![]() In male professional and amateur soccer players, additional eccentric hamstring exercise decreased the rate of overall, new, and recurrent acute hamstring injuries. Time lost to thigh muscle strain in the intervention season was less than the referent season.įIFA 11+ significantly reduced injury rates by 46.1% and decreased time loss to injury by 28.6% in the competitive male college soccer player. In the intervention season, muscle strain injury rate was 0.55/1000 AE. The muscle strain injury rate in the referent season was 6.2/1000 AE. Injury incidence rate was 0.25/1000 player hours in the intervention group and 0.8/1000 player hours in the control group. New hamstring injuries occurred with an incidence rate of 3.1/100 player seasons in the intervention group and 8.1/100 player seasons in the control group. Overall acute hamstring injury rates were 3.8/100 player seasons in the intervention group and 13.2/100 player seasons in the control group. There were 55 hamstring injuries in the control group (IR = 1.244) vs 16 in the intervention group (IR = 0.454). Incidence rate = 15.04/1000 AE in the control group and 8.09/1000 AE in the intervention group. Lower-extremity injury risk and time lost to lower-extremity injury. Lower-extremity injury incidence rate and total days missed due to lower-extremity injury Male amateur soccer players from 40 teams (579 players) Professional women’s soccer leagues have recently started up around the world, thus providing research opportunities to determine the efficacy of the FIFA 11+ program for female athletes.Ĭharacteristics of Studies Identified as the Best EvidenceĦ5 NCAA DI and DII men’s college soccer teams (1525 players)ĥ0 Danish male professional and amateur soccer teams (942 players) 4ĭue to the lack of literature available on the FIFA 11+ and female soccer athletes, this critically appraised topic is focused on male athletes. 2 One of the exercises included in the FIFA 11+ program is the Nordic hamstring exercise (NHE), meant to improve the strength of the hamstring muscle group. 3 The Fédération Internationale de Football Association (FIFA) has developed a warm-up program known as the FIFA 11+, with the focus of improving strength and reducing the incidence of lower-extremity injuries that soccer players suffer. 2 Hamstring injuries are the most prevalent musculoskeletal injury among athletes participating in the sport of soccer, accounting for 12% to 16% of all injuries. There are approximately 23,000 college male soccer players participating in NCAA soccer. With over 275 million people worldwide participating in soccer, 1 musculoskeletal injuries occur frequently. Strength of Recommendation: Grade B evidence exists in support of incorporating the FIFA 11+ program to reduce the incidence of hamstring injuries in male college soccer players. Clinical Bottom Line: There is moderate evidence to support the use of the FIFA 11+ program and Nordic hamstring exercise as part of a college soccer team’s warm-up routine. ![]() All 4 articles demonstrated support for the clinical question. The PEDro checklist was used to score the articles on methodology and consistency. Clinical Question: Does the FIFA 11+ program prevent hamstring injuries in college-aged male soccer players? Summary of Key Findings: Four studies were selected to be critically appraised. ![]() This critically appraised topic focuses on this program as well as one of its components, the Nordic hamstring exercise, in the prevention of hamstring injuries. The Fédération Internationale de Football Association (FIFA) has addressed this issue by developing the FIFA 11+ program, which is focused on improving strength and decreasing the incidence of lower-extremity injuries in the sport. ![]() Clinical Scenario: Hamstring injuries are the most prevalent lower-extremity injury among soccer players.
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