Countermovement jump and vertical hop demonstrate braking/deceleration and performance alterations after ACL reconstruction with BMA, DBM, and suture tape augmentation

Objectives

This study evaluated countermovement jump and Single Leg Jump measures to identify landing measures that best distinguish a novel Anterior Cruciate Ligament reconstruction technique using bone marrow aspirate, demineralized bone matrix, and suture tape augmentation patients from controls. The secondary objective assessed performance differences between operated and non-operated limbs post-reconstruction. The hypothesis was that novel Anterior Cruciate Ligament reconstruction patients at return to sport would not differ from controls during landing and that the operated limb's performance would not differ from the unoperated limb.

Methods

The study included 31 patients with the novel reconstruction technique matched with controls in a 1:10 ratio based on age, sex, weight, and height. Both groups underwent screening and were compared during a Countermovement Jump. Using a Sparta Science Force Platform, each patient's unoperated and operated limbs were also compared for Single Leg Jump post-op (6.5 months).

Results

Test patients showed no difference in center of pressure during landing of both jumps compared to controls (P=0.27) and the uninvolved limb (P=0.26). Test patients exhibited increased braking impulse relative to the uninvolved limb during Single Leg Jump (P<0.001). Deceleration upon landing of Countermovement Jump was also increased compared to controls (P<0.001). Test patients demonstrated slower concentric time during a Countermovement Jump compared to controls (P=0.03) and significantly slower compared to the uninjured leg (P<0.001). Countermovement Jump height was decreased compared to controls (P<0.001). Single-leg jump height was decreased in the injured limb compared to the uninjured limb (P<0.001).

Conclusions

Test patients did not show significant differences in landing motion compared to controls or the uninvolved leg. However, power and performance alterations were evident at Return to Sport after reconstruction. Although these results are quite promising, they may be too preliminary to draw definitive conclusions. Double and single-legged assessments should be considered in return-to-sport decision-making.

Effects of a Strength and Conditioning Offseason Program on Countermovement Jump Ground Reaction Forces in Division I American Football Players

ABSTRACT

Gillen, ZM, Burch, RF, Saucier, DN, Strawderman, L, Luczak, T, Piroli, A, Petway, AJ, and Rath, T. Effects of a strength and conditioning offseason program on countermovement jump ground reaction forces in Division I American football players. J Strength Cond Res 38(3): e86-e95, 2024-The purpose of this study was to examine the effects of a 10-week strength and conditioning offseason program on the ground reaction forces (GRFs) of American football players during single-leg and double-leg countermovement jumps (SLJ and CMJ, respectively). Each subject visited the laboratory twice, once for preoffseason and once for postoffseason testing. During each visit, subjects performed CMJs and SLJs for each leg. Ground reaction forces were collected by force plates to quantify unweighting, braking, propulsive, and performance metrics for each jump. In addition, an efficiency index was calculated for each jump to examine changes in vertical jump efficiency. Dependent samples t tests compared all CMJ metrics. Two-way repeated measures analyses of variance (leg × time) compared all SLJ metrics. An alpha level of p ≤ 0.05 was considered statistically significant. For the CMJ, propulsive phase duration decreased due to the program ( p = 0.007), whereas peak braking power, peak propulsive power, mean propulsive force, and jump height increased ( p ≤ 0.012). For the SLJ, peak braking power, force at the low position, braking rate of force development, eccentric force, peak propulsive power, mean propulsive force, and jump height increased in both legs ( p ≤ 0.044). The efficiency index increased for the CMJ and the SLJ for both legs ( p ≤ 0.016). This study demonstrated that SLJ and CMJ vertical jump performance significantly increases in as few as 10 weeks of offseason strength and conditioning. Strength and conditioning programming may effectively increase vertical jump performance, as assessed by GRFs, which can be used as a simple indicator regarding changes in athletic performance.

Reliability of Force Plate Metrics During Standard Jump, Balance, and Plank Assessments in Military Personnel

INTRODUCTION

Prevention of musculoskeletal injury is vital to the readiness, performance, and health of military personnel with the use of specialized systems (e.g., force plates) to assess risk and/or physical performance of interest. This study aimed to identify the reliability of one specialized system during standard assessments in military personnel.

