Acute effects of lower limb wearable resistance on horizontal deceleration and change of direction biomechanics

This study aimed to investigate the acute effects of lower limb wearable resistance on maximal horizontal deceleration biomechanics, across two different assessments. Twenty recreationally trained team sport athletes performed acceleration to deceleration assessments (ADA), and 5-0-5 change of direction (COD) tests across three load conditions (unloaded, 2% of BW, 4% of body weight (BW)), with load attached to the anterior and posterior thighs and shanks. Linear mixed effect models with participant ID as the random effect, and load condition as the fixed effect were used to study load-specific biomechanical differences in deceleration mechanics across both tests. Primary study findings indicate that for the ADA, in the 4% BW condition, participants exhibited significantly greater degrees of Avg Approach Momentum, as well as significant reductions in deceleration phase center of mass (COM) drop, and Avg Brake Step ground contact deceleration (GCD) in both the 2% BW, and 4% BW condition, compared to the unloaded condition. In the 5-0-5 tests, participants experienced significant reductions in Avg Approach Velocity, Avg deceleration (DEC), and Stopping Time in the 4% BW condition compared to the unloaded condition. Similar to the ADA test, participants also experienced significant reductions in Avg Brake Step GCD in both the 2% BW and 4% BW conditions, and significant increases in Avg Approach Momentum in the 4% BW condition, compared to the unloaded condition. Therefore, findings suggest that based on the test, and metric of interest, the addition of lower limb wearable resistance led to acute differences in maximal horizontal deceleration biomechanics. However, future investigations are warranted to further explore if the use of lower limb wearable resistance could present as an effective training tool in enhancing athlete's horizontal deceleration and change of direction performance.

Strength characteristics in faster change of direction basketball players: A comparison across cutting angles

Change of directions (COD) involves multidirectional and complex actions, with performance influenced by multiple factors. As lower limb strength is one of the most determinant of COD performance, the present study aimed to (a) explore the differences in strength outcomes across different lower limb muscle actions between faster and slower basketball players in COD actions at different angles and (b) analyse the relationship between isometric, concentric and eccentric strength outcomes and COD performance at different cutting angles. Twenty-five basketball players (44% female) completed a battery of tests, encompassing isokinetic and isometric squat strength assessments, along with COD tests at 45°, 90° and 180°. Players were categorised as 'low-performance' and 'high-performance' groups based on execution time in COD, facilitating a comparison between performance groups. Results indicated that concentric strength showed the greatest differences between performance groups at 45° COD (effect size ≥ 0.813; p ≤ 0.034). Isometric and eccentric strength demonstrated a moderate-to-large relationship with 90° COD performance (Rho ≥ 0.394; p ≤ 0.045), and all muscle actions exhibited a large relationship with 180° COD (Rho ≥ 0.445; p ≤ 0.030). Moreover, the fastest players showed higher levels of concentric strength relative to eccentric strength, regardless of the cutting angle. These findings hold practical applications, suggesting that basketball coaches should train a specific kind of muscle action depending on the individual players' COD demands, focusing on improving the rapid eccentric force application while striving to reduce the eccentric/concentric ratio.

Cutting Technique Modification: A Way to Improve Movement Quality and Develop Agility in Youth?

Thieschäfer, L, Dos’Santos, T, and Büsch, D. Cutting technique modification: a way to improve movement quality and develop agility in youth? J Strength Cond Res 38(9): 1596–1606, 2024—High-quality cutting technique is essential for agility development and safer cuttings in adolescent athletes. Certain sidestep techniques and kinematics are characteristic of high movement quality and are associated with both, faster performance and lower knee joint loading (i.e., reduced anterior cruciate ligament injury risk). The aim of this study was to determine the effects of a 6-week, side step, technique modification training intervention targeting specific kinematics on agility performance and movement quality. Twenty-two adolescent American football players were recruited for a nonrandomized, controlled, intervention study. For 6 weeks, an intervention group (IG) of 11 players participated in 25-minute cutting technique training sessions integrated into team training twice a week, whereas a control group (CG) of 11 players continued their usual training routine. Agility performance was assessed based on percentage-based change of direction deficit (CODDp) obtained during reactive agility tests at 45° and 90° angles. The Cutting Movement Assessment Score (CMAS) qualitative screening tool was used to assess 2D high-speed videos of the cuts for movement quality. The significance level was set at α = 0.01. The intervention effectively altered players' sidestep technique irrespective of cutting angle with large time × group interaction effects observed for CMAS ( = 0.82). Statistical and practical significant improvements in CMAS pre-to-post intervention were evident in the IG (−2.30 ≤ g ≤ −1.75; 313.87 ≤ BF10 ≤ 2,342.00), whereas deteriorations were found in the CG for 90° (g = 1.38; BF10 = 64.21). However, in both groups, no statistically significant differences in CODDp were observed pre-to-post intervention (0.019 ≤ p ≤ 0.586; 0.34 ≤ BF10 ≤ 3.59). The cutting technique modification training meaningfully improved movement quality, without negatively affecting agility performance, and can be used by practitioners to foster a safe technical foundation for subsequent agility development in adolescent athletes.

Single leg drop jump is affected by physical capacities in male soccer players following ACL reconstruction

Single leg drop jump (SLDJ) assessment is commonly used during the later stages of rehabilitation to identify residual deficits in reactive strength but the effects of physical capacity on kinetic and kinematic variables in male soccer players following ACL reconstruction remain unknown. Isokinetic knee extension strength, kinematics from an inertial measurement unit 3D system and SLDJ performance variables and mechanics derived from a force plate were measured in 64 professional soccer players (24.7 ± 3.4 years) prior to return to sport (RTS). SLDJ between-limb differences was measured (part 1) and players were divided into tertiles based on isokinetic knee extension strength (weak, moderate and strong) and reactive strength index (RSI) (low, medium and high) (part 2). Moderate to large significant differences between the ACL reconstructed and uninjured limb in SLDJ performance (d = 0.92-1.05), kinetic (d = 0.62-0.71) and kinematic variables (d = 0.56) were evident. Stronger athletes jumped higher (p = 0.002; d = 0.85), produced greater concentric (p = 0.001; d = 0.85) and eccentric power (p = 0.002; d = 0.84). Similar findings were present for RSI, but the effects were larger (d = 1.52-3.84). Weaker players, and in particular those who had lower RSI, displayed landing mechanics indicative of a 'stiff' knee movement strategy. SLDJ performance, kinetic and kinematic differences were identified between-limbs in soccer players at the end of their rehabilitation following ACL reconstruction. Players with lower knee extension strength and RSI displayed reduced performance and kinetic strategies associated with increased injury risk.

