Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Sports Science, Medicine and Rehabilitation
Published in: BMC Sports Science, Medicine and Rehabilitation 1/2017

Open Access 01-12-2017 | Research article

The FIFA 11+ injury prevention program for soccer players: a systematic review

Authors: David Sadigursky, Juliana Almeida Braid, Diogo Neiva Lemos De Lira, Bruno Almeida Barreto Machado, Rogério Jamil Fernandes Carneiro, Paulo Oliveira Colavolpe

Published in: BMC Sports Science, Medicine and Rehabilitation | Issue 1/2017

Login to get access

Abstract

Background

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.

Methodology

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.

Results

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 relative risk of 0.70 (95% confidence interval, 0.52–0.93, p = 0.01). In the intervention group, 779 (24%) players had injuries, while in the control group, 1,219 (40%) players had injuries. However, this pattern was not homogeneous throughout the studies because of clinical and methodological differences in the samples. This study showed no publication bias.

Conclusion

The FIFA 11+ warm-up program reduced the risk of injury in soccer players by 30%.
Literature
1.
Dvorak J, Junge A, Graf-Baumann T, Peterson L. Football is the most popular sport worldwide. Am J Sports Med. 2004 Feb;32(1 Suppl):3S–4S.CrossRefPubMed
2.
Silva JRLDC Efeito do programa de aquecimento FIFA 11+ na capacidade de sprints repetidos, agilidade e parâmetros neuromusculares de atletas de futebol. 2015.
3.
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. Lucia A, ed. PLoS ONE. 2012;7(12):e50979. doi:10.​1371/​journal.​pone.​0050979.
4.
Junge A, Dvorak J. Soccer injuries: a review on incidence and prevention. Sports Med Auckl NZ. 2004;34(13):929–38.CrossRef
5.
Woods C, Hawkins R, Hulse M, Hodson A. The Football Association Medical Research Programme: an audit of injuries in professional football-analysis of preseason injuries. Br J Sports Med. 2002 Dec;36(6):436–41; discussion 441.
6.
7.
Hägglund M, Waldén M, Bahr R, Ekstrand J. Methods for epidemiological study of injuries to professional football players: developing the UEFA model. Br J Sports Med. 2005 Jun;39(6):340–6.CrossRefPubMedPubMedCentral
8.
Ekstrand J, Hägglund M, Waldén M. Injury incidence and injury patterns in professional football: the UEFA injury study. Br J Sports Med. 2011 Jun;45(7):553–8.CrossRefPubMed
9.
Ekstrand J, Hägglund M, Waldén M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med. 2011 Jun;39(6):1226–32.CrossRefPubMed
10.
Chomiak J, Junge A, Peterson L, Dvorak J. Severe injuries in football players. Influencing factors. Am J Sports Med. 2000;28(5 Suppl):S58–68.CrossRefPubMed
11.
Alentorn-Geli E, Myer GD, Silvers HJ, Samitier G, Romero D, Lázaro-Haro C, et al. Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors. Knee Surg Sports Traumatol Arthrosc Off J ESSKA. 2009 Jul;17(7):705–29.CrossRef
12.
Mendiguchia J, Alentorn-Geli E, Brughelli M. Hamstring strain injuries: are we heading in the right direction? Br J Sports Med. 2012 Feb;46(2):81–5.CrossRefPubMed
13.
Dvorak J, Junge A, Chomiak J, Graf-Baumann T, Peterson L, Rösch D, et al. Risk factor analysis for injuries in football players. Possibilities for a prevention program. Am J Sports Med. 2000;28(5 Suppl):S69–74.CrossRefPubMed
14.
McHugh MP. Injury prevention in professional sports: protecting your investments. Scand J Med Sci Sports. 2009 Dec;19(6):751–2.CrossRefPubMed
