1. Introduction
The depth jump (DJ) is considered a high-intensity plyometric movement that primarily targets lower-extremity neuromuscular function. The DJ involves dropping down from an elevated platform onto a lower landing surface and immediately performing a maximal vertical rebound jump upon ground contact. DJs generate large magnitudes of vertical ground reaction force (GRF) and rates of GRF development (RFDs), which can potentially exceed the neuromuscular tolerance for eccentric loading of muscle–tendon units [
1]. Additionally, during the initial phase of landing after the drop (e.g., 0–150 ms post-impact), DJs exhibit substantially greater RFDs compared to other commonly performed jumping and resistance training movements [
2,
3,
4,
5]. Thus, DJ performance relies on the stretch-shortening cycle (SSC) muscle action of the lower extremities due to the combination of substantial eccentric loading and rapid application of GRF during landing.
The SSC is fundamental to human movement performance, and is defined as a concentric action performed immediately following an eccentric stretch-load placed on pre-activated skeletal muscle [
6,
7]. Given the definition, DJs may be viewed as having greater specificity for lower-extremity SSC development when compared against other common plyometric techniques. These techniques either do not involve skeletal muscle pre-activation in advance of ground impact (e.g., the countermovement jump) or are performed with a purely concentric emphasis (e.g., the squat jump). Moreover, integration of both feedforward and feedback control enhances the neuromotor complexity of DJs relative to other common laboratory assessments of jumping ability [
7].
There is growing interest in using DJs to prevent and rehabilitate anterior cruciate ligament (ACL) injuries [
8,
9,
10,
11,
12,
13,
14,
15,
16]. The risk of sustaining an ACL injury in sports that involve jumping and pivoting movements is significantly higher in females versus males, with the relative risk estimated to be between 4 and 6 times higher for females [
17]. As a result, there have been many investigations conducted to examine for sex-based differences in DJ biomechanics. Prior research on joint-level mechanics is extensive, with evidence suggesting that post-pubescent females tend to express greater knee valgus during the entirety of the DJ drop landing phase [
18,
19,
20,
21,
22,
23,
24,
25,
26,
27,
28,
29,
30] and less knee flexion at DJ landing impact [
19,
31,
32]. Additionally, when compared with similarly aged males, post-pubescent females are observed to favor absorption of landing impact momentum through the knee rather than the hip [
25,
33,
34,
35,
36,
37].
The existing literature has significant gaps concerning sex-based differences in DJ GRF measurements across various sport and recreational populations. Specifically, in the context of basketball, a sport known for notable disparities in lower-extremity injury rates between sexes [
38], there is a need to establish comprehensive baseline data across a range of DJ drop heights, obtained through internally valid methods. It is widely accepted that post-pubescent females exhibit lower rebound jump heights (JH) and reactive strength index (RSI) scores compared to similar male sub-cohorts [
18,
39,
40,
41,
42,
43,
44]. These disparities are believed to be influenced by fundamental differences in anthropometrics, with males biologically predisposed to carry more muscle mass relative to total body mass. Consequently, this leads to a greater ability to generate concentric impulse, leading to higher JHs [
45].
Prior studies investigating sex-based differences in DJ performance have generally relied on the flight time method to estimate JH [
18,
39,
40,
41,
42,
43,
44]. However, the utilization of this approach has raised concerns regarding known threats to internal validity [
46,
47]. A review of the basketball jumping literature identified measurement error in JH estimation as a notable limitation associated with the flight time method [
48]. Specifically, the variability in JHs derived from flight time limits the ability to compare results between subjects and benchmark across investigations with similar DJ protocols. These concerns have led to the development of novel single-force platform methods that enable the estimation of JH from the integration of GRF time-series data [
46,
47]. Despite offering improved internal validity, these methods have yet to be widely adopted in the DJ literature. Incorporating these advanced approaches to establish baseline data would significantly enhance the validity and comparability of DJ JH and RSI data, thereby benefiting future research in the field.
Additionally, analyzing GRF data from DJs can provide valuable insights into various dependent measures, including peak GRF, rate of force development (RFD), lower-extremity stiffness, and peak force reduction (PFR). Previous cross-sectional studies have examined differences in peak GRF and vertical stiffness (k
v) between males and females, but inconsistent results have been reported [
20,
31,
42,
43,
44,
49]. These discrepancies can be partially attributed to variations in study design, such as the use of different dropping heights across sexes, data analysis methods, and populations with varied backgrounds in athletic participation [
20,
31,
42,
43,
44,
49]. Considering the substantial economic and time commitment required, it is also important to carefully consider study design for longitudinal DJ investigations. Longitudinal studies often adopt a prospective cohort structure to evaluate the DJ’s ability to screen for lower-extremity injury risk, specifically non-contact ACL injury risk [
50]. Furthermore, in addition to providing baseline data across sub-cohorts of males and females with varying athletic backgrounds, a cross-sectional investigation utilizing internally valid methods that encompass a range of drop heights, a comprehensive collection of GRF measures, and multiple sub-cohorts of males and females, could provide valuable guidance for the design of future longitudinal investigations. Thus, the purpose of this study was to evaluate sex-based differences in DJ GRF measures and determine sample size thresholds for binary classification of sex. To address current gaps in the literature, data was collected from DJs performed at different heights by mixed-sex samples of National Collegiate Athletic Association (NCAA) Division I basketball players and physically active young adults.