Implementing Velocity-Based Training to Optimize Return to Sprint After Anterior Cruciate Ligament Reconstruction in Soccer Players: A Clinical Commentary

After anterior cruciate ligament reconstruction (ACLR), return to sprint is poorly documented in the literature. In soccer, return to sprint is an essential component of return to play and performance after ACLR. The characteristics of running in soccer are specific (velocity differences, nonlinear, intensity). It is important to address these particularities, such as curvilinear running, acceleration, deceleration, changes of direction, and variations in velocity, in the patient's rehabilitation program. Force, velocity, and acceleration capacities are key elements to sprint performance. Velocity-based training (VBT) has gained much interest in recent years and may have a role to play in optimizing return to play and return to sprint after ACLR. Force, velocity, and acceleration can be assessed using force-velocity-power and acceleration-speed profiles, which should inform rehabilitation. The purpose of this commentary is to describe a velocity-based return to sprint program which can be used during ACLR rehabilitation.

Assessing the reliability of biomechanical variables during a horizontal deceleration task in healthy adults

Horizontal deceleration technique is an underpinning factor to musculoskeletal injury risk and performance in multidirectional sport. This study primarily assessed within- and between-session reliability of biomechanical and performance-based aspects of a horizontal deceleration technique and secondarily investigated the effects of limb dominance on reliability. Fifteen participants completed four horizontal decelerations on each leg during test and retest sessions. A three-dimensional motion analysis system was used to collect kinetic and kinematic data. Completion time, ground contact time, rate of horizontal deceleration, minimum centre of mass height, peak eccentric force, impulse ratio, touchdown distance, sagittal plane foot and knee angles at initial contact, maximum sagittal plane thorax angle, and maximum knee flexion moment were assessed. Coefficients of variation (COV) and intraclass correlation coefficients (ICC) were used to assess within- and between-session reliability, respectively. Seven variables showed "great" within-session reliability bilaterally (COV ≤9.13%). ICC scores were 'excellent' (≥0.91; n = 4), or 'good' (0.76-0.89; n = 7), bilaterally. Limb dominance affected five variables; three were more reliable for the dominant leg. This horizontal deceleration task was reliable for most variables, with little effect of limb dominance on reliability. This deceleration task may be reliably used to assess and track changes in deceleration technique in healthy adults.

Development of a Cutting Technique Modification Training Program and Evaluation of its Effects on Movement Quality and Cutting Performance in Male Adolescent American Football Players

This study developed a cutting technique modification training program and investigated its effects on cutting performance and movement quality in adolescent American football players. For six weeks, an intervention group (IG) of 11 players participated in 25 min cutting technique modification training sessions integrated into team training twice a week, while a control group (CG) of 11 players continued their usual team training. Movement quality was assessed by evaluating 2D high-speed videos, obtained during preplanned 45° and 90° cutting tests, using the Cutting Movement Assessment Score (CMAS) qualitative screening tool. Cutting performance was assessed based on change of direction deficit (CODD). Significant interaction effects of time × group were found for CMAS in 45° and 90° cuttings (p < 0.001, ηp2 = 0.76, p < 0.001, ηp2 = 0.64, respectively), with large improvements in the IG (p < 0.001, g = -2.16, p < 0.001, g = -1.78, respectively) and deteriorations in the CG for 45° cuttings (p = 0.002, g = 1.15). However, no statistically significant differences in CODD were observed pre-to-post intervention. The cutting technique modification training was effective at improving movement quality without impairing cutting performance, and it can be used by practitioners working with adolescent athletes.

Performance in the Yo-Yo Intermittent Recovery Test May Improve with Repeated Trials: Does Practice Matter?

The Yo-Yo Intermittent Test is frequently used to monitor changes in athletes' performance in response to different interventions. However, the question remains as to whether, and to what extent, retakes of this test would contribute to these changes. This case study sought to determine the magnitude of practice effects, involving test repetition, on performance in the Yo-Yo Intermittent Recovery Test. A recreational soccer player performed four attempts of the Yo-Yo Intermittent Recovery Test-Level 1 (YYIR1) with a week's rest in between. The same participant repeated this test protocol (four attempts of the YYIR1) again after six months. Changes in distance covered, level achieved, maximal oxygen uptake, and heart rate between the first and last attempt were assessed. The smallest worthwhile change (SWC), the coefficient of variation (CV), and the 2CV were calculated to identify a trivial, a possibly meaningful, and a certainly meaningful change in YYIR1 performance. The distance covered in the first set of measurements increased from 1320 m to 1560 m (15.4%), which corresponds to a 4.6% increase in the level achieved (from 16.6 to 17.4). Similarly, the distance covered in the second set of measurements increased from 1280 m to 1560 m (17.9%), which corresponds to a 5.5% increase in the level achieved (from 16.5 to 17.4). The participant's performance changes fell outside of the SWC and the CV, but not the 2CV during both sets of measurements. These improvements in YYIR1 performance may be ascribed to practice with repeated attempts of the test by improving running technique at the turning point and/or by simply increasing the linear speed. This fact should always be kept in mind when interpreting the effects of training. Practitioners should differentiate between practice effects associated with repeated test execution and adaptation induced by conducting sport-specific training.

Linear advancing actions followed by deceleration and turn are the most common movements preceding goals in male professional soccer

Data were collected through time-motion analysis from soccer players participating in the English Premier League using a modified version of the Bloomfield Movement Classification with differences analysed through chi-square.The most common individual movement preceding a goal was a linear advancing motion (32.4 ± 1%), followed by deceleration (20.2 ± 0.9%) and turn (19.8 ± 0.9%). Actions also involved were change in angle run (cut and arc run), ball blocking, lateral advancing motion (crossover and shuffle) and jumps. Although players followed similar trends, there were dissimilarities based on the role, with attackers (assistant and scorer) performing more linear actions, subtle turns and cuts and defenders (defender of assistant and defender of scorer) more ball blockings, lateral movements and arc runs. In 82.9 ± 1.5% of player involvements, there was at least one high intensity (HI) movement with assistant showing the lowest percentage and defender of scorer the highest.This study shows the multidirectional nature and context specificity of soccer during goal scoring situations, with linear actions such as sprints being the most common movements, followed by decelerations and turns. Moreover, it highlights the recurrent application of these at HI, and so, training strategies should prioritize the development of player's explosiveness.