15.
Bizzini M, Dvorak J. FIFA 11+: an effective programme to prevent football injuries in various player groups worldwide-a narrative review. Br J Sports Med. 2015 May;49(9):577–9.CrossRefPubMedPubMedCentral
16.
17.
Junge A, Lamprecht M, Stamm H, Hasler H, Bizzini M, Tschopp M, et al. Countrywide campaign to prevent soccer injuries in Swiss amateur players. Am J Sports Med. 2011 Jan;39(1):57–63.CrossRefPubMed
18.
Barengo NC, Meneses-Echávez JF, Ramírez-Vélez R, Cohen DD, Tovar G, Bautista JEC. The impact of the FIFA 11+ training program on injury prevention in football players: a systematic review. Int J Environ Res Public Health. 2014 Nov;11(11):11986–2000.CrossRefPubMedPubMedCentral
19.
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. PLoS Med. 2009 Jul 21;6(7):e1000100.CrossRefPubMedPubMedCentral
20.
Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996 Feb;17(1):1–12.CrossRefPubMed
21.
Nobre MRC, Bernardo WM, Jatene FB. A prática clínica baseada em evidências. Parte I: questões clínicas bem construídas. Rev Assoc Médica Bras. 2003;49(4):445–9.CrossRef
22.
Hammes D, Aus der Fünten K, Kaiser S, Frisen E, Bizzini M, Meyer T. Injury prevention in male veteran football players - a randomised controlled trial using "FIFA 11+&quot. J Sports Sci. 2014;33(9):873–81.CrossRefPubMed
23.
Steffen K, Myklebust G, Olsen OE, Holme I, Bahr R. Preventing injuries in female youth football--a cluster-randomized controlled trial. Scand J Med Sci Sports. 2008 Oct;18(5):605–14.CrossRefPubMed
24.
Soligard T, Myklebust G, Steffen K, Holme I, Silvers H, Bizzini M, et al. Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial. BMJ. 2008;337(December):a2469.CrossRefPubMedPubMedCentral
25.
Steffen K, Emery CA, Romiti M, Kang J, Bizzini M, Dvorak J, 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. Br J Sports Med. 2013 Aug;47(12):794–802.CrossRefPubMed
26.
Silvers-Granelli H, Mandelbaum B, Adeniji O, Insler S, Bizzini M, Pohlig R, et al. Efficacy of the FIFA 11+ Injury Prevention Program in the Collegiate Male Soccer Player. Am J Sports Med. 2015 Nov 1;43(11):2628–37.CrossRefPubMedPubMedCentral
27.
Owoeye OBA, Akinbo SRA, Tella BA, Olawale OA. Efficacy of the FIFA 11+ warm-up programme in male youth football: A cluster randomised controlled trial. J Sports Sci Med. 2014;13(2):321–8.PubMedPubMedCentral
28.
Berwanger S, Buehler C. Como Avaliar Criticamente Revisões Sistemáticas e Metanálises? Rev Bras Ter Intensiva. 2007;19(4):475–80.CrossRefPubMed
29.
Ferreira EJ, Santos D, Cunha M. Critical interpretation of statistical results of a meta-analysis: methodological strategies. Millenium. 2013;44:85–98.
30.
Grooms DR, Palmer T, Onate JA, Myer GD, Grindstaff T. Soccer-specific warm-up and lower extremity injury rates in collegiate male soccer players. J Athl Train. 2013;48(6):782–9.CrossRefPubMedPubMedCentral
31.
Silvers-Granelli H, Mandelbaum B, Adeniji O, Insler S, Bizzini M, Pohlig R, et al. Efficacy of the FIFA 11+ Injury Prevention Program in the Collegiate Male Soccer Player. Am J Sports Med. 2015 Nov;43(11):2628–37.CrossRefPubMedPubMedCentral
32.
Achkasov EE, Puzin SN, Litvinenko AS, Kurshev VV, Bezuglov EN. The effect of different types of sports and athletes' age on the pathological changes of the musculoskeletal system. Vestn Ross Akad Med Nauk. 2014;(11-12):80-3. PMID:25971131.
33.
Hoff GL, Martin TA. Outdoor and indoor soccer: injuries among youth players. Am J Sports Med. 1986;14(3):231–3.CrossRefPubMed
34.
