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Br J Sports Med. 2017 Apr;51(7):562-571. doi: 10.1136/bjsports-2016-097066. Epub 2017 Jan 13.

Effect of specific exercise-based football injury prevention programmes on the overall injury rate in football: a systematic review and meta-analysis of the FIFA 11 and 11+ programmes.

Author information

1
Department of Orthopaedic Surgery, Sports Orthopedic Research Center-Copenhagen (SORC-C), Amager-Hvidovre Hospital, Copenhagen University, Hvidovre, Denmark.
2
Department of Physical Medicine and Rehabilitation-Copenhagen (PMR-C), Amager-Hvidovre Hospital, Copenhagen University, Hvidovre, Denmark.
3
Research Unit for General Practice in Aalborg, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
4
University School of Health and Sport Sciences, Universitat de Girona (EUSES-UdG), Carrer de Francesc Macia 65, Girona, Spain.
5
Sportclinic, Physiotherapy and Sports Training Center, Girona, Spain.
6
Department of Physiotherapy and Occupational Therapy, Faculty of Health and Technology, Metropolitan University College, Copenhagen N, Denmark.
7
The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark.
8
Department of Health Science and Technology, Center for Sensory-Motor Interaction, Aalborg University, Aalborg, Denmark.
9
Department of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Aalborg, Denmark.

Abstract

OBJECTIVE:

To investigate the effect of FIFA injury prevention programmes in football (FIFA 11 and FIFA 11+).

DESIGN:

Systematic review and meta-analysis.

ELIGIBILITY CRITERIA FOR SELECTING STUDIES:

Randomised controlled trials comparing the FIFA injury prevention programmes with a control (no or sham intervention) among football players.

DATA SOURCES:

MEDLINE via PubMed, EMBASE via OVID, CINAHL via Ebsco, Web of Science, SportDiscus and Cochrane Central Register of Controlled Trials, from 2004 to 14 March 2016.

RESULTS:

6 cluster-randomised controlled trials had assessed the effect of FIFA injury prevention programmes compared with controls on the overall football injury incidence in recreational/subelite football. These studies included 2 specific exercise-based injury prevention programmes: FIFA 11 (2 studies) and FIFA 11+ (4 studies). The primary analysis showed a reduction in the overall injury risk ratio of 0.75 (95% CI 0.57 to 0.98), p=0.04, in favour of the FIFA injury prevention programmes. Secondary analyses revealed that when pooling the 4 studies applying the FIFA 11+ prevention programme, a reduction in the overall injury risk ratio (incidence rate ratio (IRR) 0.61; 95% CI 0.48 to 0.77, p<0.001) was present in favour of the FIFA 11+ prevention programme. No reduction was present when pooling the 2 studies including the FIFA 11 prevention programme (IRR 0.99; 95% CI 0.80 to 1.23, p=0.940).

CONCLUSIONS:

An injury-preventing effect of the FIFA injury prevention programmes compared with controls was shown in football. This effect was induced by the FIFA 11+ prevention programme which has a substantial injury-preventing effect by reducing football injuries by 39%, whereas a preventive effect of the FIFA 11 prevention programme could not be documented.

TRIAL REGISTRATION NUMBER:

PROSPERO CRD42015024120.

KEYWORDS:

Exercises; Football; Injury prevention

PMID:
28087568
DOI:
10.1136/bjsports-2016-097066
[Indexed for MEDLINE]

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