Part 2 of the 11+ as an effective home-based exercise programme in elite academy football (soccer) players: a one-club matched-paired randomised controlled trial

Veith, Stella; Whalan, Matthew; Williams, Seán; Colyer, Steffi L.; Sampson, John A.

doi:10.1080/24733938.2021.1874616

Cited by 8 publications

(6 citation statements)

References 47 publications

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“…Flexible modes of delivery may assist with increasing player adherence with part 2 of the 11 + . For example, re-scheduling Part 2 of the 11 + to the end of a training session 42 and completing it as a home exercise program 43 has been shown to maintain its effectiveness and increase adherence. In our survey 31.6% of coaches and between 12-17% of other stakeholders added part 2 of the 11 + to the end of a training session.…”

Section: Discussionmentioning

confidence: 99%

The FIFA 11 + : Why is adherence so challenging? Insights from a cross-sectional study of stakeholders in Australian amateur football (soccer)

Ross,

McKay,

Pappas

et al. 2023

International Journal of Sports Science & Coaching

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Objectives To explore the usage and awareness of the FIFA 11 + (11 + ) across multiple stakeholders involved with amateur football. Methods Coaches, players, non-coaching staff and medical personnel in New South Wales (NSW), Australia, were invited to complete a cross-sectional online survey, which was disseminated using a targeted email to two Football NSW member organisations and a social media campaign. Categorical data (including age-groups and sex) are presented as counts and percentages and analysed using a Chi-square or Fisher's exact test. A significance level of 0.05 was used for all analyses. Results In total 328 players, 55 coaches, 37 non-coaching staff and 16 medical personnel completed the survey (n = 436). Awareness of the 11 + was lowest among non-coaching staff (16.2%) and players (32.6%) but higher among coaches (52.7%) and medical personnel (93.8%). Once aware of the 11 + , 75.8% of all respondents used the program although 89.5% of them did so with modifications. In addition, only 40.0% of players reported completing all three parts of the 11 + program. Veteran players were less likely to complete any type of warm-up compared with junior players (63.7% vs. 96.3%, respectively). Conclusions Although awareness of the 11 + varied amongst survey respondents, 3 out of 4 respondents who were aware of the 11 + adopted the program. However, respondents reported modifying the 11 + and not completing the program as intended, which suggests modification guidance is required to maintain the efficacy of the 11 + .

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Section: Discussionmentioning

confidence: 99%

The FIFA 11 + : Why is adherence so challenging? Insights from a cross-sectional study of stakeholders in Australian amateur football (soccer)

Ross,

McKay,

Pappas

et al. 2023

International Journal of Sports Science & Coaching

Self Cite

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“… 17 While the study participants knew about the 11+, there was a clear lack of uptake towards the part 2 strength exercises, consistent with published data. 23 24 …”

Section: Discussionmentioning

confidence: 99%

“…The literature provides examples where strengthening exercises have been successfully implanted into training sessions to improve adherence. 23 There is also evidence that supports moving the strength exercises to the end of a football session with this having been shown to both improve adherence and to improve the efficacy of the programme. 24 As a result, there is a need to consider how to implement strength-based training in future programmes.…”

Section: Discussionmentioning

confidence: 99%

Suggested improvements to the 11+ as identified by coaches, players, strength and conditioning staff and medical staff in New Zealand Football

Winstanley¹,

Reid²,

Fulcher

2023

BMJ Open Sport Exerc Med

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The aim of this study was to investigate the experience with the 11+, attitudes towards injury prevention, and potential improvements to the 11+ and the delivery of injury prevention strategies within football. A qualitative study design was used to investigate the views of four stakeholder groups (players, coaches, strength and conditioning staff and clinicians). Twenty-two adults participated (nine women; median age 35.5 years). Participants were purposively recruited and were based in New Zealand. They represented various levels of football, including different genders, ages and levels of play. Focus group interviews were conducted, which were recorded, transcribed and subject to thematic analysis. Four key themes were identified: understanding of the 11+ injury prevention warm-up, content of an ideal injury prevention programme, structure of the programme and education, adherence and dissemination. The study found that while participants appeared to have good awareness of the existing 11+ programme and an interest in injury prevention, adherence and enthusiasm towards the programme was limited. Participants highlighted a number of elements that may help shape the development of a new injury prevention strategy, including a desire to retain many of the elements of the 11+ and to have a proven programme. Participants wanted greater variety, more football-specific elements and to implement a new strategy throughout a session, rather than being seen as a stand-alone warm-up. Whether the intervention should also include strength-based exercises, or whether this should be promoted outside of a football training session, was less certain.

