurrently measured for the gluteus maximus, vastus lateralis, vastus medialis, biceps femoris, semimembranosus, and medial gastrocnemius using electromyography and the activity of those muscles in the 100ms prior to foot contact (pre-activation) was analysed. Moderate to strong positive relationships were typically seen for Kvert and muscle pre-activation for each muscle when normalized to maximum voluntary contraction. Pre-activation cocontraction of the muscles surrounding the knee joint also showed a typically moderate relationship with Kvert and peak muscle activation of antagonist muscles at the knee joint were typically similar. Results suggest that muscle pre-activation strategies play a role in modulating Kvert for change of direction manoeuvre.

A review of models of vertical, leg, and knee stiffness in adults for running, jumping or hopping tasks.

The 'stiffness' concept originates from Hooke's law which states that the force required to deform an object is related to a spring constant and the distance that object is deformed. Research into stiffness in the human body is undergoing unprecedented popularity; possibly because stiffness has been associated with sporting performance and some lower limb injuries. However, some inconsistencies surrounding stiffness measurement exists bringing into question the integrity of some research related to stiffness. The aim of this study was to review literature which describes how vertical, leg and knee stiffness has been measured in adult populations while running, jumping or hopping. A search of the entire MEDLINE, PubMed and SPORTDiscus databases and an iterative reference check was performed. Sixty-seven articles were retrieved; 21 measured vertical stiffness, 51 measured leg stiffness, and 22 measured knee stiffness. Thus, some studies measured several 'types' of stiffness. Vertical stiffness was typically the quotient of ground reaction force and centre of mass displacement. For leg stiffness it was and change in leg length, and for the knee it was the quotient of knee joint moments and change in joint angle. Sample size issues and measurement techniques were identified as limitations to current research.

Relationship between reactive strength variables in horizontal and vertical drop jumps.

The aim of this study was to investigate the relationship between reactive strength in a vertical and a horizontal drop jump (DJ). Subjects (n = 28) with previous jump training experience, performed 6 vertical DJs and 6 horizontal DJs from a 0.4-m box. Contact time, height jumped, distance jumped, and reactive strength index (RSI) were calculated and analyzed. Typical error measurements (TEMCV%) and intraclass correlations (ICCs) were used to assess the intrasubject reliability. Relationships between jumps and within jumps of the aforementioned variables were assessed using ICCs. The ICC (r > 0.789) and the TEMCV% (<10%) indicated good reliability for both vertical and horizontal DJs across each variable. Contact time showed no relationship between jumps (r = 0.222) and had no effect on the vertical DJ height (r = 0.152) or horizontal DJ distance (r = 0.261). The RSI correlation (r = 0.533) indicated a large relationship between reactive ability in the horizontal DJ and the vertical DJ. Contact times were significantly lower in vertical DJs compared with horizontal DJs (p < 0.0001). This study indicated that horizontal DJs are reliable and may be better used to train reactive movements that do not require brief contact times.

Mechanisms and risk factors for noncontact ACL injury in age mature athletes who engage in field or court sports: a summary of the literature since 1980.

Epidemiological data show that in the last 10 years alone the incidence and rate of anterior cruciate ligament (ACL) injuries have not changed appreciably. Furthermore, many ACL injuries appear to be noncontact in nature and sustained while engaging in some field or court sport. Thus, the need to investigate novel methods and adopt training strategies to prevent ACL injuries is paramount. To do so, however, requires an understanding of the mechanisms and risk factors for the injury. The aim of this review was to investigate the mechanisms and risk factors for noncontact ACL injuries in age mature athletes who compete in field or court sports. A search of the entire MEDLINE database for biomedicine was performed, and an iterative reference check was also conducted. A total of 87 articles disclosed met the eligibility criteria. Articles were grouped into 'themes'; 'anatomical and biomechanical mechanisms and risk factors,' 'intrinsic mechanisms and risk factors,' and 'extrinsic mechanisms and risk factors.' In this review, it is concluded that there are still a number of risk factors and mechanisms for noncontact ACL injury that are not well understood. However, the importance of dynamic knee joint stability is highlighted. It is also suggested that novel methods for preventing ACL injury be investigated and developed.

Bilateral contact ground reaction forces and contact times during plyometric drop jumping.

Drop jumping (DJ) is used in training programs aimed to improve lower extremity explosive power. When performing double-leg drop jumps, it is important to provide an equal stimulus to both legs to ensure balanced development of the lower legs. The aim of this study was to bilaterally analyze the ground reactions forces and temporal components of drop jumping from 3 heights. Ten recreationally active male subjects completed 3 bounce-drop jumps from 3 starting heights (0.2, 0.4, and 0.6 m). Two linked force platforms were used to record left- and right-leg peak vertical force, time to peak force, average force, ground contact time, impulse and time differential. Between-height and between-leg comparisons for each variable were made using a multivariate analysis of variance with post hoc Wilcoxon tests (p < 0.05). Results indicated that force and time variables increased as drop jump height increased (p < 0.0001). Post hoc analyses showed that at 0.2- and 0.4-m bilateral differences were present in the time to peak force, average force, and impulse. No bilateral differences for any variables were shown at 0.6-m starting height. The contact time for all jumps was <0.26 seconds. At 0.2 m, only 63% of the subjects had a starting time differential of <0.01 seconds, rising to 96.3% at 0.6 m. The results indicated that 0.6 m is the suggested drop jump height to ensure that no bilateral differences in vertical forces and temporal components occur; however, shorter contact times were found at the lower heights.