Inertial Measurement Units (IMUs) offer promising alternatives to traditional motion capture systems, especially in real-world sports scenarios. Accurate foot contact detection (FCD) is crucial for biomechanical analysis, and since on-the-field force plates are unsuitable, IMU-based FCD algorithms have been extensively investigated. However, sports activities leading to musculoskeletal injuries are multidirectional and high-dynamics in nature and FCD algorithms, which have mostly been studied in gait analysis, might sensibly worsen performance. This systematic review (PROSPERO, ID: CRD420251010584) aimed to evaluate IMU-based FCD algorithms applied to high-dynamics sports tasks, identifying strengths, limitations, and areas for improvement. A multi-database search was conducted until May 2025. Studies were included if they applied IMU-based FCD algorithms in high-dynamic movements. In total, 37 studies evaluating 71 FCD algorithms were included. Most papers focused on running, with only 3 on cut manoeuvres. Almost all studies involved healthy individuals only, and foot linear acceleration was the most inspected FCD metric. FCD algorithms demonstrated high accuracy, though speed variation impacted performance in 23/37 studies. This review highlights the lack of validated IMU-based FCD algorithms for high-dynamic sports movements and emphasizes the need for improved methods to advance sports biomechanics testing in injury prevention.

Precise foot contact detection (FCD) is essential for accurate biomechanical analysis in sport performance, injury prevention, and rehabilitation. This study developed and validated an inertial measurement units (IMUs)-based algorithm for FCD during sports movements. Thirty-four healthy athletes (22.8 ± 4.1 years old) performed 90° changes of direction and sprints with deceleration. Data were collected via a force platform (AMTI, 1000 Hz) and a full-body IMU suit (MTw Awinda, Movella, 60 Hz). Two IMU-based algorithms relying on pelvis vertical velocity (PVV) and resultant foot acceleration (RFA), respectively, were tested to detect initial contact (IC) and toe-off (TO). Force platform data served as the gold standard for comparison. Agreement was quantified through median offset and interquartile range (IQR); the influence of task, sex, leg, speed, and acceleration was investigated. The PVV algorithm showed higher offset than RFA for IC detection (16.7 ms vs. 10.2 ms) with comparable IQR and a substantially higher offset for TO (102.8 ms vs. 20.4 ms). Minimal influence of co-factors emerged (variance < 10%). Results were sensibly improved by combining PVV and RFA, for both IC (5.6 [70.4] ms) and TO (20.4 [78.7] ms). This algorithm offers a robust, portable alternative to force platforms, enabling accurate footstep detection and analysis of complex, sports movements in real-world environments, enhancing the ecological validity of sport assessments.