{
  "abstract": "Background: This meta-analysis aimed to evaluate the effects of SportsMetrics training (SMT) on ACL injury-related biomechanical deficits and functional performance outcomes in athletes.\n\nMethods: Literature searches were conducted in four databases from inception to May 10, 2026. The RoB 2 and ROBINS-I tools were used to assess the risk of bias, while meta-analyses and sensitivity analyses were performed using CMA 4 software. The GRADE approach was applied to evaluate the quality of evidence. Primary outcomes were dynamic knee valgus (DKV) and the Landing Error Scoring System (LESS). Secondary outcomes included core strength, agility, dynamic balance, speed, and power.\n\nResults: Nine studies (310 athletes, predominantly female) were included. SMT was associated with changes in surrogate biomechanical outcomes, including DKV (SMD: -1.09, p < 0.0001) and LESS (SMD: -1.08, p < 0.0001), as well as functional performance outcomes: agility, dynamic balance, power, and speed. Core strength (SMD: 0.57, p = 0.154) showed non-significant changes.\n\nConclusions: SMT was associated with improvements in several biomechanical and functional outcomes. Higher-quality RCTs and prospective injury registration outcomes are required to confirm these findings. However, the relationship between improvements in these surrogate outcomes and actual ACL injury reduction remains unestablished.\n\nTrial registration: This study was a priori registered at PROSPERO (CRD420261389110).\n\nSupplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s13102-026-01948-7.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Sport Injuries and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran",
    "Monash Exercise Neuroplasticity Research Unit, Department of Physiotherapy, School of Primary and Allied Care, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Australia",
    "Haute-Ecole Arc Santé, Hes-So University of Applied Sciences and Arts Western Switzerland, Delémont, 2800 Switzerland",
    "Orthopaedic Surgery Department, Clinic of Domont, Ramsay Healthcare, @Ortholab, Domont, France",
    "Société Française Des Masseurs-Kinésithérapeutes Du Sport Lab, Pierrefitte-Sur-Seine, France"
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Mostafa Jalili Bafrouei"
    },
    {
      "affs": [
        0
      ],
      "name": "Fatemeh Zahra Maleki Gohar"
    },
    {
      "affs": [
        0
      ],
      "name": "Seyed Hamed Mousavi",
      "orcid": "0000-0003-2906-2101"
    },
    {
      "affs": [
        1
      ],
      "name": "Mohamad Rostami"
    },
    {
      "affs": [
        2,
        3,
        4
      ],
      "name": "Florian Forelli"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/10sva0nkhcyn0.bib",
  "cited_by": 0,
  "doi": "10.1186/s13102-026-01948-7",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13737763/",
  "id": "10sva0nkhcyn0",
  "issns": [
    "2052-1847"
  ],
  "landing_url": "https://doi.org/10.1186/s13102-026-01948-7",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Systematic Review"
    ],
    [
      "openalex",
      "2746|Knee injuries and reconstruction techniques"
    ]
  ],
  "openalex": "W7201983644",
  "pdf_url": null,
  "pmcid": "PMC13737763",
  "pmid": "42989340",
  "published": "2026-08-08",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/10sva0nkhcyn0.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:22:53Z",
      "native_id": "PMC13737763",
      "source": "pmc",
      "url": "https://doi.org/10.1186/s13102-026-01948-7"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Knee injuries and reconstruction techniques",
      "subfield": "surgery"
    }
  ],
  "title": "Effects of sportsmetrics training on biomechanical and functional performance outcomes related to ACL injury risk: a systematic review and meta-analysis",
  "title_text": "Effects of sportsmetrics training on biomechanical and functional performance outcomes related to ACL injury risk: a systematic review and meta-analysis",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:22:53Z",
  "url": "https://research.draconitic.com/paper/10sva0nkhcyn0",
  "venue": "BMC Sports Science, Medicine and Rehabilitation",
  "versions": []
}