Evidence map›Paper›PMID 41777432›Full record

ArticleInternational journal of sports physical therapy2026

Trunk and Lower Limb Mechanics during Multi-Directional Cutting in Dominant and Non-dominant Limbs of Athletes: Implications for Anterior Cruciate Ligament Injury Risk.

Dimas Sondang Irawan, Komsak Sinsurin, Roongtiwa Vachalathiti, Jim Richards, Ainthira Sonsukong

Abstract read
In one paragraph

Article in International journal of sports physical therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dimas Sondang IrawanPhysical Therapy Department University of Muhammadiyah Malang.ORCID https://orcid.org/0000-0001-6560-3409
Komsak SinsurinBiomechanics and Sports Research Unit, Faculty of Physical Therapy Mahidol University.ORCID https://orcid.org/0000-0002-4632-3230
Roongtiwa VachalathitiMusculoskeletal Physical Therapy Research Unit, Faculty of Physical Therapy Mahidol University.ORCID https://orcid.org/0000-0002-4626-1463
Jim RichardsSchool of Health, Social Work and Sport University of Lancashire.ORCID https://orcid.org/0000-0002-4004-3115
Ainthira SonsukongBiomechanics and Sports Research Unit, Faculty of Physical Therapy Mahidol University.ORCID https://orcid.org/0009-0000-4165-632X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Understanding the influence of limb dominance and cutting angles on trunk and lower limb biomechanics and trunk muscle activation during multidirectional change of direction (COD) may provide insights into anterior cruciate ligament (ACL) injury risk and preventive management. Hypothesis/Purpose: This study aimed to investigate the influence of limb dominance and cutting angles on trunk and lower limb biomechanics and trunk muscle activation during multidirectional COD tasks in male athletes. It was hypothesized that the dominant limb (DL) and non-dominant limb (NDL) would exhibit notable variations in muscle activation and biomechanics across cutting angles, which could have implications for training and injury prevention. Study design: Cross-sectional, observational cohort. Methods: Twenty male collegiate athletes performed side-step cutting tasks at 30°, 60°, and 90° angles using their DL and NDL limbs. Three-dimensional motion capture, ground reaction force (GRF) data, and surface electromyography (EMG) of trunk and lower limb muscles were collected. A two-way repeated-measures ANOVA (2 × 3, limb dominance × cutting angle) was used for statistical analysis. Results: Cutting angles significantly influenced trunk and lower limb biomechanics. Sharper cuts angles (especially 90°) showed significantly diminished trunk and lower limb sagittal-plane motion (p < 0.05) and significantly greater frontal and transverse plane demands (p < 0.05), including increased trunk lean, hip abduction, and internal rotation moments. Limb dominance also demonstrated specific effects; DL showed a significant effect on trunk flexion, trunk rotation, whereas the NDL showed significantly greater ankle external rotation at peak vertical GRF. Muscle activation patterns varied by limb and direction; the NDL exhibited higher gluteus medius and left external oblique activation than the DL. Conclusion: Although cutting angle had the most profound impact on biomechanics, limb dominance demonstrated meaningful differences in trunk control and muscle activation strategies. These asymmetries may influence ACL injury risk profiles and should be considered in sport-specific training and rehabilitation programs. Level of evidence: 3.

Indexed as

ACL injury riskcore stabilitycutting mechanicslimb dominancemuscle activiation

Identifiers

PMID41777432
PMCPMC12952934

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.