{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:10:49Z","timestamp":1790925049828,"version":"4.1.0"},"reference-count":146,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sports Med"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Various exercise interventions are recommended to reduce the risk of anterior cruciate ligament (ACL) injury in females. However, the extent to which these training interventions influence lower-limb landing biomechanics in youth female remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This systematic review and meta-analysis aimed to quantitatively summarise the effectiveness of various training interventions on jump-landing biomechanics in youth females.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We systematically searched PubMed, SPORTDiscus, EMBASE and Scopus. Articles were included if they: (1) conducted research on uninjured youth females (reported mean age\u2009&lt;\u200918\u00a0years) with no restriction on playing level\/experience or physical activity level; (2) performed any form of training intervention for\u2009\u2265\u20094\u00a0weeks; (3) reported any lower-limb kinematic (flexion\/extension, adduction\/abduction or internal\/external rotation angles) or kinetic (joint moments or vertical ground reaction forces) data during the landing phase of jump-landing tasks, pre- and post-training intervention for both experimental and control groups, using a two- or three-dimensional motion capture system; (4) were randomised- or non-randomised controlled trials. The quality of the randomised controlled trials was assessed using the Risk of Bias tool 2, whereas the Downs and Black checklist was used for assessing the quality of non-randomised controlled trials. A multi-level meta-analytical model was used for conducting the quantitative analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirteen studies (7 randomised controlled, 6 non-randomised controlled studies) involving 648 female participants were included in the final analyses. With regards to the overall quality of the included studies, three studies had high risk of bias while ten studies had some concerns. As part of the meta-analysis, we were able to analyse seven kinematic variables and two kinetic variables in aggregate. Compared with controls, the experimental group had significantly increased peak knee flexion angle (\n                      <jats:italic>g<\/jats:italic>\n                      \u2009=\u20090.58,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.05) and reduced knee valgus motion (\n                      <jats:italic>g<\/jats:italic>\n                      \u2009=\u2009\u2009\u2212\u20090.86,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.05) post-intervention. The effects on other kinematic and kinetic variables ranged from trivial to moderate and were not significantly altered as a result of various training interventions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings from the synthesised literature indicate that training interventions have small to moderate effects on peak knee flexion angle and knee valgus motion during jumping tasks. However, further research employing more consistent study designs and methodologies is required to better understand the changes in jump-landing biomechanics in the youth female population following training interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40279-025-02190-w","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T12:19:11Z","timestamp":1744892351000},"page":"1265-1292","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Influence of Neuromuscular Training Interventions on Jump-Landing Biomechanics and Implications for ACL Injuries in Youth Females: A Systematic Review and Meta-analysis"],"prefix":"10.1007","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2132-5299","authenticated-orcid":false,"given":"Akhilesh Kumar","family":"Ramachandran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4519-1571","authenticated-orcid":false,"given":"Jason S.","family":"Pedley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2487-0126","authenticated-orcid":false,"given":"Sylvia","family":"Moeskops","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7425-3148","authenticated-orcid":false,"given":"Jon L.","family":"Oliver","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9983-8422","authenticated-orcid":false,"given":"Gregory D.","family":"Myer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hung-I.","family":"Hsiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8560-1566","authenticated-orcid":false,"given":"Rhodri S.","family":"Lloyd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"issue":"2","key":"2190_CR1","doi-asserted-by":"publisher","first-page":"e103","DOI":"10.3928\/01477447-20140124-10","volume":"37","author":"JD Harris","year":"2014","unstructured":"Harris JD, Abrams GD, Bach BR, Williams D, Heidloff D, Bush-Joseph CA, et al. 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Myer consults with commercial entities to support commercialization strategies and applications to the US Food and Drug Administration but has no direct financial interest in the commercialization of the products. Dr. Myer\u2019s institution receives current and ongoing grant funding from National Institutes of Health\/NIAMS Grants U01AR067997, R01 AR070474, R01AR055563, R01AR076153, R01 AR077248, R61AT012421, the Department of Defense W81XWH22C0062 and Arthritis Foundation OACTN. Dr. Myer has received industry-sponsored research funding to his institutions related to injury prevention, sport performance and has current ongoing funding from Arthrex, Inc. to evaluate ACL surgical treatment optimization strategies. Dr. Myer receives author royalties from Human Kinetics and Wolters Kluwer. Dr. Myer is an inventor of biofeedback technologies (patent no. US11350854B2, Augmented and Virtual Reality for Sport Performance and Injury Prevention Application, approval date 06\/07\/2022, Software Copyrighted) designed to enhance rehabilitation and prevent injuries that receives licensing royalties.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Financial Disclosure"}},{"value":"All data and material reported in this systematic review are from peer-reviewed publications and have been included in this study as tables, figures and supplementary material. Any other data requirement can be directed to the corresponding author upon reasonable request.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Data Availability"}},{"value":"Not applicable.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"Not applicable.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"Not applicable.","order":8,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}}]}}