Modifying an athlete’s change of direction mechanics by addressing biomechanical and neuromuscular deficits associated with hazardous knee joint loading is an effective strategy to reduce anterior cruciate ligament loading. This can be achieved through biomechanical and neuromuscular informed training interventions.

Balance training is a potentially effective strategy to reduce knee joint loads during cutting, most likely attributed to eliciting safer knee agonist-antagonist muscle patterns and hip and trunk muscle activity. Further research is necessary in greater sample sizes and acknowledging measurement error when interpreting findings, to definitively confirm the efficacy of this method.

Change of direction technique modifications that focus on reducing lateral trunk flexion, reducing lateral foot plant distances, increasing knee flexion, and promoting earlier braking (during the penultimate foot contact), provide an effective training modality for reducing COD knee joint loading. However, in order to confirm the efficacy and adherence of this method, studies can be improved by including a control group, investigating larger sample sizes, acknowledging measurement error when interpreting findings, and considering the performance implications.