Anticipation and sequential demands influence on-field change-of-direction kinematics related to ACL injury risk

These findings suggest that the combined cognitive and physical demands of sequential CODs constrain motor planning, leading to riskier biomechanical patterns. This study underscores the importance of incorporating realistic, game-like conditions in ACL injury research to better understand the interplay between performance and injury risk. The results highlight the need for injury prevention programs to address the cognitive and physical demands of unplanned, sequential CODs, offering a more comprehensive approach to mitigating ACL injury risk in multidirectional sports.