SynthesisSports medicine (Auckland, N.Z.)2025
Effects of Anticipation and Dual-Tasking on Lower Limb Biomechanics While Performing Change-of-Direction Tasks in Physically Active Individuals: A Systematic Review with Meta-Analysis.
Synthesis in Sports medicine (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Unplanned movement tasks requiring rapid decision-making: a scoping review of study characteristics and methodological approaches.BMC sports science, medicine & rehabilitation · 2026Pooled it
- Effects of sport specific unplanned movements on ankle kinetics and kinematics in healthy athletes from systematic review with meta-analysis.Scientific reports · 2025Pooled it
- Pooled it
- Lower-limb biomechanical alterations across movement tasks in individuals with chronic ankle instability: An umbrella review of systematic reviews and meta-analyses.Mechanobiology in medicine · 2026Review
- Anterior cruciate ligament rupture during a cognitively demanding change-of-direction task in football: biomechanical insights from a laboratory injury.BMC musculoskeletal disorders · 2026Article
- Inter-individual differences in cognitive function modulate preparatory kinematics during cognitively challenging change-of-direction tasks.Frontiers in sports and active living · 2026Article
- Baseline cognitive performance moderates ACL injury-related knee biomechanics during unanticipated sidestep cutting in highly trained male soccer players.Frontiers in physiology · 2026Article
- Anticipation-angle interaction identifies 45° unanticipated change of direction as a high-demand movement with altered ACL injury-related biomechanical characteristics.Frontiers in bioengineering and biotechnology · 2026Article
- Discriminative efficacy and comparative analysis of functional performance tests for lower-limb injuries in Chinese elite female basketball athletes: a pilot cross-sectional study.BMC musculoskeletal disorders · 2025Article
- Effects of increasing cognitive demands through expanding movement options on biomechanics during changes of direction in female football players.Scientific reports · 2025Article
- Effects of a Multicomponent Periodized Program in Kinematic and Muscle Activity Characteristics Related to Anterior Cruciate Ligament Injury Mechanism in College Football Players-A Controlled Trial.Journal of functional morphology and kinesiology · 2025Article
- Influence of selected cognitive performances on musculoskeletal injury occurrence in adult male professional Slovenian PrvaLiga football players in a prospective cohort study.Scientific reports · 2025Article
- Differences in Kinematic and Muscle Activity Between ACL Injury Risk and Healthy Players in Female Football: Influence of Change of Direction Amplitude in a Cross-Sectional Case-Control Study.Medicina (Kaunas, Lithuania) · 2025Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnterior cruciate ligament (ACL) injuries are highly prevalent in team sport athletes and often occur while performing change-of-direction (COD) tasks in combination with high cognitive demands, such as decision making or divided attention. Given the expanding body of research in this field, an updated literature review is warranted, as the most recent meta-analysis on this topic included original studies published up to November 2020.
objectiveThe aim of this systematic review was to examine the effects of anticipation and/or dual-tasking on lower limb biomechanics during COD tasks in healthy individuals.
designSystematic review with meta-analysis. DATA SOURCES: A systematic literature search was conducted in the electronic databases PubMed, Web of Science, CINAHL and SPORTDiscus from inception until February 2024. The included studies examined the effects of anticipation and/or dual-tasking on knee kinetics and kinematics in the frontal and sagittal planes during COD tasks.
methodsA multilevel meta-analysis was performed to aggregate the results of studies comparing unanticipated versus anticipated CODs on lower limb biomechanics. Due to the limited available literature on dual-task versus single-task conditions, this aspect was analyzed qualitatively.
resultsThe meta-analysis included 17 studies involving 355 individuals from different sports (e.g., soccer, American Football). No statistically significant differences were found between unanticipated and anticipated CODs for knee abduction and flexion moments as well as knee abduction angles (p > 0.05). Significantly higher knee flexion angles were found in unanticipated CODs (SMD = 0.74, 95% CI: 0.30-1.19; p < 0.01). Qualitative analyses of six studies including 171 individuals provided initial evidence for higher knee abduction moments and flexion angles during anticipated CODs while performing a secondary task concurrently.
conclusionFindings from quantitative and qualitative analyses indicate that anticipation and dual-tasking during COD performance have an impact on injury-related aspects of lower limb biomechanics. Hence, cognitive challenges should be implemented in injury risk screening and preventive strategies. Further studies with high methodological quality are needed to improve the understanding of the biomechanical and cognitive interplay in injury-threatening situations. PROSPERO REGISTRATION NUMBER: CRD42023433074. DATE OF REGISTRATION: 13.10.2023.
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