Horizontal versus vertical force application: association with the change of direction performance in soccer players

This study examined which mechanical variables derived from a vertical jump (i.e. concentric peak force [ConcPF] and eccentric peak force [EccPF], flight time [FT]: contraction time [CT], eccentric deceleration rate of force development [EccDecRFD]) and linear sprint (i.e. theoretical maximal force [F₀] and velocity [V₀], maximal power output [P_max], the peak ratio of the effective horizontal component [RF_peak], and the index of force application technique [DRF]) determined the change of direction (COD) performance to a greater extent. Sixteen male soccer players (age: 21.8 ± 2.9 years; height: 175.94 ± 6.88 cm; weight: 73.23 ± 9.59 kg) were assessed for a countermovement jump, the horizontal force velocity (FV) profile, and the COD ZigZag test. The horizontal FV profile parameters were significantly associated with COD performance, while jump mechanical variables did not show any significant association (r = 0.08-0.19; p > 0.05). Specifically, F₀ (r = -0.56), P_max (r = -0.68), and RF_peak (r = -0.54) were strongly associated with COD performance. Moreover, a 1 N·kg^-1 increase in F₀ was associated with -0.11 s to complete the ZigZag test, whereas 1 W·kg^-1 and 1% increase in P_max and RF_peak were associated with -0.05 and -0.03 s, respectively, to complete the COD test. Horizontal force production during sprinting might play a key role in COD performance. Assessing the horizontal FV profile might help coaches to prescribe a specific training programme to maximize sprint acceleration, which might improve COD performance.

Injury-Inciting Activities in Male and Female Football Players: A Systematic Review

BACKGROUND

A comprehensive examination of the sport-specific activities performed around the time of injury is important to hypothesise injury mechanisms, develop prevention strategies, improve management, and inform future investigations. The aim of this systematic review is to summarise the current literature describing the activities performed around the time of injury in football (soccer).

METHODS

A systematic search was carried out in PubMed, Web of Science, SPORTDiscus, and OpenGrey. Studies were included if participants were football players aged > 13 years old and the activities performed at the time of injury were reported together with the total number of injuries. Risk of bias was assessed using an adapted version of checklists developed for prevalence studies. The activities reported by the studies were grouped to account for inconsistent reporting, and the proportion of each injury activity was calculated. Data were not meta-analysed due to high heterogeneity of methods and classification criteria.

RESULTS

We included 64 studies reporting on 56,740 injuries in total. ACL injures were analysed by 12 studies, ankle/foot and knee injuries were analysed by five studies, thigh injuries were analysed by four studies, hip/groin injuries were analysed by three studies, and hamstring injuries were analysed by two studies. Five studies analysed more than one type of injury and 38 studies did not specify the type of injuries analysed. Running and kicking were the predominant activities leading to thigh and hamstring injuries. Changing direction and kicking were the predominant activities leading to hip and groin injuries and duels were the predominant activities leading to ankle injuries. Duels and pressing seem the predominant activities leading to ACL injuries, while results for other knee and general injuries were inconsistent.

CONCLUSIONS

A qualitative summary of the activities performed at the time of injury has been reported. The results need to be interpreted carefully due to the risk of bias observed in the included studies. If we are to meaningfully progress our knowledge in this area, it is paramount that future research uses consistent methods to record and classify injuries and activities leading up to and performed at the time of injury.

REGISTRATION

The protocol of this systematic review was registered at the Open Science Framework ( https://doi.org/10.17605/OSF.IO/U96KV ).

Effects of the menstrual cycle phase on anterior cruciate ligament neuromuscular and biomechanical injury risk surrogates in eumenorrheic and naturally menstruating women: A systematic review

BACKGROUND

Eumenorrheic women experience cyclic variations in sex hormones attributed to the menstrual cycle (MC) which can impact anterior cruciate ligament (ACL) properties, knee laxity, and neuromuscular function. This systematic review aimed to examine the effects of the MC on ACL neuromuscular and biomechanical injury risk surrogates during dynamic tasks, to establish whether a particular MC phase predisposes women to greater ACL injury risk.

METHODS

PubMed, Medline, SPORTDiscus, and Web of Science were searched (May-July 2021) for studies that investigated the effects of the MC on ACL neuromuscular and biomechanical injury risk surrogates. Inclusion criteria were: 1) injury-free women (18-40 years); 2) verified MC phases via biochemical analysis and/or ovulation kits; 3) examined neuromuscular and/or biomechanical injury risk surrogates during dynamic tasks; 4) compared ≥1 outcome measure across ≥2 defined MC phases.

RESULTS

Seven of 418 articles were included. Four studies reported no significant differences in ACL injury risk surrogates between MC phases. Two studies showed evidence the mid-luteal phase may predispose women to greater risk of non-contact ACL injury. Three studies reported knee laxity fluctuated across the MC; two of which demonstrated MC attributed changes in knee laxity were associated with changes in knee joint loading (KJL). Study quality (Modified Downs and Black Checklist score: 7-9) and quality of evidence were low to very low (Grading of Recommendations Assessment Development and Evaluation: very low).

CONCLUSION

It is inconclusive whether a particular MC phase predisposes women to greater non-contact ACL injury risk based on neuromuscular and biomechanical surrogates. Practitioners should be cautious manipulating their physical preparation, injury mitigation, and screening practises based on current evidence. Although variable (i.e., magnitude and direction), MC attributed changes in knee laxity were associated with changes in potentially hazardous KJLs. Monitoring knee laxity could therefore be a viable strategy to infer possible ACL injury risk.

Difference between preferred and non-preferred leg in peak speed, acceleration, and deceleration variables and their relationships with the change-of-direction deficit

The aim of this study was two-fold: (i) analyze the variation of kinematic measures between using preferred and non-preferred legs while braking during the 5-0-5 change of direction test; and (ii) test the relationships between kinematic measures, and change-of-direction deficit (CODD). A cross-sectional study using twenty adult male soccer players (21.6 ± 2.0 years; 73.2 ± 6.1 kg; 174.8 ± 4.5 cm) was employed. Players performed three repetitions of the 5-0-5 test using each leg during the braking phase. Players have used the Polar Team Pro to obtain the kinematic measures of peak speed, peak acceleration, and peak deceleration. Additionally, the CODD was also obtained using single-beamed photocells. Comparisons revealed a significantly greater peak acceleration (+ 0.22 m/s²; p < 0.001) and deceleration (+ 0.17 m/s²; p = 0.004) for the non-preferred leg. There were no significant correlations were found between CODD and peak accelerations (r = - 0.014, [- 0.193; 0.166]), peak decelerations (r = - 0.052, [- 0.229; 0.128]) or peak speed (r = 0.118, [- 0.063; 0.291]). This study revealed that preferred and non-preferred leg must be analyzed differently since they are different in the kinematic variables. However, CODD seems independent of leg preference and the kinematic measures of a 5-0-5 change of direction test.

