Implementation of the FIFA 11+ Injury Prevention Program by High School Athletic Teams Did Not Reduce Lower Extremity Injuries: Response

Background: Lower extremity injuries are common in high school sports and are costly, and some have poor outcomes. The FIFA 11+ injury prevention program has been shown to decrease injuries in elite athletes by up to 72%. Hypothesis: High schools in which coaches implement the FIFA 11+ injury prevention program in their athletic programs will have a decreased incidence of lower extremity injuries compared with schools using their usual prepractice warm-up. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: Fourteen high schools that employed an athletic trainer were randomly assigned to either the FIFA 11+ group or control group (usual warm-up routine). Exposure to sports and injuries were recorded and used to determine the incidence rates of lower extremity injuries per athlete-exposure (AE). The FIFA 11+ program was implemented by coaches and complicance with the program recorded. Results: There were 196 lower extremity injuries among 1825 athletes in the FIFA 11+ group and 172 injuries among 1786 athletes in the control group (1.59 and 1.47 injuries per 1000 AEs, respectively; P = .771). The distribution of the types of injury in the 2 groups did not differ, but the body locations where the injuries occurred differed somewhat ( P = .051). The FIFA 11+ group had larger proportions of thigh and foot injuries, while the control group had higher proportions of knee and ankle injuries. Group differences in injury rates varied with sport ( P = .041 for interaction), but there were no significant differences in injury rates between the FIFA 11+ and control groups by sport, level of play, and sex. In the FIFA 11+ group, 62% of the coaches reported that their teams completed the full FIFA 11+ program at least once a week, and 32% reported that they completed it at least twice a week. Conclusion: This study did not demonstrate a reduction in lower extremity injuries in schools randomized to use the FIFA 11+ program compared with schools using their usual prepractice warm-up program. Coach-reported compliance with performing the FIFA 11+ program at least twice a week was low.

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Association Between Ball-Handling Versus Defending Actions and Acute Noncontact Lower Extremity Injuries in High School Basketball and Soccer

The American Journal of Sports Medicine ◽

10.1177/0363546514564541 ◽

2015 ◽

Vol 43 (4) ◽

pp. 802-807 ◽

Cited By ~ 9

Author(s):

Scott M. Monfort ◽

R. Dawn Comstock ◽

Christy L. Collins ◽

James A. Onate ◽

Thomas M. Best ◽

...

Keyword(s):

High School ◽

Lower Extremity ◽

Lower Extremity Injuries ◽

Extremity Injuries

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Prevention of musculoskeletal injuries in recreational field hockey: the systematic development of an intervention and its feasibility

BMJ Open Sport & Exercise Medicine ◽

10.1136/bmjsem-2018-000425 ◽

2018 ◽

Vol 4 (1) ◽

pp. e000425 ◽

Cited By ~ 5

Author(s):

Vincent Gouttebarge ◽

Victor Zuidema

Keyword(s):

Lower Extremity ◽

Needs Assessment ◽

Injury Prevention ◽

Field Hockey ◽

Target Groups ◽

Warm Up ◽

Lower Extremity Injuries ◽

Hockey Players ◽

Systematic Development ◽

Extremity Injuries

ObjectiveThis article describes the systematic development of an intervention for the prevention of lower extremity injuries in field hockey and the assessment of its feasibility.MethodsThe intervention was developed according to the first four steps of the intervention mapping and knowledge transfer scheme processes, mostly based on focus group interviews with experts in field hockey and injury prevention (needs assessment; objective and target groups; content selection; development). Subsequently, a quasi-experimental research (one-group post-test design) was conducted among 35 young field hockey players and 7 coaches. Participants were asked to use the intervention for 3 weeks, and the degrees of relevancy, suitability, satisfaction and usability of the intervention were assessed by means of a questionnaire and a group interview.ResultsFirst, the needs assessment conducted among the main actors within recreational field hockey revealed that an injury prevention intervention was needed, ideally delivered through videos via an application for smartphone/tablet or website. Second, the objective and target groups of the intervention were defined, namely to prevent or reduce the occurrence of lower extremity injuries among both young and adult recreational field hockey players. Third, warming-up exercises were selected as preventive measures and strategies (eg, core stability, strength, coordination). Last, the ‘Warming-Up Hockey’ intervention was developed, consisting of a warm-up programme (delivered by coaches including more than 50 unique exercises). The relevancy, satisfaction and usability of ‘Warming-Up Hockey’ were positively evaluated, but two main alterations were made: the duration of the ‘Warming-up Hockey’ was reduced from 16 to 12 min and a match-specific warm-up was added.ConclusionThe feasibility of ‘Warming-Up Hockey’ was positively assessed by players and coaches. Prior to its nationwide implementation, the effectiveness of the intervention on injury reduction among field hockey players should be conducted.

