Movement profile influences systemic stress and biomechanical resilience to high training load exposure

Objectives: Determine the influence of movement profile on systemic stress and mechanical loading before and after high training load exposure. Design: Cross-sectional cohort study. Methods: 43 physically active, college-aged field or court sport female athletes participated in this study. Participants were assigned to a excellent (n =22; age = 20.5 +/- 1.9 yrs, height = 1.67 +/- 0.67 m, mass = 64.5 +/- 7.8 kg) or poor (n = 21; age =20.4 +/- 1.3 yrs, height = 1.69 +/- 0.67 m, mass= 60.9 +/- 6.1 kg) movement group defined by The Landing Error Scoring System. Participants completed five cycles of high training load exercise of 5-min treadmill-running at a speed coincident with 100-120% ventilatory threshold and 10 jump-landings from a 30-cm box. Jump-landing vertical ground reaction force and serum cortisol were evaluated prior to and following exercise. Vertical ground reaction force ensemble averages and 95% confidence interval wave-forms were generated for pre-exercise, post-exercise, and pre-post exercise changes. A two-way mixed model ANOVA was used to evaluate the effect of movement profile on systemic stress before and after exercise. Results: There was no significant difference in changes in serum cortisol between the poor and excellent groups (p = 0.69) in response to exercise. Overall, individuals in the poor group exhibited a higher serum cortisol level (p < 0.05, d = 0.85 [0.19,1.48]). The poor group exhibited higher magnitude vertical ground reaction force prior to (d =1.02-1.26) and after exercise (d = 1.15) during a majority of the stance phase. Conclusions: Individuals with poor movement profiles experience greater mechanical loads compared to individuals with excellent movement profiles. A poor movement profile is associated with greater overall concentrations of circulating cortisol, representative of greater systemic stress. (C) 2018 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.