Biomechanical Effects of a 6-Week Change of Direction Speed and Technique Modification Intervention: Implications for Change of Direction Side step Performance

ABSTRACT

Dos'Santos, T, Thomas, C, Comfort, P, and Jones, PA. Biomechanical effects of a 6-week change of direction speed and technique modification intervention: implications for change of direction side step performance. J Strength Cond Res 36(10): 2780-2791, 2022-The aim of this study was to evaluate the biomechanical effects of change of direction (COD) speed and technique modification training on COD performance (completion time, ground contact time [GCT], and exit velocity) during 45° (CUT45) and 90° (CUT90) side step cutting. A nonrandomized, controlled 6-week intervention study was administrated. Fifteen male, multidirectional, sport athletes (age, 23.5 ± 5.2 years; height, 1.80 ± 0.05 m; mass, 81.6 ± 11.4 kg) formed the intervention group (IG) who participated in two 30-minute COD speed and technique modification sessions per week, whereas 12 male, multidirectional, sport athletes (age, 22.2 ± 5.0 years; height, 1.76 ± 0.08 m; mass, 72.7 ± 12.4 kg) formed the control group (CG) and continued their normal training. All subjects performed 6 trials of the CUT45 and CUT90 task whereby pre-to-post intervention changes in lower-limb and trunk kinetics and kinematics were evaluated using 3-dimensional motion and ground reaction force analyses. Two-way mixed analysis of variances revealed significant main effects for time (pre-to-post changes) for CUT45 completion time, exit velocity, and CUT90 completion time ( p ≤ 0.045; η 2 = 0.152-0.539), and significant interaction effects of time and group were observed for CUT45 completion time, GCT, exit velocity, and CUT90 completion time ( p ≤ 0.010; η 2 = 0.239-0.483), with the IG displaying superior performance postintervention compared with the CG ( p ≤ 0.109; g = 0.83-1.35). Improvements in cutting performance were moderately to very largely associated ( p ≤ 0.078; r or ρ = 0.469-0.846) with increased velocity profiles, increased propulsive forces over shorter GCTs, and decreased knee flexion. Change of direction speed and technique modification is a simple, effective training method requiring minimal equipment that can enhance COD performance, which practitioners should consider incorporating into their pitch- or court-based training programs.

Biomechanical and Neuromuscular Performance Requirements of Horizontal Deceleration: A Review with Implications for Random Intermittent Multi-Directional Sports

Rapid horizontal accelerations and decelerations are crucial events enabling the changes of velocity and direction integral to sports involving random intermittent multi-directional movements. However, relative to horizontal acceleration, there have been considerably fewer scientific investigations into the biomechanical and neuromuscular demands of horizontal deceleration and the qualities underpinning horizontal deceleration performance. Accordingly, the aims of this review article are to: (1) conduct an evidence-based review of the biomechanical demands of horizontal deceleration and (2) identify biomechanical and neuromuscular performance determinants of horizontal deceleration, with the aim of outlining relevant performance implications for random intermittent multi-directional sports. We highlight that horizontal decelerations have a unique ground reaction force profile, characterised by high-impact peak forces and loading rates. The highest magnitude of these forces occurs during the early stance phase (< 50 ms) and is shown to be up to 2.7 times greater than those seen during the first steps of a maximal horizontal acceleration. As such, inability for either limb to tolerate these forces may result in a diminished ability to brake, subsequently reducing deceleration capacity, and increasing vulnerability to excessive forces that could heighten injury risk and severity of muscle damage. Two factors are highlighted as especially important for enhancing horizontal deceleration ability: (1) braking force control and (2) braking force attenuation. Whilst various eccentric strength qualities have been reported to be important for achieving these purposes, the potential importance of concentric, isometric and reactive strength, in addition to an enhanced technical ability to apply braking force is also highlighted. Last, the review provides recommended research directions to enhance future understanding of horizontal deceleration ability.

Thigh muscle co-contraction patterns in individuals with anterior cruciate ligament reconstruction, athletes and controls during a novel double-hop test

Efficient neuromuscular coordination of the thigh muscles is crucial in maintaining dynamic knee stability and thus reducing anterior cruciate ligament (ACL) injury/re-injury risk. This cross-sectional study measured electromyographic (EMG) thigh muscle co-contraction patterns during a novel one-leg double-hop test among individuals with ACL reconstruction (ACLR; n = 34), elite athletes (n = 22) and controls (n = 24). Participants performed a forward hop followed by a 45° unanticipated diagonal hop either in a medial (UMDH) or lateral direction (ULDH). Medial and lateral quadriceps and hamstrings EMG were recorded for one leg (injured/non-dominant). Quadriceps-to-Hamstring (Q:H) ratio, lateral and medial Q:H co-contraction indices (CCIs), and medial-to-lateral Q:H co-contraction ratio (CCR; a ratio of CCIs) were calculated for three phases (100 ms prior to landing, initial contact [IC] and deceleration phases) of landing. We found greater activity of the quadriceps than the hamstrings during the IC and deceleration phases of UMDH/ULDH across groups. However, higher co-contraction of medial rather than lateral thigh muscles during the deceleration phase of landing was found; if such co-contraction patterns cause knee adduction, a putative mechanism to decrease ACL injury risk, during the deceleration phase of landing across groups warrants further investigation.