4. Discussion
Using DJ GRF data from mixed-sex samples of NCAA Division I basketball players and young adults, the aim of this study was to evaluate for sex-based differences in GRF measures and determine sample size thresholds for binary classification of sex. RSI scores were similar to those reported in the prior literature [
69,
70]. It is important to mention that GCTs, on average, were longer in duration than what is expected of a typical fast SSC action (<250 ms), but similar to prior studies that also cued participants to prioritize both maximal jump height and minimal contact time with the ground [
69,
71].
Sex had a notable effect on DJ performance, with males achieving significantly higher RSI scores (+41%, Cohen’s
d = 0.75). Higher RSI scores in males were attributed to greater JH, a pattern supported by the prior literature [
18,
39,
40,
41,
42,
43,
44,
45]. As mentioned previously, the disparity in JH across sexes is thought to be influenced by anthropometrics, such as an increased volume of muscle mass in males, which could provide an advantage in producing concentric impulse [
45]. There was no main effect of sex on GCT, suggesting that RSI scores were influenced solely by differences in JH. Interestingly, however, an interaction revealed that male NCAA athletes had longer GCTs (+80 ms) compared to female NCAA athletes and slower Amort compared to both female NCAA athletes (+50 ms) and young adult males (+40 ms). The negative impact of longer GCTs on DJ performance, when assessed using the RSI, may account for the lack of a main effect of population on RSI scores, despite the observation of higher JHs in NCAA athletes (+14%) compared to young adults.
The results of the current investigation do not provide a clear explanation for prolonged GCTs in NCAA male athletes. Previous research has indicated that height and limb length may disproportionally affect jumping performance across different levels of athletic participation and between sexes [
72,
73,
74,
75,
76,
77]. Specifically, height and lower-extremity limb lengths in competitive male athletes have been found to associate positively with JH [
73,
74,
76], yet these associations do not seem to hold for recreational males and females with varying levels of athletic participation [
72,
75,
77]. In taller male athletes, height and lower-limb length may increase CoM displacement during the concentric phase of jumping, which in turn could provide additional time to accumulate the mechanical impulse that is ultimately responsible for determining JH [
72,
73,
78]. In theory, an extended concentric impulse duration could partially explain why higher JHs were observed in male NCAA athletes at the expense of longer GCTs, yet further investigation is required to formally assess the relationship of height and limb length with GCT.
The recent literature acknowledges the value of parametric tests for examining the statistical relationship of between-group measures [
79,
80,
81]. However, to strengthen the evidence of group differences in these measures, it is advantageous to establish a strong dichotomy using binary classification analyses, which include the ROC curve. Further, it is important to evaluate for consistency across multiple sub-cohort samples [
79]. Binary classification analyses are most often included in prospective cohort studies reporting on the ability of the DJ to screen for lower-extremity injury risk in males and females. These studies have reported significant mean differences between injured and non-injured groups for peak GRF [
68,
82] as well as knee mechanics in the sagittal and frontal planes [
68,
82,
83,
84,
85]. However, despite their potential utility, ROC curve AUCs constructed on these same measures tend to demonstrate poor to fair discrimination (AUC = 0.60–0.70; [
68,
85]), with the exception of data reported by Corban et al. (AUC = 0.88–0.92; [
83]).
Although main effects of sex were observed on JH and RSI scores in the present investigation, ROC curve AUCs demonstrated fair to good JH discrimination across all drop heights in the population-collapsed and young-adult datasets (AUC = 0.73–0.84). Further, excellent JH discrimination was observed between male and female NCAA athletes for DJs performed from the 0.81 m drop height, exclusively (AUC = 0.98). RSI scores did not discriminate between male and female NCAA athletes, with good RSI discrimination (AUC = 0.81) observed between male and female young adults specific to the 0.51 m drop height. As such, it appears that differences in DJ GRF measures between sexes may be influenced by both population characteristics and drop height. The DJ literature identifies population characteristics as a confounding factor in ROC curve analyses, as there can be considerable variability in neuromuscular training history across different sub-cohorts of males and females [
79,
81].