METHODS

Sixty-two male and ten female Australian Army soldiers performed a two-leg countermovement jump (CMJ), one-leg CMJ, one-leg balance, and one-arm plank assessments using a Sparta Science force plate system across three testing sessions. Sparta Science (e.g., total Sparta, balance and plank scores, jump height, and injury risk) and biomechanical (e.g., average eccentric rate of contraction, average concentric force, and sway velocity) variables were recorded for all sessions. Mean ± SD, intraclass correlation coefficients (ICCs), coefficient of variation, and bias and limits of agreement were calculated for all variables.

RESULTS

Mean results were similar between sessions 2 and 3 (P > .05). The relative reliability for the Sparta Science (ICC = 0.28-0.91) and biomechanical variables (ICC = 0.03-0.85) was poor to excellent. The mean absolute reliability (coefficient of variation) for Sparta Science variables was similar to or lower than that of the biomechanical variables during the CMJ (1-10% vs. 3-7%), one-leg balance (4-6% vs. 9-14%), and one-arm plank (5-7% vs. 12-17%) assessments. The mean bias for most variables was small (<5% of the mean), while the limits of agreement varied with most unacceptable (±6-87% of the mean).

CONCLUSIONS

The reliability of most Sparta Science and biomechanical variables during standard assessments was moderate to good. The typical variability in metrics documented will assist practitioners with the use of emerging technology to monitor and assess injury risk and/or training interventions in military personnel.

The Relationship Between Partial and Full Range of Motion Deadlift 1-Repetition Maximum: A Technical Note

ABSTRACT

Gillingham, B, Bishop, A, Higa, GK, Adams, KJ, and DeBeliso, M. The relationship between partial and full range of motion deadlift 1-repetition maximum: a technical note. J Strength Cond Res 37(4): 909-914, 2023-The full range of motion (FROM) or partial range of motion (PROM) deadlift (DL) are often included in resistance training (RT) programs and are performed by strength athletes in competition. This study examined the relationship between the FROM and PROM 1-repetition maximum (1RM) DL and if the PROM 1RM DL can be estimated by the FROM 1RM DL. Eighteen National Collegiate Athletic Association wrestlers (20.8 ± 1.2 years, 176.0 ± 5.2 cm, 78.9 ± 10.6 kg) performed a warm-up followed by the assessment of the FROM and PROM 1RM DLs. The FROM DLs were executed with a starting position of the bar resting on the lifting platform. Partial range of motion DLs were executed in a power rack with the bar starting position at ≈2.54 cm above the patella. Regression analysis was employed to estimate PROM 1RM DL based on FROM 1RM DL, body height, and mass. A Pearson's correlation coefficient ( r ) was used to compare the PROM 1RM DL with FROM 1RM DL. A dependent t test was used to compare the PROM 1RM DL and FROM 1RM DL scores (α < 0.05). The PROM 1RM DL scores (226.0 ± 40.6 kg) were significantly greater than the FROM 1RM DL scores (191.7 ± 37.2 kg) ( p < 0.05: effect size = 0.92). The PCC between the PROM and FROM 1RM DL was r = 0.85 ( p < 0.05). The regression coefficient for the FROM 1RM DL was significant ( p < 0.05; R = 0.85, R2 = 0.73). The regression coefficients for body mass and height were not significant ( p > 0.05). The PROM and FROM DL may be interchangeable modalities within an RT program, and the PROM 1RM DL can be accurately predicted by the FROM 1RM DL.

Impact of a 5-Week Individualised Training Program on Physical Performance and Measures Associated with Musculoskeletal Injury Risk in Army Personnel: A Pilot Study

OBJECTIVE

To examine the feasibility and effect of an individualised and force-plate guided training program on physical performance and musculoskeletal injury risk factors in army personnel.

DESIGN

Pre-post, randomised control.

METHODS

Fourteen male and five female Australian Army soldiers were randomised into two groups and performed 5-weeks of physical training. The control group (n = 9) completed standard, group-designed, physical training whilst the experimental group (n = 8) completed an individualised training program. Physical (push-ups, multi-stage fitness test, three repetition maximum (3RM) for squat, strict press, deadlift and floor press), occupational (weight-loaded march time), and technological assessments (two-leg and one-leg countermovement jumps (CMJ), one-leg balance, one-arm plank) were conducted prior to and following the training period. Comparisons between groups and changes within groups were conducted via Mann-Whitney U tests.