Reliability of a Qualitative Instrument to Assess High-Risk Mechanisms during a 90° Change of Direction in Female Football Players

Sidestep cuts between 60° and 180° and one-leg landings have been identified as the main mechanisms of ACL injuries in several sports. This study sought to determine intra- and inter-rater reliability of a qualitative tool to assess high-risk movements in a 90° change of direction when the test is applied in a real framework of sport practice. Female footballers from two teams (n = 38) participated in this study and were asked to perform 90° cutting trials to each side, which were simultaneously filmed from a frontal and a sagittal view. A total of 61 cases were selected for 2D qualitative observational analysis by three raters. Poor reliability was found among each pair of raters as well as moderate reliability when the Cutting Movement Assessment Score (CMAS) was given by the same rater at different moments, but with too high a minimum detectable change. On the other hand, raters presented a significant, as well as moderate-to-good intra-rater reliability for most items of the CMAS tool. There was, however, non-significant reliability between observers in rating most check-points of the tool. For these reasons, more objective guidelines and clearer definitions for each criterion within the CMAS, as well as a longer, standardised training period for novel observers, would be highly recommended to improve the reliability of this tool in an applied context with female footballers.

Is There a Sex Difference in Trunk Neuromuscular Control among Recreational Athletes during Cutting Maneuvers?

Trunk motion is most likely to influence knee joint injury risk, but little is known about sex-related differences in trunk neuromuscular control during changes of direction. The purpose of the present study was to test whether differences in trunk control between males and females during changes of direction exist. Twelve female and 12 male recreational athletes (with at least 10 years of experience in team sport) performed unanticipated changes of direction with 30° and 60° cut angles, while 3D trunk and leg kinematics, ground reaction forces and trunk muscles electromyography were recorded. Trunk kinematics at the time of peak knee abduction moment and directed co-contraction ratios for trunk muscles during the pre-activation and weight acceptance phases were determined. None of the trunk kinematics and co-contraction ratio variables, nor peak knee abduction moment differed between sexes. Compared to the 30° cut, trunk lateral flexion remained unchanged and trunk external rotation was reduced (p < 0.001; η²_p (partial eta squared for effect size) = 0.78), while peak knee abduction moment was increased (p < 0.001; η²_p = 0.84) at 60°. The sharper cutting angle induced muscle co-contraction during the pre-activation directed less towards trunk flexors (p < 0.01; η²_p = 0.27) but more towards trunk medial flexors and rotators opposite to the movement direction (p < 0.001; η²_p > 0.46). However, muscle co-contraction during the weight acceptance phase remained comparable between 30° and 60°. The lack of sex-related differences in trunk control does not explain knee joint injury risk discrepancies between sexes during changes of direction. Trunk neuromuscular strategies during sharper cutting angles revealed the importance of external oblique muscles to maintain trunk lateral flexion at the expense of trunk rotation. This provides new information for trunk strength training purposes for athletes performing changes of direction.

Deceleration Training in Team Sports: Another Potential 'Vaccine' for Sports-Related Injury?

High-intensity horizontal decelerations occur frequently in team sports and are typically performed to facilitate a reduction in momentum preceding a change of direction manoeuvre or following a sprinting action. The mechanical underpinnings of horizontal deceleration are unique compared to other high-intensity locomotive patterns (e.g., acceleration, maximal sprinting speed), and are characterised by a ground reaction force profile of high impact peaks and loading rates. The high mechanical loading conditions observed when performing rapid horizontal decelerations can lead to tissue damage and neuromuscular fatigue, which may diminish co-ordinative proficiency and an individual’s ability to skilfully dissipate braking loads. Furthermore, repetitive long-term deceleration loading cycles if not managed appropriately may propagate damage accumulation and offer an explanation for chronic aetiological consequences of the ‘mechanical fatigue failure’ phenomenon. Training strategies should look to enhance an athlete’s ability to skilfully dissipate braking loads, develop mechanically robust musculoskeletal structures, and ensure frequent high-intensity horizontal deceleration exposure in order to accustom individuals to the potentially damaging effects of intense decelerations that athletes will frequently perform in competition. Given the apparent importance of horizontal decelerations, in this Current Opinion article we provide considerations for sport science and medicine practitioners around the assessment, training and monitoring of horizontal deceleration. We feel these considerations could lead to new developments in injury-mitigation and physical development strategies in team sports.

The effect of angle on change of direction biomechanics: Comparison and inter-task relationships

The aim of this was study to examine the inter-task relationships and compare change of direction (COD) biomechanics between different angles (45°, 90°, and 180°). Twenty-seven men performed three COD tasks, whereby lower-limb and trunk kinematics and kinetics were assessed via 3D motion and ground reaction force (GRF) analysis. Key mechanical differences (p ≤ 0.025, η² = 0.024-0.940) in velocity profiles, GRF, sagittal joint angles and moments, multiplanar knee joint moments, and technical parameters existed between CODs. The primary findings were that as COD angle increased, velocity profiles decreased (p < 0.001, d = 1.56-8.96), ground contact times increased (p < 0.001, d = 3.00-5.04), vertical GRF decreased (p < 0.001, d = 0.87-3.48), and sagittal peak knee joint moments decreased (p ≤ 0.040, d = 0.62-2.73). Notably, the greatest peak knee internal rotation (KIRMs) and abduction moments (KAMs) and angles were observed during the 90° COD (p < 0.001, d = 0.88-1.81), indicating that this may be the riskiest COD angle. Small to very large (r = 0.260-0.702) associations in KAMs and KIRMs were observed between tasks, indicating that evaluations at different angles are needed to develop an athlete's biomechanical injury risk profile. The results support the concept that COD biomechanics and potential surrogates of non-contact anterior cruciate ligament injury risk are "angle-dependent"; which have important implications for COD coaching, screening, and physical preparation.

Change of Direction Speed and Technique Modification Training Improves 180° Turning Performance, Kinetics, and Kinematics

This study aimed to examine the effects of change of direction (COD) speed and technique modification training on 180° turning performance (completion time, ground contact time [GCT], and exit velocity), kinetics, and kinematics. A non-randomised 6 week intervention study was administered. Thirteen male multidirectional sport athletes formed the intervention group (IG), participating in two COD speed and technique modification sessions per week. A total of 12 male multidirectional sport athletes formed the control group (CG). All subjects performed six modified 505 trials, whereby pre-to-post-intervention biomechanical changes were evaluated using three-dimensional motion analysis. Two-way mixed analysis of variances revealed significant interaction effects (group × time) for completion time, mean horizontal propulsive force (HPF), horizontal to vertical mean braking and propulsive force ratios for the penultimate (PFC) and final foot contact (FFC), FFC peak knee flexion and PFC hip flexion angle (p ≤ 0.040, η² = 0.170–0.417). The IG displayed small to large improvements post-intervention in these aforementioned variables (p ≤ 0.058, g = 0.49–1.21). Turning performance improvements were largely to very largely (p ≤ 0.062, r or ρ = 0.527–0.851) associated with increased mean HPF, more horizontally orientated FFC propulsive force and PFC braking force, and greater pelvic rotation, PFC hip flexion, and PFC velocity reductions. COD speed and technique modification is a simple, effective training strategy that enhances turning performance.

