Course

Injury Prevention

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13 Lessons

Football is the most widely played sport in the world, with over 265 million men and women participating in the sport. Injuries in football are unfortunately exceedingly common. They occur more frequently in younger players, with 80% of injuries occurring in players under the age of 24 and 44% of injuries occurring in players under the age of 15. 1 Injury rates in female players tend to be higher for ACL injuries and concussions. Injuries can have a significant physical, emotional, psychosocial and financial impact on both the individual and the team. The long-term sequelae for many injuries can be deleterious.

Over the past two decades, there have been significant strides in the realm of football injury prevention. F-MARC has published a number of papers which have investigated this subject. The FIFA 11+ injury-prevention programme has been developed and validated in both male and female football players. A specific version for kids and referees has also been created.

This module will discuss these prevention efforts at length and will elucidate how individuals and teams around the globe can easily add prevention methodology into their weekly training regimen.

Presented by

Learning outcomes

After studying this topic you should be able to:

  • have an understanding regarding the basic principles of injury prevention;
  • have an awareness of the different injury-prevention strategies which can be used in football;
  • be able to implement the FIFA 11+ injury-prevention programme, including the referee and kids’ versions;
  • have an understanding regarding the efficacy of the FIFA11+ injury-prevention programme;
  • be able to advocate injury-prevention programmes to players and coaches;
  • understand the importance of compliance;
  • have an awareness of the financial impact of injury-prevention programmes;
  • have an understanding of the extrinsic risk factors for injury and how these may be mitigated.

Tasks

  • Review the media content and read the provided text
  • Read the “required” articles
  • Complete the case-based assessment task