We incorporated a range of DJ drop heights, since there is no recognized ‘standard’ height in the existing literature. Moreover, individual variations make it likely that optimal drop heights differ among persons [
86,
87,
88]. Adding further complexity, by using a fixed drop height in DJ assessments, may not accurately represent true drop height, as it can be influenced by step-off technique [
47,
48]. It is suggested that optimal drop height corresponds with the maximization of either JH or RSI [
89,
90,
91]. Longitudinal studies have demonstrated enhanced DJ performance from plyometric training programs when utilizing optimal DJ heights determined by this approach [
91]. However, the impact of using sub-optimal, optimal, or supra-optimal drop heights on the effectiveness of DJ for improving athletic performance and screening for lower-extremity injury risk remains unclear, based on the current literature.
We observed significantly greater peak GRF, RFD, PFR, and k
v for DJs performed at higher drop heights. Notably, these measures increased despite the absence of any changes in RSI scores or RSI component measures. Previous investigations have demonstrated that biomechanical and neuromuscular activation measures are influenced by drop height [
41,
92,
93]. Among the measures included in the current investigation, k
v is a variable that may be relevant to lower-extremity injury [
50,
66]. For instance, inadequate or excessive development of k
v prior to foot impact may contribute to lower-extremity injury [
94,
95,
96]. Indeed, the amount of musculotendinous stiffness expressed at foot impact would, theoretically, affect the relative contribution of active and passive structures in tolerating mechanical stress. An increase in passive stabilization during foot impact is thought to be a crucial factor in non-contact ACL injury, in particular [
94].
While the current investigation did not find a difference in k
v between sexes, it may be beneficial to consider DJ conditions that challenge the regulation of k
v. For instance, using larger drop heights may increase the mechanical demands on the sensorimotor system to control landing forces and maintain balance. As mentioned previously, the RSI and its component measures did not show significant changes when the drop height was increased to 0.81 m for the populations studied in the current investigation. This indicates that performance was maintained across drop heights, and suggests that landing impact forces remained within a safe threshold. It is also worth noting that the lowest drop height included in the current investigation (0.51 m) exceeds the drop heights previously investigated in prospective cohort designs relating to DJ injury screening [
68,
82,
83,
84,
85,
86,
87]. As such, drop height should receive considerable attention in the design of future prospective cohort investigations. In addition to increasing the drop height, DJ intensity could also be modified using methods that challenge sensorimotor function. The dual-task paradigm or visual disruption techniques, such as stroboscopic vision, are two examples of potentially effective approaches [
9,
16,
97,
98]. Implementation of these approaches not only increases the physical demands, but could also enhance the ecological validity of the DJ. For example, these approaches require individuals to anticipate and react to landing forces while simultaneously managing attention and cognitive processing [
9,
16,
97,
98].
Apart from RSI scores and JH, parametric statistics revealed PFR as an additional variable that differed significantly between sexes, with greater magnitudes of PFR observed in females. Further analysis revealed that the effect of sex was due to a 2-way interaction, with significantly higher PFR in young adult females observed compared to young adult males, and with no significant difference observed between male and female NCAA athletes. The interaction was supported by ROC curve AUCs, which demonstrated good discrimination for the 0.66 and 0.81 m drop heights in young adults. Notably, ROC curve AUCs also revealed a fair discrimination of PFR for sex for population-collapsed data specific to the 0.81 m drop height. Despite observing smaller PFR in NCAA female athletes compared to male athletes for the 0.51 m (NCAA females = 13.5 ± 6.4 N × kg−1; NCAA males = 17.6 ± 8.8 N × kg−1) and 0.66 m (NCAA females = 21.7 ± 5.3 N × kg−1; NCAA males = 22.7 ± 11.4 N × kg−1) drop heights, a non-significant increase in PFR for NCAA female athletes was observed for the 0.81 m (NCAA females = 34.1 ± 9.8 N × kg−1; NCAA males = 29.7 ± 12.2 N × kg−1) drop height, which likely influenced this finding.
Although it is relatively easy to estimate PFR from GRF data, this variable has not been extensively studied in the DJ literature. In the current investigation, PFR showed moderate association with k
v and strong association with peak GRF. Although peak GRF and k
v are more commonly included as outcome measures in the literature, it is worth noting that concerns have been raised about the validity of k
v, due to its estimation from linear spring-mass modeling methods [
96]. Research has explored PFR in the context of neuromuscular fatigue [
6], indicating that higher PFR values may be indicative of increased fatigue and of alterations in the spinal reflex response to landing impact forces. In addition, PFR may reflect a relaxation of active muscle tension in response to the intensity of landing impact. Given these implications, PFR has a biological basis that makes it worth considering as a variable to include in future DJ investigations. Nevertheless, further research is necessary to fully establish and understand the extent of its usefulness and potential applications.