The Biomechanical Characterization of the Turning Phase during a 180° Change of Direction

The aim of this study was to characterize the turning phase during a modified 505 test. Forty collegiate basketball students, divided into faster and slower performers and high-playing-level and low-playing-level groups, were evaluated for the force-time characteristics (braking and/or propulsive phase) of the penultimate foot contact (PFC), final foot contact (FFC), and first accelerating foot contact (AFC), and for completion time and approach velocity. Based on the composition of the AFC, trials were classified as braking/propulsive or only propulsive. Regression analysis for the prediction of completion time was performed. The AFC contributed to reacceleration through shorter contact times and step length, and lower braking force production (p < 0.05). Faster performers and the high-playing-level group demonstrated (p < 0.05): lower completion times, higher approach velocities, longer steps length in the PFC and FFC, greater braking forces and impulses in the PFC; greater braking and propulsive forces, braking impulses, lower contact times in the FFC; greater braking and propulsive horizontal forces, horizontal impulses, lower contact times and vertical impulses in the AFC. Kinetic variables from only the FFC and AFC and approach velocity predicted 75% (braking/propulsive trials) and 76.2% (only-propulsive trials) of completion times. The characterization of the turning phase demonstrated the specific contribution of each foot contact and the possible implications for training prescription.

Biomechanical Determinants of Performance and Injury Risk During Cutting: A Performance-Injury Conflict?

BACKGROUND

Most cutting biomechanical studies investigate performance and knee joint load determinants independently. This is surprising because cutting is an important action linked to performance and non-contact anterior cruciate ligament (ACL) injuries. The aim of this study was to investigate the relationship between cutting biomechanics and cutting performance (completion time, ground contact time [GCT], exit velocity) and surrogates of non-contact ACL injury risk (knee abduction [KAM] and internal rotation [KIRM] moments) during 90° cutting.

DESIGN

Mixed, cross-sectional study following an associative design. 61 males from multidirectional sports performed six 90° pre-planned cutting trials, whereby lower-limb and trunk kinetics and kinematics were evaluated using three-dimensional (3D) motion and ground reaction force analysis over the penultimate (PFC) and final foot contact (FFC). Pearson's and Spearman's correlations were used to explore the relationships between biomechanical variables and cutting performance and injury risk variables. Stepwise regression analysis was also performed.

RESULTS

Faster cutting performance was associated (p ≤ 0.05) with greater centre of mass (COM) velocities at key instances of the cut (r or ρ = 0.533-0.752), greater peak and mean propulsive forces (r or ρ = 0.449-0.651), shorter FFC GCTs (r or ρ = 0.569-0.581), greater FFC and PFC braking forces (r = 0.430-0.551), smaller hip and knee flexion range of motion (r or ρ = 0.406-0.670), greater knee flexion moments (KFMs) (r = 0.482), and greater internal foot progression angles (r = - 0.411). Stepwise multiple regression analysis revealed that exit velocity, peak resultant propulsive force, PFC mean horizontal braking force, and initial foot progression angle together could explain 64% (r = 0.801, adjusted 61.6%, p = 0.048) of the variation in completion time. Greater peak KAMs were associated with greater COM velocities at key instances of the cut (r or ρ = - 0.491 to - 0.551), greater peak knee abduction angles (KAA) (r = - 0.468), and greater FFC braking forces (r = 0.434-0.497). Incidentally, faster completion times were associated with greater peak KAMs (r = - 0.412) and KIRMs (r = 0.539). Stepwise multiple regression analysis revealed that FFC mean vertical braking force and peak KAA together could explain 43% (r = 0.652, adjusted 40.6%, p < 0.001) of the variation peak KAM.

CONCLUSION

Techniques and mechanics associated with faster cutting (i.e. faster COM velocities, greater FFC braking forces in short GCTs, greater KFMs, smaller hip and knee flexion, and greater internal foot progression angles) are in direct conflict with safer cutting mechanics (i.e. reduced knee joint loading, thus ACL injury risk), and support the "performance-injury conflict" concept during cutting. Practitioners should be conscious of this conflict when instructing cutting techniques to optimise performance while minimising knee joint loading, and should, therefore, ensure that their athletes have the physical capacity (i.e. neuromuscular control, co-contraction, and rapid force production) to tolerate and support the knee joint loading during cutting.

Effects of Strength vs. Plyometric Training on Change of Direction Performance in Experienced Soccer Players

The purpose of this study was to compare how 6 weeks of strength- vs. plyometric training, which were matched upon direction of motion and workload, influences change of direction (COD) performance. Twenty-one experienced male soccer players (age: 22.2 ± 2.7) were pair-matched into a strength- (n = 10) and a plyometric (n = 11) training group. CODs of 45°, 90°, 135° and 180° performed from either a 4 m or 20 m approach distance were compared before and after intervention. Results showed no significant difference between groups. Significant effects were only found within the plyometric training group (−3.2% to −4.6%) in 90°, 135° and 180° CODs from 4 m and a 180° COD from a 20 m approach distance. Individual changes in COD performances showed that with the 4 m approach at least 55% and 81% of the strength and plyometric training group, respectively, improved COD performance, while with the 20 m approach at least 66% of both groups improved performance. This study showed that the plyometric training program can improve most CODs, with angles over 90°, although this is dependent on the distance approaching the COD. Considering the limited time of implementing physical conditioning, in addition to regular soccer practice in most soccer environments, the current plyometric training program can be advantageous in improving CODs at maximal intensity.

