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Effect of head position and dual tasking on landing movement patterns using the Landing Error Scoring System

Effect of head position and dual tasking on double-leg jump-landing and jump height measures in healthy participants: A randomised cross-over study

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12625001299493
Enrollment
35
Registered
2025-11-21
Start date
2024-05-15
Completion date
2024-05-27
Last updated
2025-12-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

In sports where the ball is played overhead, anterior cruciate ligament (ACL) injuries are mostly sustained during landing with athletes looking elsewhere, often with their heads turned. Individuals may also be distracted and have their attention elsewhere. The purpose of this two-part study is to examine the effect of a head-turned position and auditory tone counting on landing movement patterns and jump heights using the Landing Error Scoring System (LESS), as a means of increasing task complexity and sporting relevance to ACL injury screening. We hypothesis that increasing the complexity of the task via head turning and auditory counting will increase the overall landing errors, risk of individuals classified at high risk, and occurrence of individual landing errors, while decreasing jump heights.

Interventions

This is a randomised cross-over study with repeated measures performed in a biomechanics laboratory. Participants will complete the Landing Error Scoring System (LESS) testing procedures, jumping horizontally from a 30-cm box to 50% of their body height and jumping vertically as high as possible upon landing. Participants will jump three times in two conditions for the head turned condition: (1) original control LESS, and (2) with their head turned to approximately 65-90 degrees looking at a vis

This is a randomised cross-over study with repeated measures performed in a biomechanics laboratory. Participants will complete the Landing Error Scoring System (LESS) testing procedures, jumping horizontally from a 30-cm box to 50% of their body height and jumping vertically as high as possible upon landing. Participants will jump three times in two conditions for the head turned condition: (1) original control LESS, and (2) with their head turned to approximately 65-90 degrees looking at a visual target placed on the wall to their right side. For the dual-tasking, different participants will jump three times in two conditions: (1) original control LESS, and (2) while tone counting high and low pitched tones during the task. A tone will be played each second with a duration of one second and a 1:1 ratio of high and low pitched tones, provided at random. Participants will use their own habitual athletic footwear. There will be 5 minutes rest between conditions, and 1 minute rest between trials. Participants will be allowed up to three familiarisation trials before formal experimentation. Before each trial, participants will be reminded to jump to 50% of their body height (indicated by the line) with two feet, and jump upwards as high as possible upon landing. Trials will be disregarded when participants do not land at 50% of their body height or do not perform the task in one fluid motion, up to a maximum of five trials per condition. Unless the task is preformed inappropriately, feedback on performance will not given to avoid influencing outcomes. All sessions will be supervised by a trained physiotherapist with research experience, and assessments conducted in groups of up to 4 individuals. The total duration from consent to baseline data collection, familiarisation, and experimentation of the two conditions will not exceed 30 minutes, performed within a single session. The completion of three valid trials for each of the two experimental conditions of interest will be monitored and documented using a checklist. Two video cameras will be use to capture the jumps at 120 frames per second. One camera will be placed to the right hand side of participants, and the other in front of participants. Cameras will be placed 3.5 m away from the landing area on 1.3 m high tripods. The videos will be analysed in a video processing software (Kinovea) and the original Landing Error Scoring System template from Padua et al. (2009) used to extract Landing Error Scoring System scores. The order of conditions will be block randomized prior to study commencement by a third party to ensure an equal number of participants starting in each condition, and allocated sequentially to participants upon study enrolment by a single researcher. Participants will be pre informed of the aims of the study. Participants will complete an informed consent document, and baseline characteristics will be collected (height, mass, gender, age, and self-administered short-form International Physical Activity Questionnaire).

Sponsors

Kim Hebert-Losier - University of Waikato
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Crossover
Primary purpose
Prevention
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
16 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

Free of injury, illness, or conditions that may affect movements or landing mechanics. Free of lower extremity, back, or pelvis injury in the last three months.

Exclusion criteria

Injury, illness, or conditions that may affect movements or landing mechanics. Lower extremity, back, or pelvis injury in the last three months.

Outcome results

None listed

Source: ANZCTR · Data processed: Jul 3, 2026