www.mdpi.com/journal/ijerph Review The Impact of the FIFA 11+ Training Program on Injury Prevention in Football Players: A Systematic Review (original) (raw)
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The FIFA 11+ is a simple, and easy to implement, sports injury prevention program comprising a warm up of 10 conditioning exercises. The aim of this systematic review was to evaluate the impact of the FIFA 11+ on injury incidence, compliance and cost effectiveness when implemented among football players. MEDLINE, EMBASE and Scopus databases were searched using the search terms "FIFA 11+", "football", "soccer", "injury prevention", and "The 11". The titles and abstracts were screened by two independent reviewers and the data were filtered by one reviewer using a standardized extraction form and thereafter checked by another one. The risk of bias and the methodological quality of the studies were evaluated through the PEDro score and Critical Appraisal Skills Programme (CASP). A total of 911 studies were identified, of which 12 met the inclusion criteria of the review. The FIFA 11+ has demonstrated how a simple
The FIFA 11+ is a simple, and easy to implement, sports injury prevention program comprising a warm up of 10 conditioning exercises. The aim of this systematic review was to evaluate the impact of the FIFA 11+ on injury incidence, compliance and cost effectiveness when implemented among football players. MEDLINE, EMBASE and Scopus databases were searched using the search terms "FIFA 11+", "football", "soccer", "injury prevention", and "The 11". The titles and abstracts were screened by two independent reviewers and the data were filtered by one reviewer using a standardized extraction form and thereafter checked by another one. The risk of bias and the methodological quality of the studies were evaluated through the PEDro score and Critical Appraisal Skills Programme (CASP). A total of 911 studies were identified, of which 12 met the inclusion criteria of the review. The FIFA 11+ has demonstrated how a simple
Clinical Rehabilitation, 2016
Objective: To investigate the effects of FIFA 11 training on injury prevention and performance in football players. Design and methods: Systematic review and meta-analysis. We conducted a systematic search using four databases (CINAHL, Cochrane Library, EMBASE, and PubMed) to find controlled trials evaluating the effects of FIFA 11 on injury prevention and performance among football players. Weighted mean differences, standard mean differences, risk ratios, and 95% confidence intervals were calculated, and heterogeneity was assessed using the I 2 test. Results: We analyzed 11 trials, including 4700 participants. FIFA 11 resulted in a significant reduction in injury risk (risk ratio = 0.69; 95% confidence interval, 0.49-0.98; P = 0.02) and improvements in dynamic balance (weighted mean difference = 2.68; 95% confidence interval, 0.44-4.92; P = 0.02) and agility (standard mean difference = −0.36; 95% confidence interval, 0.70-0.02; P = 0.04). The meta-analysis indicated a nonsignificant improvement in jump height (standard mean difference = 0.25; 95% confidence interval, 0.08-0.59; P = 0.14) and running sprint (standard mean difference = −0.24; 95% confidence interval, 0.58-0.10; P = 0.17) in the FIFA 11 group. Conclusions: FIFA 11 can be considered as a tool to reduce the risk of injury. It may improve dynamic balance and agility and can be considered for inclusion in the training of football players.
The FIFA 11+ injury prevention program for soccer players: a systematic review
BMC sports science, medicine & rehabilitation, 2017
Soccer is one of the most widely played sports in the world. However, soccer players have an increased risk of lower limb injury. These injuries may be caused by both modifiable and non-modifiable factors, justifying the adoption of an injury prevention program such as the Fédération Internationale de Football Association (FIFA) 11+. The purpose of this study was to evaluate the efficacy of the FIFA 11+ injury prevention program for soccer players. This meta-analysis was based on the PRISMA 2015 protocol. A search using the keywords "FIFA," "injury prevention," and "football" found 183 articles in the PubMed, MEDLINE, LILACS, SciELO, and ScienceDirect databases. Of these, 6 studies were selected, all of which were randomized clinical trials. The sample consisted of 6,344 players, comprising 3,307 (52%) in the intervention group and 3,037 (48%) in the control group. The FIFA 11+ program reduced injuries in soccer players by 30%, with an estimated relativ...