Biomechanical Determinants of the Modified and Traditional 505 Change of Direction Speed Test

Dos'Santos, T, McBurnie, A, Thomas, C, Comfort, P, and Jones, PA. Biomechanical determinants of the modified and traditional 505 change of direction speed test. J Strength Cond Res 34(5): 1285-1296, 2020-The aim of this study was to investigate the whole-body biomechanical determinants of 180° change of direction (COD) performance. Sixty-one male athletes (age: 20.7 ± 3.8 years, height: 1.77 ± 0.06 m, mass: 74.7 ± 10.0 kg) from multiple sports (soccer, rugby, and cricket) completed 6 trials of the modified and traditional 505 on their right leg, whereby 3D motion and ground reaction force data were collected during the COD. Pearson's and Spearman's correlations were used to explore the relationships between biomechanical variables and COD completion time. Independent t-tests and Hedges' g effect sizes were conducted between faster (top 20) and slower (bottom 20) performers to explore differences in biomechanical variables. Key kinetic and kinematic differences were demonstrated between faster and slower performers with statistically significant (p ≤ 0.05) and meaningful differences (g = 0.56-2.70) observed. Faster COD performers displayed greater peak and mean horizontal propulsive forces (PF) in shorter ground contact times, more horizontally orientated peak resultant braking and PFs, greater horizontal to vertical mean and peak braking and PF ratios, greater approach velocities, and displayed greater reductions in velocity over key instances of the COD. In addition, faster performers displayed greater penultimate foot contact (PFC) hip, knee, and ankle dorsi-flexion angles, greater medial trunk lean, and greater internal pelvic and foot rotation. These aforementioned variables were also moderately to very largely (r or ρ = 0.317-0.795, p ≤ 0.013) associated with faster COD performance. Consequently, practitioners should focus not only on developing their athletes' ability to express force rapidly, but also develop their technical ability to apply force horizontally. In addition, practitioners should consider coaching a 180° turning strategy that emphasizes high PFC triple flexion for center of mass lowering while also encouraging whole-body rotation to effectively align the body toward the exit for faster performance.

The Deceleration Deficit: A Novel Field-Based Method to Quantify Deceleration During Change of Direction Performance

Clarke, R, Read, PJ, De Ste Croix, MBA, and Hughes, JD. The deceleration deficit: a novel field-based method to quantify deceleration during change of direction performance. J Strength Cond Res XX(X): 000-000, 2020-The study investigated the relationship between linear and change of direction (COD) speed performance components and the individual differences between deceleration deficit (DD) and COD deficit (CODD). Thirty-six subjects (mean ± SD: age = 20.3 ± 2.9 years; stature = 175.2 ± 7.7 cm; and body mass = 78.0 ± 16.7 kg) completed 3 trials of a 505 test in both turning directions (dominant [D]; nondominant [ND]) and 3 15-m linear sprints. Deceleration deficit was calculated by the 15-m approach in the 505 test, minus the athlete's linear 15-m sprint time. To compare individuals CODD and DD, z-scores were calculated, and moderate worthwhile changes (MWCs) were identified between these deficit z-scores. Significant correlations were identified between linear sprints and 505 time (D: r = 0.71, 0.74; P < 0.01. ND: r = 0.76, 0.75; P < 0.01) for 10-m and 15-m sprint. respectively, and between 505 performance and CODD (D: r = 0.74; P < 0.01. ND: r = 0.77; P < 0.01) and DD (D: r = 0.41, P < 0.05. ND: r = 0.44, P < 0.01). Deceleration deficit was significantly related to CODD (D: r = 0.59; P < 0.01. ND: r = 0.62; P < 0.01); however, 78% of subjects demonstrated differences between these deficit measures greater than an MWC. In conclusion, linear speed has the strongest significant relationship with 505 performance. Deceleration deficit could provide a more isolated construct than CODD which may be related to an athlete's deceleration capabilities.

High-Intensity Acceleration and Deceleration Demands in Elite Team Sports Competitive Match Play: A Systematic Review and Meta-Analysis of Observational Studies

BACKGROUND

The external movement loads imposed on players during competitive team sports are commonly measured using global positioning system devices. Information gleaned from analyses is employed to calibrate physical conditioning and injury prevention strategies with the external loads imposed during match play. Intense accelerations and decelerations are considered particularly important indicators of external load. However, to date, no prior meta-analysis has compared high and very high intensity acceleration and deceleration demands in elite team sports during competitive match play.

OBJECTIVE

The objective of this systematic review and meta-analysis was to quantify and compare high and very high intensity acceleration vs. deceleration demands occurring during competitive match play in elite team sport contexts.

METHODS

A systematic review of four electronic databases (CINAHL, MEDLINE, SPORTDiscus, Web of Science) was conducted to identify peer-reviewed articles published between January 2010 and April 2018 that had reported higher intensity (> 2.5 m·s-2) accelerations and decelerations concurrently in elite team sports competitive match play. A Boolean search phrase was developed using key words synonymous to team sports (population), acceleration and deceleration (comparators) and match play (outcome). Articles only eligible for meta-analysis were those that reported either or both high (> 2.5 m·s-2) and very high (> 3.5 m·s-2) intensity accelerations and decelerations concurrently using global positioning system devices (sampling rate: ≥ 5 Hz) during elite able-bodied (mean age: ≥ 18 years) team sports competitive match play (match time: ≥ 75%). Separate inverse random-effects meta-analyses were conducted to compare: (1) standardised mean differences (SMDs) in the frequency of high and very high intensity accelerations and decelerations occurring during match play, and (2) SMDs of temporal changes in high and very high intensity accelerations and decelerations across first and second half periods of match play. Using recent guidelines recommended for the collection, processing and reporting of global positioning system data, a checklist was produced to help inform a judgement about the methodological limitations (risk of detection bias) aligned to 'data collection', 'data processing' and 'normative profile' for each eligible study. For each study, each outcome was rated as either 'low', 'unclear' or 'high' risk of bias.

RESULTS

A total of 19 studies met the eligibility criteria, comprising seven team sports including American Football (n = 1), Australian Football (n = 2), hockey (n = 1), rugby league (n = 4), rugby sevens (n = 3), rugby union (n = 2) and soccer (n = 6) with a total of 469 male participants (mean age: 18-29 years). Analysis showed only American Football reported a greater frequency of high (SMD = 1.26; 95% confidence interval [CI] 1.06-1.43) and very high (SMD = 0.19; 95% CI - 0.42 to 0.80) intensity accelerations compared to decelerations. All other sports had a greater frequency of high and very high intensity decelerations compared to accelerations, with soccer demonstrating the greatest difference for both the high (SMD = - 1.74; 95% CI - 1.28 to - 2.21) and very high (SMD = - 3.19; 95% CI - 2.05 to - 4.33) intensity categories. When examining the temporal changes from the first to the second half periods of match play, there was a small decrease in both the frequency of high and very high intensity accelerations (SMD = 0.50 and 0.49, respectively) and decelerations (SMD = 0.42 and 0.46, respectively). The greatest risk of bias (40% 'high' risk of bias) observed across studies was in the 'data collection' procedures. The lowest risk of bias (35% 'low' risk of bias) was found in the development of a 'normative profile'.

