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The Assessment Gap

Every child gets a physical exam before the season. None of them get a biomechanical assessment. The physical tells you their heart is beating. The assessment tells you which leg is going to fail.

What Every Child Gets

STANDARD PRE-PARTICIPATION PHYSICAL
Heart rate and blood pressure. Tells you the cardiovascular system is functioning.
Vision and hearing. Can they see the ball and hear the whistle.
Medical history review. Have they had surgery, asthma, allergies.
Orthopedic screen. Can they touch their toes and rotate their shoulders.
"Cleared to play." A binary yes/no based on whether the child is alive and generally healthy.

Does not measure: force production, bilateral asymmetry, landing mechanics, hamstring strength ratio, hip stability, movement quality, neuromuscular fatigue, or any predictor of non-contact injury.

What Every Child Needs

BIOMECHANICAL ASSESSMENT
Bilateral force production. How much power each leg produces independently. Asymmetries above 15% predict injury.
Hamstring strength ratio. Left vs. right. The #1 predictor of hamstring tears -- invisible to the eye, measurable in 8 minutes.
Landing mechanics. Knee valgus under load. The mechanism behind 70% of non-contact ACL tears. Correctable with 6 weeks of targeted work.
Movement quality screen. Compensations, restrictions, and patterns that compound under sport-specific stress.
Individualized corrective protocol. Not "cleared to play." Cleared with a plan. Every risk factor addressed. Every athlete monitored.

The assessment is to the musculoskeletal system what bloodwork is to the cardiovascular system. It sees what is invisible.

The parallel is simple. No parent would let their child play a full season without a physical exam. But a physical exam tells you nothing about how their body moves, where their asymmetries are, or what is going to fail under load. The assessment is the bloodwork for the athlete's body -- it sees what is invisible to the stethoscope, the eye test, and the clipboard.
0%
of standard physicals include biomechanical screening
43.7%
of youth athletes experience a sports-related injury
64-73%
of those injuries are preventable with proper assessment
35 min
average time for a complete biomechanical assessment
Sources: Aspen Institute State of Soccer 2026, Project Play Youth Sports Facts, Hospital for Special Surgery

The Cost of Not Seeing

43.7% of youth athletes experience a sports-related injury. The five most common injuries are all detectable -- and most are preventable -- with a baseline biomechanical assessment.

Sports-Related Injuries by Type -- Youth Athletes
No injuries
56.3%
Ankle strain/sprain
18.5%
Detectable
Knee strain/sprain
13.4%
Detectable
Hand/wrist fracture
11.5%
Contact
Concussion
8.7%
Contact
Leg/foot fracture
8.7%
Contact
ACL / MCL / PCL tear
6.8%
Preventable
Hip/thigh strain
5.7%
Preventable

What "Detectable" Means

Ankle instability, knee strain risk, and joint loading patterns are visible on force plates and movement screens before the athlete feels any symptoms. The assessment identifies the compensation pattern. The corrective protocol addresses it. The re-injury rate drops.

What "Preventable" Means

ACL tears and hamstring strains are the two injuries most strongly predicted by biomechanical screening. A 15% hamstring asymmetry is the threshold. Knee valgus on landing is the mechanism. Both are measurable, correctable, and trackable -- if anyone is looking.

$35-50K
ACL reconstruction surgery cost
9-12 mo
Recovery timeline
35%
of female athletes never return to pre-injury level
$200-400
Cost of a complete biomechanical assessment
Source: Aspen Institute, Utah State University, Louisiana Tech University, TeamSnap youth sports parent surveys 2022; Hospital for Special Surgery

The Girls ACL Crisis

Female athletes face 2-8x higher ACL injury risk than males in the same sports. Soccer is the worst. The Aspen Institute's State of Soccer report calls for standardized injury prevention protocols. This is what those protocols look like.

Annual ACL Injury Incidence Rate -- Females
Average injuries per 100,000 athletic exposures, 2007-2022
Soccer
13.3
Basketball
12.2
Lacrosse
10.4
Volleyball
3.2
Softball
2.8
Cheerleading
1.5
The Aspen Institute recommendation (State of Soccer, 2026): "Implement dynamic warmups to reduce high ACL injury rates" and "standardized injury prevention protocols to combat the disproportionately high rate of knee injuries among females." better athlete™ is that protocol.

Why Girls Are at Higher Risk

Anatomical factors. Wider Q-angle, narrower intercondylar notch, and hormonal influences on ligament laxity increase baseline ACL vulnerability.
Neuromuscular patterns. Female athletes are more likely to land with knee valgus (inward collapse) -- the primary mechanism for non-contact ACL tears.
Training gaps. Fewer girls receive neuromuscular training, landing mechanics instruction, or strength programming that addresses these specific risk factors.
Puberty timing. ACL risk spikes during and after puberty as growth outpaces neuromuscular adaptation. Most programs do not adjust for this.