References

  1. FAU KC, Gregory AJ. Injuries in youth soccer. Pediatrics JID – 0376422. 0304.
  2. Ekstrand J, Gillquist J. The avoidability of soccer injuries. Int J Sports Med. 1983;4(02):124-128.
  3. Faude O, Junge AF, Kindermann WF, Dvorak J. Injuries in female soccer players: A prospective study in the german national league. The American Journal of Sports Medicine JID – 7609541. 0106.
  4. Gilchrist J, FAU MB, Melancon H FAU – Ryan, George,W., et al. A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. The American Journal of Sports Medicine JID – 7609541. 1021.
  5. Griffin LY, FAU AM, FAU AE, et al. Understanding and preventing noncontact anterior cruciate ligament injuries: A review of the hunt valley II meeting, january 2005. The American Journal of Sports Medicine JID – 7609541. 1219.
  6. Hagglund M, Walden MF, Atroshi I. Preventing knee injuries in adolescent female football players – design of a cluster randomized controlled trial NCT00894595]. BMC Musculoskeletal Disorders JID – 100968565. 0821.
  7. Hewett TE, FAU MG, Ford KR. Reducing knee and anterior cruciate ligament injuries among female athletes: A systematic review of neuromuscular training interventions. The Journal of Knee Surgery JID – 101137599. 0616.
  8. Junge A, Rosch DF, Peterson LF, Graf-Baumann TF, Dvorak J. Prevention of soccer injuries: A prospective intervention study in youth amateur players. The American Journal of Sports Medicine JID – 7609541. 1220.
  9. Mandelbaum BR, FAU SH, FAU WD, et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. The American Journal of Sports Medicine JID – 7609541. 0901.
  10. Alentorn-Geli E, Mendiguchia JF, Samuelsson KF, et al. Prevention of anterior cruciate ligament injuries in sports. part I: Systematic review of risk factors in male athletes. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA JID – 9314730. 1118.
  11. Alentorn-Geli E, FAU MG, FAU SH, et al. Prevention of non-contact anterior cruciate ligament injuries in soccer players. part 1: Mechanisms of injury and underlying risk factors. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA JID – 9314730. 1208.
  12. Engebretsen AH, Myklebust GF, Holme IF, Engebretsen LF, Bahr R. Prevention of injuries among male soccer players: A prospective, randomized intervention study targeting players with previous injuries or reduced function. The American Journal of Sports Medicine JID – 7609541. 0611.
  13. Malinzak RA, FAU CS, FAU KD, Yu B FAU – Garrett,,W.E., Garrett WE. A comparison of knee joint motion patterns between men and women in selected athletic tasks. Clinical Biomechanics (Bristol, Avon) JID – 8611877. 0802.
  14. Petersen J, Thorborg KF, FAU NM, Budtz-Jorgensen EF, Holmich P. Preventive effect of eccentric training on acute hamstring injuries in men’s soccer: A cluster-randomized controlled trial. The American Journal of Sports Medicine JID – 7609541. 0306.
  15. Caraffa A, Cerulli GF, Projetti MF, Aisa GF, Rizzo A. Prevention of anterior cruciate ligament injuries in soccer. A prospective controlled study of proprioceptive training. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA JID – 9314730. 1204.
  16. Söderman K, Werner SF, Pietilä TF, Engström BF, Alfredson H. Balance board training: Prevention of traumatic injuries of the lower extremities in female soccer players? A prospective randomized intervention study. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA JID – 9314730. 0315.
  17. Ekstrand J, Hagglund M, Walden M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med. 2011;39(6):1226-1232.
  18. Bizzini M, Impellizzeri FM, Dvorak J, et al. Physiological and performance responses to the “FIFA 11+” (part 1): Is it an appropriate warm-up? J Sports Sci. 2013;31(13):1481-1490.
  19. Impellizzeri FM, Bizzini MF, Dvorak JF, Pellegrini BF, Schena FF, Junge A. Physiological and performance responses to the FIFA 11+ (part 2): A randomised controlled trial on the training effects. Journal of sports sciences JID – 8405364. 0318(1466-447).
  20. Nakase J, Inaki A, Mochizuki T, et al. Whole body muscle activity during the FIFA 11+ program evaluated by positron emission tomography. PLoS One. 2013;8(9):e73898.
  21. Daneshjoo A, Mokhtar AH, Rahnama N, Yusof A. The effects of injury preventive warm-up programs on knee strength ratio in young male professional soccer players. PLoS One. 2012;7(12):e50979.
  22. Soligard T, Myklebust GF, Steffen KF, et al. Comprehensive warm-up programme to prevent injuries in young female footballers: Cluster randomised controlled trial. BMJ (Clinical Research ed.) JID – 8900488. 0102(0959-535).
  23. Silvers-Granelli H, Mandelbaum B, Adeniji O, et al. Efficacy of the FIFA 11+ injury prevention program in the collegiate male soccer player. Am J Sports Med. 2015;43(11):2628-2637.
  24. Steffen K, FAU EC, Romiti MF, et al. High adherence to a neuromuscular injury prevention programme (FIFA 11+) improves functional balance and reduces injury risk in canadian youth female football players: A cluster randomised trial. British Journal of Sports Medicine JID – 0432520. 0211.
  25. Soligard T, Nilstad AF, Steffen KF, et al. Compliance with a comprehensive warm-up programme to prevent injuries in youth football. British Journal of Sports Medicine JID – 0432520. 1108.
  26. Rossler R, Donath LF, Verhagen EF, Junge AF, Schweizer TF, Faude O. Exercise-based injury prevention in child and adolescent sport: A systematic review and meta-analysis. Sports Medicine (Auckland, N.Z.) JID – 8412297. 0729.
  27. Rossler R, Donath L, Bizzini M, Faude O. A new injury prevention programme for children’s football–FIFA 11+ kids–can improve motor performance: A cluster-randomised controlled trial. Journal of Sports Sciences JID – 8405364. 0118(1466-447).
  28. Bizzini M, Junge A, Dvorak J. Implementation of the FIFA 11+ football warm up program: How to approach and convince the football associations to invest in prevention. Br J Sports Med. 2013;47(12):803-806.