Prevention of Soccer-Related Knee Injuries in Teenaged Girls

Kiani, Ashkan; Hellquist, Einar; Ahlqvist, Kerstin; Gedeborg, Rolf; Michaëlsson, Karl; Byberg, Liisa

doi:10.1001/archinternmed.2009.289

Cited by 211 publications

(251 citation statements)

References 26 publications

(24 reference statements)

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“…Several neuromuscular training programmes have therefore been evaluated to prevent acute knee injury, ACL injury in particular, among youth female football players [8,9,11,13,16].…”

Section: Introductionmentioning

confidence: 99%

No effect on performance tests from a neuromuscular warm-up programme in youth female football: a randomised controlled trial

Lindblom

Waldén

Hägglund

2011

Knee Surg Sports Traumatol Arthrosc

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Purpose The objective of the present randomised controlled trial was to study the effect of a neuromuscular warm-up programme on performance tests in youth female football.Methods Four youth female football teams with players aged 12-16 years were randomised into an intervention group and control group. The intervention was a 15-minute neuromuscular warm-up program carried out twice a week during the 11-week study period.Baseline and follow-up measurements of performance were made indoors and included the star excursion balance test, a countermovement jump test, a triple-hop for distance test, a modified Illinois agility test, and 10 and 20 m sprint tests.Results Fifty-two players (intervention 28; control 24) took part in baseline measurements, and after dropout, 41 players (intervention 23; control 18) were included for analysis. Minor positive changes were seen in the control group compared to the intervention group for a subscore of the star excursion balance test (P < 0.05) and in the modified Illinois agility test (P < 0.05). No improvement was seen in the intervention group from baseline to follow-up. ConclusionsThe study showed that a neuromuscular warm-up programme carried out during 11 weeks did not improve performance in youth female football. This could indicate that the programme does not contain sufficient stimulus to improve performance. A low player attendance at training sessions, and low specificity between exercises in the warm-up programme and the evaluated performance tests may also contribute to the lack of effect.Level of evidence I.

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“…Several neuromuscular training programmes have therefore been evaluated to prevent acute knee injury, ACL injury in particular, among youth female football players [8,9,11,13,16].…”

Section: Introductionmentioning

confidence: 99%

No effect on performance tests from a neuromuscular warm-up programme in youth female football: a randomised controlled trial

Lindblom

Waldén

Hägglund

2011

Knee Surg Sports Traumatol Arthrosc

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“…For neuromuscular-training (NMT) intervention studies, compliance with the protocol is an important variable when determining the success and usefulness of these programs. 1 Many groups [2][3][4][5][6][7][8][9][10][11][12][13][14][15] have measured the effect of NMT compliance in reducing knee-injury rates. Using a prospective, cluster-randomized controlled design, other investigators 16 assessed compliance in 52 young female soccer teams (a total of 1055 players) who participated in a comprehensive soccer specific warm-up program called 11þ.…”

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confidence: 99%

Preventive Neuromuscular Training for Young Female Athletes: Comparison of Coach and Athlete Compliance Rates

Sugimoto

Mattacola

Bush

et al. 2017

Journal of Athletic Training

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Context: Fewer athletic injuries and lower anterior cruciate ligament injury incidence rates were noted in studies of neuromuscular-training (NMT) interventions that had high compliance rates. However, several groups have demonstrated that preventive NMT interventions were limited by low compliance rates.Objective: To descriptively analyze coach and athlete compliance with preventive NMT and compare the compliance between study arms as well as among school levels and sports.Design: Randomized, controlled clinical trial. Setting: Middle and high school athletic programs. Participants or Other Participants: A total of 52 teams, comprising 547 female athletes, were randomly assigned to the experimental or control group and followed for 1 athletic season.Intervention ( [athlete compliance]) was measured descriptively. Using an independent t test, we compared coach and athlete compliance between the study arms. A 2-way analysis of variance was calculated to compare differences between coach and athlete compliance by school level (middle and high schools) and sport (basketball, soccer, and volleyball).Results: The protocols were completed at a mean rate of 1.3 6 1.1 times per week during the preseason and 1.2 6 0.5 times per week in-season. A total of 88.4% of athletes completed 2/3 of the intervention sessions. Coach compliance was greater in the experimental group than in the control group (P ¼ .014). Coach compliance did not differ by sport but was greater at the high school than the middle school (P ¼ .001) level. Athlete compliance did not differ by study arm, sport, or school level.Conclusions: Athletes received instruction in about 50% of each protocol. Nearly 90% of athletes performed more than 2/3 of the assigned NMT interventions. The assigned intervention was performed more often in the experimental arm compared with the control arm. Coaches at the high school level complied with the given protocol more than middle school coaches did. Athletes complied well with the protocol, but coaches did not, especially at the middle school level.Key Words: athletic injuries, knee, anterior cruciate ligament, high school, middle school Key PointsCoaches practiced only 50% of the assigned neuromuscular-training (NMT) intervention sessions. Nearly 90% of athletes complied with more than 2/3 of the NMT interventions. Busy competition schedules and a lack of available time during the season might have hindered compliance with the protocol among coaches, especially at the middle school level. Identifying applicable strategies for successful implementation of preventive NMT and maintaining high compliance rates among coaches are key. 58

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“…The majority of the post intervention intra-group results for the EG showed a tendency to rise, however, only one of them (IL) presented a significant statistic differences of 46% compared to the CG which only increased to 15%, which could be associated with the stability of the dynamic chain (provided by the training program) which could be associated with the requirements for performing this motor movement 10,19 . The post intervention inter-group results suggest that the EG had significantly improved scores in the IL, test with a score of p 0.001, compared to the CG which didn't produce any significant scores in any of its variables.…”

Section: Discussionmentioning

confidence: 94%

Effect of “Fifa 11+” on the Pattern of Fundamental Movements in Under-14 Soccer Players

Baeza

Paredes

Vega

et al. 2017

Rev Bras Med Esporte

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Introduction: Increasing youth participation in soccer has several benefits, but it also brings risks of injury. The use of neuromuscular techniques is effective in preventing injuries, especially in periods of growth as occurs in puberty, which coincides with the development of fundamental basic movements. Therefore, it is important to implement and evaluate prevention programs that focus on neuromuscular control during this stage. Objective: To determine the effect of the FIFA 11+ over a six-week training period in order to quickly improve fundamental movement patterns in under-14 soccer players. Method: A quasi-experimental study that evaluated the fundamental movement patterns through the Functional Movement Screen (FMS) in 22 athletes who were divided into a control group (CG; N=11) and an experimental group (EG; N=11), submitted to the program FIFA 11+ for six weeks. The SPSS 20.0 program was used to analyze the data. Results: Statistically significant improvements were found in the in-line lunge (IL) and in the post-intervention FMS total scores in EG, as well as intergroup improvements when testing the deep squat (DS) in the EG, but not in both groups. Conclusions: The six week FIFA 11+ program did not produce significant improvements in players’ fundamental movements.

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Prevention of Soccer-Related Knee Injuries in Teenaged Girls

Abstract: The incidence of knee injuries among young female soccer players can be reduced by implementation of a multifaceted, soccer-specific physical exercise program including education of individual players.

Cited by 211 publications

References 26 publications

No effect on performance tests from a neuromuscular warm-up programme in youth female football: a randomised controlled trial

No effect on performance tests from a neuromuscular warm-up programme in youth female football: a randomised controlled trial

Preventive Neuromuscular Training for Young Female Athletes: Comparison of Coach and Athlete Compliance Rates

Effect of “Fifa 11+” on the Pattern of Fundamental Movements in Under-14 Soccer Players

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