What better athlete™ Does About It

Landing mechanics analysis. Force plates measure knee valgus angle and ground reaction forces during single-leg and bilateral landings. The data quantifies what the eye cannot see.
Hamstring-to-quadriceps ratio. Weak hamstrings relative to quads is a primary ACL risk factor. The assessment measures both and flags imbalances.
Neuromuscular retraining protocol. Athletes flagged for knee valgus receive a 6-8 week jump-landing retraining program. Research shows this reduces ACL risk by 50-70%.
Growth-stage monitoring. Pubescent athletes are tracked for growth-related changes in movement quality. Protocols adapt as their bodies change.
250K
ACL tears annually in the U.S.
2-8x
higher risk for female athletes vs. males in same sport
50-70%
reduction in ACL risk with neuromuscular training programs
6 wks
to correct landing mechanics with targeted protocol
Source: Hospital for Special Surgery, Datalys Center 2007-2022; Aspen Institute State of Soccer NYC/NJ 2026; American Journal of Sports Medicine

The Coaching Intelligence Gap

6.5 million youth coaches in the U.S. Fewer than one in three has received any training at all. Only 29% are trained in safety and injury prevention. better athlete™ bridges the gap between what coaches want to know and what they can actually see.

Youth Coaches With Training by Subject (2023)
CPR / First Aid
39.4%
Sports Skills & Tactics
30.2%
Safety / Injury Prevention
29.2%
BA fills this
Physical Conditioning
27.6%
Concussion Mgmt
25.6%
Motivational Techniques
25.7%
Top Training Interests -- What Coaches Want to Learn
Tactics & Strategy
75%
BA Practice Engine
Sport Skills
74%
Relationship Building
70%
Performance Anxiety
70%
Mental Health
67%
Life Skills Through Sport
66%

The Practice Intelligence Engine

Coaches want tactics and strategy training (75%). They also want to understand performance anxiety (70%) and mental health (67%). better athlete™'s Practice Intelligence Engine bridges all three: it gives coaches load-informed session templates (tactics), surfaces real-time readiness data so they know which athletes need modified work (physical safety), and embeds positive coaching principles from the Calls for Coaches framework (social-emotional development). The coach does not need to be a sports scientist. The system provides the science. The coach provides the coaching.

70%
of youth coaches have received zero training
93%
of trained coaches report more confidence (Million Coaches Challenge)
Source: Sports & Fitness Industry Association 2023; Aspen Institute / Ohio State LiFEsports / Susan Crown Exchange / Nike National Coach Survey 2022; Million Coaches Challenge 2025

The NYC Soccer Ecosystem

250,000 children play soccer in the NYC/North Jersey region. 150,000 more want to play but face barriers. Brooklyn has the worst field shortage in the metro area. And when kids finally get on the field, no one has measured whether their bodies are ready.

250K
children playing soccer in NYC/NJ
150K
more who want to play but face barriers
1,499
kids per field in Brooklyn -- worst shortage
7x
soccer demand vs. baseball/softball
Field Shortage by Borough -- Demand-to-Supply Ratio (Kids per Field)
Brooklyn (Kings)
1,499
Queens
1,423
Bronx
1,355
New York (Manhattan)
536
Richmond (Staten Is.)
334

The Problem Compounds

When field time is scarce, coaches compress more activity into fewer sessions. Players train harder, not smarter. Load increases without monitoring. Asymmetries go unmeasured. The result: overtraining injuries on top of the access crisis. The Aspen report calls this out directly -- "the drive for elite performance encourages excessive, specialized play, contributing to burnout and a surge in serious injuries, such as ACL tears."

better athlete™'s Three-Tier Solution

Tier 1: Phone Screen. 90-second movement assessment via smartphone camera. QR code at every field. Every athlete gets a baseline risk score. Free.

Tier 2: Mobile Assessment. Force plates and movement analysis brought to high-traffic field locations. 30-40 athletes per session. Yellow flags from the phone screen get full clinical assessment.

Tier 3: Clinical Lab. Full biomechanical assessment for Red flags, return-to-play testing, and longitudinal monitoring for school and club programs.

Girls High School Soccer Participation by Borough (2024-25)
National Average
45%
NYC Overall
38%
Brooklyn
37%
Queens
37%
Bronx
32%
The World Cup arrives in NYC in 2026. The Laurie M. Tisch Illumination Fund has committed $10 million through its Play to Thrive initiative. The Aspen Institute has published the roadmap. Tarek and NYC Footy represent 60,000 recreational players advocating for field access. better athlete™ is building the intelligence layer for what happens on those fields. The infrastructure moment is now.
Source: Aspen Institute State of Soccer NYC/NJ 2026; Kinetica Localized Dataset 2024; NFHS Athletics Participation Survey; NJSIAA Soccer Classifications