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SPORTS: FOOTBALL (SOCCER) :
SPORTS: INJURIES :
PHYSICAL EXERCISE AND FITNESS: BENEFITS :
PREVENTION :
META-ANALYSIS :
SYSTEMATIC REVIEW:
Review :
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 :
FREE
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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 :
FREE
Kristian Thorborg1,2, Kasper Kn Krommes1,3, Ernest Esteve4,5, Mikkel Bek
Clausen6, Else Marie Bartels7, Michael Skovdal Rathleff3,8,9
British Journal of Sports Medicine
http://bjsm.bmj.com/content/51/7/562
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.
http://dx.doi.org/10.1136/bjsports-2016-097066
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