The “FIFA 11+” warm-up programme for preventing injuries in soccer players: a systematic review
Fisioterapia em Movimento, 2015
Introduction Soccer is among the sports with the highest injury rate. A group of international experts from the Fédération Internationale de Football Association — FIFA’s Medical Assessment and Research Centre — have developed the “FIFA 11+”, a warm-up programme whose main goal is to reduce the risk of common injuries in both male and female soccer players. Objective To conduct a literature review in order to check the efficiency of the “FIFA 11 +” warm-up programme in preventing injuries in soccer players. Methods We conducted a systematic review of studies in the databases MEDLINE/PubMed, SciELO, ScienceDirect and SPORTDiscus, using the following keywords in combination with one another: “injury”, “prevention” and “warm-up”. Results Five studies met the inclusion criteria. In four studies, the authors conclude that the “FIFA 11 +” warm-up programme is effective for preventing injuries in soccer players. In one study, this protective effect was not observed. Conclusion The analyzed...
The “FIFA 11+” warm-up programme for preventing injuries in soccer players: a systematic review
Fisioterapia em Movimento, 2015
Introduction Soccer is among the sports with the highest injury rate. A group of international experts from the Fédération Internationale de Football Association — FIFA’s Medical Assessment and Research Centre — have developed the “FIFA 11+”, a warm-up programme whose main goal is to reduce the risk of common injuries in both male and female soccer players. Objective To conduct a literature review in order to check the efficiency of the “FIFA 11 +” warm-up programme in preventing injuries in soccer players. Methods We conducted a systematic review of studies in the databases MEDLINE/PubMed, SciELO, ScienceDirect and SPORTDiscus, using the following keywords in combination with one another: “injury”, “prevention” and “warm-up”. Results Five studies met the inclusion criteria. In four studies, the authors conclude that the “FIFA 11 +” warm-up programme is effective for preventing injuries in soccer players. In one study, this protective effect was not observed. Conclusion The analyzed...
2017
Question Does adding a post-training Fédération Internationale de Football Association (FIFA) 11+ exercise program to the pre-training FIFA 11+ injury prevention program reduce injury rates among male amateur soccer players? Design: Cluster-randomised, controlled trial with concealed allocation. Participants: Twenty-one teams of male amateur soccer players aged 14 to 35 years were randomly assigned to the experimental group (n = 10 teams, 160 players) or the control group (n = 11 teams, 184 players). Intervention Both groups performed pre-training FIFA 11+ exercises for 20 minutes. The experimental group also performed post-training FIFA 11+ exercises for 10 minutes. Outcome measures The primary outcomes measures were incidence of overall injury, incidence of initial and recurrent injury, and injury severity. The secondary outcome measure was compliance to the experimental intervention (pre and post FIFA 11+ program) and the control intervention (pre FIFA 11+ program). Results During one season, 26 injuries (team mean = 0.081 injuries/1000 exposure hours, SD = 0.064) were reported in the experimental group, and 82 injuries were reported in the control group (team mean = 0.324 injuries/1000 hours, SD = 0.084). Generalised Estimating Equations were applied with an intention-to-treat analysis. The pre and post FIFA 11+ program reduced the total number of injuries (X 2 (1) = 11.549, p = 0.001) and the incidence of initial injury (X 2 (2) = 8.987, p = 0.003) significantly more than the pre FIFA 11+ program alone. However, the odds of suffering a recurrent injury were not different between the two groups (X 2 (1) = 2.350, p = 0.125). Moreover, the severity level of injuries was not dependent upon whether or not the pre and post FIFA 11+ program was implemented (X 2 (1) = 0.016, p = 0.898). Conclusion Implementation of the FIFA 11+ program pre-training and post-training reduced overall injury rates in male amateur soccer players more than the pre FIFA 11+ program alone.Trial registration: ACTRN12615001206516.