CONCLUSIONS

To ensure that elite players are optimally prepared for the high-intensity accelerations and decelerations imposed during competitive match play, it is imperative that players are exposed to comparable demands under controlled training conditions. The results of this meta-analysis, accordingly, can inform practical training designs. Finally, guidelines and recommendations for conducting future research, using global positioning system devices, are suggested.

The Effect of Training Interventions on Change of Direction Biomechanics Associated with Increased Anterior Cruciate Ligament Loading: A Scoping Review

Change of direction (COD) manoeuvres are associated with anterior cruciate ligament (ACL) injury risk due to the propensity to generate large multiplanar knee joint loads. Given the short- and long-term consequences of ACL injury, practitioners are interested in methods that reduce knee joint loads and subsequent ACL loading. An effective strategy to reduce ACL loading is modifying an athlete's movement mechanics to reduce knee joint loading. The purpose of this scoping review was to critically appraise and comprehensively synthesise the existing literature related to the effects of training interventions on COD biomechanics associated with increased knee joint loads and subsequent ACL loading, and identify gaps and recommend areas for future research. A review of the literature was conducted using Medline and Sport DISCUS databases. Inclusion criteria consisted of pre-post analysis of a COD task, a minimum 4-week training intervention, and assessments of biomechanical characteristics associated with increased ACL loading. Of the 1,027 articles identified, 22 were included in the scoping review. Based on current literature, balance training and COD technique modification are the most effective training modalities for reducing knee joint loading (small to moderate effect sizes). One study reported dynamic core stability training was effective in reducing knee joint loads, but further research is needed to definitively confirm the efficacy of this method. Perturbation-enhanced plyometric training, the F-MARC 11 + soccer specific warm-up, Oslo Neuromuscular warm-up, and resistance training are ineffective training modalities to reduce COD knee joint loads. Conflicting findings have been observed for the Core-Pac and mixed training programme. Consequently, practitioners should consider incorporating balance and COD technique modification drills into their athletes' training programmes to reduce potentially hazardous knee joint loads when changing direction. However, training intervention studies can be improved by investigating larger sample sizes (> 20), including a control group, acknowledging measurement error when interpreting their findings, and considering performance implications, to confirm the effectiveness of training interventions and improve adherence.

The Effects of Six-Weeks Change of Direction Speed and Technique Modification Training on Cutting Performance and Movement Quality in Male Youth Soccer Players

Cutting manoeuvres are important actions associated with soccer performance and a key action associated with non-contact anterior cruciate ligament injury; thus, training interventions that can improve cutting performance and movement quality are of great interest. The aim of this study, therefore, was to determine the effects of a six-week change of dire[ction (COD) speed and technique modification training intervention on cutting performance and movement quality in male youth soccer players (U17s, n = 8) in comparison to a control group (CG) (U18s, n = 11) who continued ‘normal’ training. Cutting performance was assessed based on completion time and COD deficit, and the field-based cutting movement assessment score (CMAS) qualitative screening tool was used to assess cutting movement quality. Significant main effects for time (pre-to-post changes) (p ≤ 0.041, η² = 0.224–0.839) and significant interaction effects of time and group were observed for cutting completion times, COD deficits, and CMASs. Improvements in completion time (p < 0.001, g = 1.63–1.90, −9% to −11% vs. −5% to 6%) and COD deficit (p ≤ 0.012, g = −1.63 to −2.43, −40–52% vs. −22% to −28%) for the COD intervention group (IG) were approximately two-times greater than the CG. Furthermore, lower CMASs (i.e., improved cutting movement quality) were only observed in the IG (p ≤ 0.025, g = −0.85 to −1.46, −23% to −34% vs. 6–19%) compared to the CG. The positive changes in CMASs were attributed to improved cutting technique and reduced incidences of high-risk deficits such as lateral trunk flexion, extended knee postures, knee valgus, hip internal rotation, and improved braking strategies. The results of this study indicate that COD speed and technique modification training, in addition to normal skills and strength training, improves cutting performance and movement quality in male youth soccer players. Practitioners working with male youth soccer players should implement COD speed and technique modification training to improve cutting performance and movement quality, which may decrease potential injury-risk.

Biomechanical Associates of Performance and Knee Joint Loads During A 70-90° Cutting Maneuver in Subelite Soccer Players

McBurnie, AJ, Dos'Santos, T, Jones, PA. Biomechanical associates of performance and knee joint loads during a 70-90° cutting maneuver in subelite soccer players. J Strength Cond Res XX(X): 000-000, 2019-The aim of this study was to explore the "performance-injury risk" conflict during cutting, by examining whole-body joint kinematics and kinetics that are responsible for faster change-of-direction (COD) performance of a cutting task in soccer players, and to determine whether these factors relate to peak external multiplanar knee moments. 34 male soccer players (age: 20 ± 3.2 years; body mass: 73.5 ± 9.2 kg; height: 1.77 ± 0.06 m) were recruited to investigate the relationships between COD kinetics and kinematics with performance and multiplanar knee joint moments during cutting. Three-dimensional motion data using 10 Qualisys Oqus 7 infrared cameras (240 Hz) and ground reaction force data from 2 AMTI force platforms (1,200 Hz) were collected to analyze the penultimate foot contact and final foot contact (FFC). Pearson's or Spearman's correlations coefficients revealed performance time (PT), peak external knee abduction moment (KAM), and peak external knee rotation moment (KRM) were all significantly related (p < 0.05) to horizontal approach velocity (PT: ρ = -0.579; peak KAM: ρ = 0.414; peak KRM: R = -0.568) and FFC peak hip flexor moment (PT: ρ = 0.418; peak KAM: ρ = -0.624; peak KRM: ρ = 0.517). Performance time was also significantly (p < 0.01) associated with horizontal exit velocity (ρ = -0.451) and, notably, multiplanar knee joint loading (peak KAM: ρ = -0.590; peak KRM: ρ = 0.525; peak KFM: ρ = -0.509). Cohen's d effect sizes (d) revealed that faster performers demonstrated significantly greater (p < 0.05; d = 1.1-1.7) multiplanar knee joint loading, as well as significantly greater (p < 0.05; d = 0.9-1.2) FFC peak hip flexor moments, PFC average horizontal GRFs, and peak knee adduction angles. To conclude, mechanics associated with faster cutting performance seem to be "at odds" with lower multiplanar knee joint loads. This highlights the potential performance-injury conflict present during cutting.