Identification of preferred landing leg in athletes previously injured and uninjured: A brief report

•A total of 71% of subjects with a history of anterior cruciate ligament reconstruction preferred to land on their uninvolved leg.•A total of 29% of subjects with a history of anterior cruciate ligament reconstruction that landed first on the involved leg had improved limb symmetry during hop tests battery.•Absolute initial contact timing differences between landing sides were not statistically different between subjects with a history of anterior cruciate ligament reconstruction and uninjured control subjects.•Methodology used in this brief report may be appropriate to identify landing leg preference in future studies with injured and uninjured cohorts.

BackgroundThe preferred or dominant limb is often subjectively defined by self-report. The purpose was to objectively classify preferred landing leg during landing in athletes previously injured and uninjured.MethodsSubjects with a history of anterior cruciate ligament reconstruction (n = 101) and uninjured controls (n = 57) participated. Three trials of a drop vertical jump were collected. Leg dominance was defined as the leg used to kick a ball while landing leg preference was calculated as the leg which landed first during landing trials. Limb symmetry index was also calculated during a single leg hop battery. The distribution of subjects that landed first on their uninvolved or dominant leg, respectively, was statistically compared. Limb symmetry from the single leg hop tests were compared within each subgroup.FindingsThe distribution of preferred landing leg to uninvolved limb for injured (71%) and dominant limb for controls (63%) was not statistically different between groups (P = 0.29). Limb symmetry was decreased in injured subjects that preferred to land on their uninvolved limb compared to their involved limb during single leg (P < 0.001), triple (P < 0.001), cross-over (P < 0.001), and timed hops (P = 0.007). Differences in limb symmetry were not statistically different in controls (P > 0.05).InterpretationThe leg that first contacts the ground during landing may be a useful strategy to classify preferred landing leg. Among the injured subjects, 29% preferred to land on their involved leg, which may relate to improved confidence and readiness to return to sport, as improved limb symmetry was present during hop tests.