- Title
- 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
- Creator
- Steffen, Kathrin; Emery, Carolyn; Romiti, Maria; Kang, Jian; Bizzini, Mario; Dvorak, Jiri; Finch, Caroline; Meeuwisse, Willem
- Date
- 2013
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/44347
- Identifier
- vital:5138
- Identifier
-
https://doi.org/10.1136/bjsports-2012-091886
- Identifier
- ISSN:03063674
- Abstract
- Background A protective effect on injury risk in youth sports through neuromuscular warm-up training routines has consistently been demonstrated. However, there is a paucity of information regarding the quantity and quality of coach-led injury prevention programmes and its impact on the physical performance of players. Objective The aim of this cluster-randomised controlled trial was to assess whether different delivery methods of an injury prevention programme (FIFA 11+) to coaches could improve player performance, and to examine the effect of player adherence on performance and injury risk. Method During the 2011 football season (May- August), coaches of 31 tiers 1-3 level teams were introduced to the 11+ through either an unsupervised website or a coach-focused workshop with and without additional on-field supervisions. Playing exposure, adherence to the 11+, and injuries were recorded for female 13-year-old to 18-year-old players. Performance testing included the Star Excursion Balance Test (SEBT), single-leg balance, triple hop and jumping-over-a-bar tests. Results Complete preseason and postseason performance tests were available for 226 players (66.5%). Compared to the unsupervised group, singleleg balance (OR=2.8; 95% CI 1.1 to 4.6) and the anterior direction of the SEBT improved significantly in the onfield supervised group of players (OR=4.7; 95% CI 2.2 to 7.1), while 2-leg jumping performance decreased (OR=-5.1; 95% CI -9.9 to -0.2). However, significant improvements in 5 of 6 reach distances in the SEBT were found, favouring players who highly adhered to the 11+. Also, injury risk was lower for those players (injury rate ratio, IRR=0.28, 95% CI 0.10 to 0.79). Conclusions Different delivery methods of the FIFA 11+ to coaches influenced players' physical performance minimally. However, high player adherence to the 11+ resulted in significant improvements in functional balance and reduced injury risk.
- Relation
- British Journal of Sports Medicine Vol. 47, no. 12 (2013), p. 794-802; http://purl.org/au-research/grants/nhmrc/565900
- Rights
- Copyright BMJ Publishing Group
- Rights
- Open Access
- Rights
- This metadata is freely available under a CCO license
- Subject
- 11 Medical and Health Sciences; 09 Engineering; 13 Education; Youth sports; Injury prevention; Star Excursion Balance Test (SEBT); FIFA
- Full Text
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