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“…reduce the risk of lower extremity injuries [21]. Studies by Veith et al (2021) and Lopes et al (2020) would precisely support this assumption, where they found no improvement in ankle stability, proprioception, and ankle evertors time latency following performing part two and the whole programme, respectively [17,22,23]. Hence, rescheduling the 11+ has been taken into account and appears to mitigate severe injuries and increase compliance [14].…”

Section: Plos Onementioning

confidence: 99%

“…The most frequent reasons trainers gave for the modifications were adding variation, progression, challenge, and individualization [ 14 , 16 ]. Additionally, Veith et al suggested that part two of the FIFA11+ can be used outside of the training sessions since the trainers do not want to invest in it [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of the FIFA 11+ and a modified warm-up programme on injury prevention and performance improvement among youth male football players

Asgari

Alizadeh²,

Shahrbanian³

et al. 2022

PLoS ONE

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Introduction The effects of the FIFA11+ programme (the 11+) on ankle and groin injuries and performance have remained questionable. The latter, particularly, has potentially reduced the implementation rate and applicability of the programme. This study aimed to evaluate the mid-to-long-term effects of the 11+ and a modified programme including football-specific exercises on injury prevention and performance improvement. Materials and methods Three teams of the Iranian Youth League (division two) volunteered to participate in this study and were randomly assigned to two intervention groups (F11+; n = 29, M11+; n = 31) and a control group (n = 30). The F11+ followed the FIFA 11+ programme, whereas the M11+ performed modified exercises three times weekly as a warm-up protocol before training and competition through a football season. The control group carried out its routine warm-ups, including joggings, basic football drills, and static stretches, while having no injury prevention approaches. Lower extremity injuries, as well as exposure time for each player, were recorded. The football-specific performance was assessed using the Illinois Agility and Slalom Dribbling tests. ANOVA, Fisher Freeman Halton, and chi-square tests were used to analyze the data. Results Injury incidences differed significantly between groups (p = 0.02, C = 0.40), with M11+ reporting the lowest incidence. Significant differences between the pre- and posttest as well as differences between the groups for development over time were revealed for the Illinois agility and dribbling speed (p≤0.01). Both performance tests demonstrated a large time effect, as the effect sizes for time in agility and dribbling speed were 0.74 (CI = [0.66; 0.79]) and 0.86 (CI = [0.79; 0.87]), respectively. The effect size for the interaction can be categorized as medium, with 0.38 (CI = [0.25; 0.49]) for agility and 0.52 (CI = [0.40; 0.61]) for dribbling speed. M11+ showed the largest improvement in both. Discussion Mid-to-long-term application of a structured dynamic warm-up that integrates injury prevention and performance approaches may lower injury incidences and improve youth subelite players’ performance. Although additional studies with larger samples are needed to prove the results of the current study, the amateur clubs/teams could integrate such twofold dynamic warm up into their routine training plan and benefit its advantages on injury prevention and performance improvement.

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Part 2 of the 11+ as an effective home-based exercise programme in elite academy football (soccer) players: a one-club matched-paired randomised controlled trial

Cited by 8 publications

References 47 publications

The FIFA 11 + : Why is adherence so challenging? Insights from a cross-sectional study of stakeholders in Australian amateur football (soccer)

The FIFA 11 + : Why is adherence so challenging? Insights from a cross-sectional study of stakeholders in Australian amateur football (soccer)

Suggested improvements to the 11+ as identified by coaches, players, strength and conditioning staff and medical staff in New Zealand Football

Effects of the FIFA 11+ and a modified warm-up programme on injury prevention and performance improvement among youth male football players

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