Is there association between cutting and jump-landing movement quality in semi-professional football players? Implications for ACL injury risk screening.

OBJECTIVES: To investigate the relationship between the Landing Error Scoring System (LESS) and Cutting Movement Assessment Score (CMAS) to evaluate movement quality, their intra- (INTRAob) and inter-observer (INTERob) reliability, and the comparison between the two drop vertical jump (DVJ) landings (1st and 2nd). DESIGN: Cross-sectional. PARTICIPANTS: 42 male semi-professional soccer players performed three trials of DVJ and 70° change of direction with a ball located as an external focus. MAIN OUTCOME MEASURES: Movement quality was evaluated through 2D video footage using the CMAS and LESS, screened by two observers. Relational, comparative and reliability analyses were conducted. RESULTS: Both tools showed moderate to substantial (ICC = 0.58-0.71), and substantial to almost perfect (ICC = 0.68-0.87) INTRAob and INTERob reliability, respectively. No significant associations were found among CMAS, LESS 1st and 2nd for either scores or risk profiles (r = -0.158-0.202, p > 0.05). LESS 2nd was moderately higher (ES = 0.80-0.83, p = 0.002-0.007) than 1st scores. CONCLUSIONS: CMAS and LESS are reliable tools to evaluate movement quality, although evaluations should be preferably performed by the same observer; ACL injury risk profile's is task-dependent; both landings of the DVJ should be assessed as they represent different biomechanical and neuromuscular control deficits.

The Safe Landing warm up technique modification programme: An effective anterior cruciate ligament injury mitigation strategy to improve cutting and jump-movement quality in soccer players.

The objective of the study was to evaluate the effectiveness of the Safe Landing (SL), a 6-week technique-modification (TM) programme, on cutting and jump-landing movement quality in football players. In a non-randomized design, 32 male semi-professional football players from two Spanish clubs participated in the study: one served as the control group (CG, n = 11), while the other performed the SL (n = 15). Performance and movement quality of drop vertical jump and 70º change of direction (COD70) were evaluated through 2D video footage pre- and post-intervention. In such tasks, the Landing Error Scoring System for first (LESS1) and second (LESS2) landings, and the Cutting Movement Assessment Score (CMAS) were used for assessing movement quality. Pre-to-post changes and baseline-adjusted ANCOVA were used. Medium-to-large differences between groups at post-test were shown in CMAS, LESS1 and LESS2 (p < 0.082, Õ²2 = 0.137-0.272), with small-to-large improvements in SL (p < 0.046, ES=0.546-1.307), and CG remaining unchanged (p > 0.05) pre-to-post. In COD70 performance, large differences were found between groups (p < 0.047, Õ²2 = 0.160-0.253), with SL maintaining performance (p > 0.05, ES=0.039-0.420), while CG moderately decreasing performance (p = 0.024, ES=0.753) pre-to-post. The SL is a feasible and effective TM program to improve movement quality and thus potential injury risk in cutting and landing, while not negatively affecting performance.