RESULTS

Compared to the control group, the experimental group exhibited a significantly smaller improvement for weight-loaded march time (-0.7% ± 4.0% vs. -5.1% ± 3.0%, p = 0.03) and a greater improvement for deadlift-3RM (20.6% ± 11.9% vs. 8.4% ± 6.8%, p = 0.056). All other outcomes were similar between groups. Visually favourable alterations in the two-leg CMJ profile with no reports of injuries were noted for the experimental group.

CONCLUSIONS

Individualised physical training was feasible within an army setting and, for the most part, produced similar physical, occupational and technological performances to that of standard, group-designed physical training. These preliminary results provide a foundation for future research to expand upon and clarify the benefits of individualised training programs on long-term physical performance and injury risk/incidence in active combat army personnel.

Can Countermovement Jump Neuromuscular Performance Qualities Differentiate Maximal Horizontal Deceleration Ability in Team Sport Athletes?

This investigation aimed to determine the countermovement jump (CMJ) neuromuscular performance (NMP) qualities that differentiate between athletes with high or low horizontal deceleration ability. Twenty-seven male university team sport athletes performed a CMJ on vertical axis force plates and a maximal horizontal deceleration following a 20 m maximal horizontal sprint acceleration. The instantaneous velocity throughout the maximal horizontal deceleration test was measured using a radar device. The deceleration ability was evaluated using the average deceleration (HDEC, m·s-2) and change in momentum-referred to as the horizontal braking impulse (HBI, N·s·kg-1). Participants were dichotomised into high and low HDEC and HBI according to a median-split analysis, and CMJ variables calculated for the overall eccentric, eccentric-deceleration and concentric phases. When horizontal deceleration ability was defined by HDEC, the CMJ concentric (effect size (ES) = 0.95) and eccentric (ES = 0.72) peak forces were the variables with the largest difference between groups. However, when defined using HBI, the largest difference was the concentric (ES = 1.15) and eccentric (ES = -1.00) peak velocities. Only the concentric mean power was significantly different between the high and low groups for both HDEC (ES = 0.85) and HBI (ES = 0.96). These findings show that specific eccentric and concentric NMP qualities may underpin the horizontal deceleration abilities characterised by HDEC and HBI. Specific NMP training interventions may be beneficial to target improvements in either of these measures of horizontal deceleration abilities.

What Can a Jump Tell Us About Elbow Injuries in Professional Baseball Pitchers?

BACKGROUND

The incidence rate of elbow injuries has been rising in recent years among professional baseball pitchers. Determining valid screening procedures that allow practitioners to identify pitchers at an increased risk of such injuries is therefore of critical importance.

PURPOSE

To validate the use of countermovement jump (CMJ) tests as a diagnostic tool for pitcher conditioning.

STUDY DESIGN

Case-control study; Level of evidence, 3.

METHODS

More than 500 pitchers at a single professional baseball organization performed preseason CMJ assessments on a force plate before the 2013 to 2018 seasons. Three measurements were extracted from ground-reaction force data during the test: eccentric rate of force development (ERFD), average vertical concentric force (AVCF), and concentric vertical impulse (CVI). Athletic trainers at the organization collected detailed information on elbow and shoulder injury rates as well as workload (pitch count) throughout the rest of the season. Poisson regression models were fit to investigate the dependency of injury rates on CMJ test performance.

RESULTS

ERFD, CVI, and AVCF were all significant predictors of elbow injury risk after accounting for pitcher age, weight, and workload. The analysis identified 3 specific indicators of heightened risk based on the results of a CMJ scan: low ERFD, a combination of low AVCF and high CVI, and a combination of high AVCF and low CVI. In contrast, shoulder injury risk was roughly independent of all 3 CMJ test measurements.

CONCLUSION

This study supports the hypothesis of the entire kinetic chain's involvement in pitching by establishing a link between CMJ test performance and elbow injury risk in professional baseball pitchers. CMJ assessment may be a powerful addition to injury risk alert and prevention protocols. Pitchers in high-risk groups can be prescribed specific exercise plans to improve movement imbalances.