Background The FIFA Medical and Research Centre (F-MARC) has designed a comprehensive warm-up program targeting muscular strength, body kinaesthetic awareness, and neuromuscular control during static and dynamic movements to decrease injury risk for soccer players. Prior studies have investigated the effectiveness of the F-MARC programs, but have not consistently reported a statistically significant reduction in injury and reduction in time loss due to injury from utilizing the program. Objective The purpose of this study was to conduct a systematic review and meta-analysis of randomized controlled trials and interventional studies that evaluated the efficacy of the F-MARC injury prevention programs in soccer. Methods Two independent researchers searched the relevant article databases. The keyword domains used during the search were ‘F-MARC’, ‘FIFA 11+’, ‘the 11+’, ‘injury prevention programs’, ‘soccer’, and variations of these keywords. The initial search resulted in 4299 articles which were filtered to nine articles that met the inclusion criteria. Main inclusion criteria were randomized controlled trials or interventional studies, use of F-MARC injury prevention programs, and the primary outcome measuring overall and lower extremity injuries. Extracted data were entered and analyzed using Comprehensive Meta-Analysis software, version 2 (CMA.V2). Results The pooled results based on total injuries per 1000 h of exposure showed that F-MARC injury prevention programs had a statistically significant reduction in the overall injury risk ratio of 0.771 (95 % CI 0.647–0.918, p = 0.003) and the lower extremity injury risk ratio of 0.762 (95 % CI 0.621–0.935, p = 0.009). Moreover, FIFA ‘11+’ had a statistically significant reduction in the overall injury risk ratio to 0.654 (95 % CI 0.537–0.798, p < 0.001) and the lower extremity injury risk ratio of 0.612 (95 % CI 0.475–0.788, p < 0.001). However, FIFA ‘11’ did not reach significance for the lower extremity and overall injury reduction. It can be suggested that teams involved in the FIFA ‘11+’ warm-up program will reduce injury rates by between 20 and 50 % in the long term compared with the teams that do not engage in F-MARC programs. Conclusions This systematic review and meta-analysis indicated that use of F-MARC injury prevention programs, particularly the ‘11+’ program, decreases the risk of injuries among soccer players. These data also support the case for the development and introduction of sport-specific programs.
The Open Sports Sciences Journal
Background: The Fédération International de Football Association (FIFA) has promoted and deployed the FIFA 11+ injury prevention program worldwide. Developed by the FIFA Medical Assessment and Research Centre (F-MARC), the program relied on the results of an international randomized controlled trial that aimed to reduce sport-related injuries and healthcare costs. Objective: The objective of this study was to assess the awareness level, implementation rate, and opinions about the effectiveness of the FIFA 11+ Injury Prevention Program among professional and semi-professional soccer players and coaches worldwide. Methods: In all, 2000 professional and semi-professional soccer players and coaches were invited to complete a self-administered questionnaire. Several authors, who are experts in sports medicine and injury prevention, participated in developing the questionnaire. The primary outcomes were awareness level, implementation rate, and opinion on the FIFA 11+ Program’s effectiven...
Annals of Applied Sport Science, 2020
Background. Most football players (58%) around the world are younger than 18 years and almost three quarters of these young players are under the age of 14 years old. The characteristics of football injuries in children aged 7 12 years old are different from those of the young and adult players. Objectives. The aim of this systematic review was to evaluate effects of FIFA 11+ and 11+ Kids warm-up programs in preventing the injuries on the pre-adolescents football players. Methods. PubMed and Science Direct databases were used using the search terms including FIFA 11+, 11+ kids, injury prevention, football, and pre-adolescent. A total of 520 studies were identified, of which 10 met the inclusion criteria of the review. Methodological quality of the studies were assessed through the PEDro score. Results. The 11+ Kids exercises reduce the injury and improve the physical fitness factors such as balance, jumping activities and lower limb isokinetic strength. Although 11+ exercises are de...