Ostenberg A, Roos H. Injury risk factors in female European football. A prospective study of 123 players during one season. Scand J Med Sci Sports. 2000 Oct;10(5):279–85.CrossRefPubMed
35.
Backous DD, Friedl KE, Smith NJ, Parr TJ, Carpine WD. Soccer injuries and their relation to physical maturity. Am J Dis Child 1960. 1988 Aug;142(8):839–842.
36.
Junge A, Dvorak J. Injuries in female football players in top-level international tournaments. Br J Sports Med. 2007 Aug;41 Suppl 1(Suppl 1):i3–i7.
37.
Söderman K, Adolphson J, Lorentzon R, Alfredson H. Injuries in adolescent female players in European football: a prospective study over one outdoor soccer season. Scand J Med Sci Sports. 2001 Oct;11(5):299–304.CrossRefPubMed
38.
Emery CA, Meeuwisse WH, Hartmann SE. Evaluation of risk factors for injury in adolescent soccer: implementation and validation of an injury surveillance system. Am J Sports Med. 2005 Dec;33(12):1882–91.CrossRefPubMed
39.
Junge A, Cheung K, Edwards T, Dvorak J. Injuries in youth amateur soccer and rugby players--comparison of incidence and characteristics. Br J Sports Med. 2004 Apr;38(2):168–72.CrossRefPubMedPubMedCentral
40.
Price RJ, Hawkins RD, Hulse MA, Hodson A. The Football Association medical research programme: an audit of injuries in academy youth football. Br J Sports Med. 2004 Aug;38(4):466–71.CrossRefPubMedPubMedCentral
41.
Shultz SJ, Sander TC, Kirk SE, Perrin DH. Sex differences in knee joint laxity change across the female menstrual cycle. J Sports Med Phys Fitness. 2005 Dec;45(4):594–603.PubMedPubMedCentral
42.
Lee H, Petrofsky JS, Daher N, Berk L, Laymon M, Khowailed IA. Anterior cruciate ligament elasticity and force for flexion during the menstrual cycle. Med Sci Monit Int Med J Exp Clin Res. 2013;19:1080–8.
43.
Fuller CW, Ekstrand J, Junge A, Andersen TE, Bahr R, Dvorak J, et al. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med. 2006 Mar;40(3):193–201.CrossRefPubMedPubMedCentral
44.
Van Beijsterveldt AMCA-M, Stubbe JH, Schmikli SL, van de Port IGL, Backx FJG. Differences in injury risk and characteristics between Dutch amateur and professional soccer players. J Sci Med Sport Sports Med Aust. 2015 Mar;18(2):145–9.CrossRef
Metadata
Title
The FIFA 11+ injury prevention program for soccer players: a systematic review
Authors
David Sadigursky
Juliana Almeida Braid
Diogo Neiva Lemos De Lira
Bruno Almeida Barreto Machado
Rogério Jamil Fernandes Carneiro
Paulo Oliveira Colavolpe
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Sports Science, Medicine and Rehabilitation / Issue 1/2017
Electronic ISSN: 2052-1847
DOI
https://doi.org/10.1186/s13102-017-0083-z

Other articles of this Issue 1/2017

BMC Sports Science, Medicine and Rehabilitation 1/2017 Go to the issue

Research article

Low back pain and FokI (rs2228570) polymorphism of vitamin D receptor in athletes

Research article

Team sport athletes’ perceptions and use of recovery strategies: a mixed-methods survey study

Research article

Are we missing opportunities? Physiotherapy and physical activity promotion: a cross-sectional survey

Research article

Assessing upper limb function: transcultural adaptation and validation of the Portuguese version of the Stroke Upper Limb Capacity Scale

Research article

Loading conditions in the spine, hip and knee during different executions of back extension exercises

Research article

Could current factors be associated with retrospective sports injuries in Brazilian jiu-jitsu? A cross-sectional study