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Effects of lower extremity injuries on aerobic exercise capacity, anaerobic power, and knee isokinetic muscular function in high school soccer players

Journal of Physical Therapy Science ◽

10.1589/jpts.29.1715 ◽

2017 ◽

Vol 29 (10) ◽

pp. 1715-1719 ◽

Cited By ~ 1

Author(s):

Kwang-Jun Ko ◽

Gi-Chul Ha ◽

Dong-Woo Kim ◽

Seol-Jung Kang

Keyword(s):

High School ◽

Lower Extremity ◽

Aerobic Exercise ◽

Exercise Capacity ◽

Anaerobic Power ◽

Soccer Players ◽

Lower Extremity Injuries ◽

Aerobic Exercise Capacity ◽

Muscular Function ◽

Extremity Injuries

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EARLY RESULTS OF AN INJURY-PREVENTION PROGRAM IN HIGH SCHOOL TRACK ATHLETES

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967119s00141 ◽

2019 ◽

Vol 7 (3_suppl) ◽

pp. 2325967119S0014

Author(s):

Celeste Quitiquit Dickason ◽

Whitney Marois ◽

Hannah Santos ◽

Sadie Grace ◽

Brian Krabak ◽

...

Keyword(s):

High School ◽

Injury Prevention ◽

Prevention Program ◽

Prevention Programs ◽

Years Of Experience ◽

Chi Square ◽

Injury Rates ◽

Injury Prevention Program ◽

Chi Square Analysis ◽

The Impact

Background Injury prevention programs have been shown to be effective for adolescent soccer, basketball, and handball athletes. Though injuries are common in high school runners, injury prevention programs have not been described for this population. Our objective was to trial an injury-prevention program styled after those found to be successful in other running and jumping sports to see if a group of running athletes sustained fewer and or less serious injuries during the course of a single high school track season. Methods Two suburban high school track coaches volunteered to participate in a program consisting of either injury-prevention exercises or no additional exercises as a part of pre-and in-season practice programs. All runners at each school were invited to participate, with informed consent obtained. The injury prevention program consisted of five jumping and plyometric exercises taught by a physical therapist, with a video of the exercises made available to the coach and team members throughout the season. Surveys pre- and post-season were collected which included demographic information, running history, diet, and injuries. Injuries were reported to coach and trainer at each school. Days of missed practice constituted an injured day, tallied for each runner and each team. A Chi-square analysis compared injury rates by team, and hence by intervention; injury rates by years of experience running; and injury rates by dietary preference. Results 24 runners, 13 from the intervention school and 11 from the control school participated. There was no significant difference in the number of running injuries reported when comparing the intervention group (4/13 runners) to the control group (3/11 runners, Chi-square = 0.035, p = 0.9). Runners with a greater number of years of competitive running experience trended towards having fewer injuries (p = 0.06). Those describing their diet as vegetarian (3/24) were significantly more likely to sustain an injury (p = 0.002). Conclusions / Significance With this limited comparison study examining the impact of an injury-prevention pre-season and in-season training program for running athletes participating on their high school track team, there was no evidence that the addition of a program of jumping and plyometric exercises had an impact on injury rates. However, combining the data from the two schools, we found a trend towards decreased injury likelihood in those with more years of experience running, and a significantly greater incidence of injuries in those who described their diet as vegetarian. These results suggest that novice runners should perhaps have a different set of expectations regarding the pre- and in-season training regimen, and that those whose diet is vegetarian consider review of their nutrition to optimize their energy level and reparative capacity with the increased activity of a high school track running program.

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