Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, Canada.
Br J Sports Med. 2013 May;47(8):480-7. doi: 10.1136/bjsports-2012-091887. Epub 2013 Mar 13.
Injury prevention programme delivery on adherence and injury risk, specifically involving regular supervisions with coaches and players on programme execution on field, has not been examined.
The objective of this cluster-randomised study was to evaluate different delivery methods of an effective injury prevention programme (FIFA 11+) on adherence and injury risk among female youth football teams.
During the 4-month 2011 football season, coaches and 13-year-old to 18-year-old players from 31 tier 1-3 level teams were introduced to the 11+ through either an unsupervised website ('control') or a coach-focused workshop with ('comprehensive') and without ('regular') additional supervisions by a physiotherapist. Team and player adherence to the 11+, playing exposure, history and injuries were recorded.
Teams in the comprehensive and regular intervention groups demonstrated adherence to the 11+ programme of 85.6% and 81.3% completion of total possible sessions, compared to 73.5% for teams in the control group. These differences were not statistically significant, after adjustment for cluster by team, age, level and injury history. Compared to players with low adherence, players with high adherence to the 11+ had a 57% lower injury risk (IRR 0.43, 95% CI 0.19 to 1.00). However, adjusting for covariates, this between-group difference was not statistically significant (IRR=0.44, 95% CI 0.18 to 1.06).
Following a coach workshop, coach-led delivery of the FIFA 11+ was equally successful with or without the additional field involvement of a physiotherapist. Proper education of coaches during an extensive preseason workshop was more effective in terms of team adherence than an unsupervised delivery of the 11+ programme to the team.
ISRCTN67835569.
尚未对依从性和受伤风险的伤害预防计划实施情况进行检查，特别是涉及到教练和运动员对场上项目实施情况的定期监督。
本研究的目的是评估在女子青年足球队中实施一种有效的伤害预防计划（FIFA 11+）的不同传递方法对依从性和受伤风险的影响。
在 2011 年足球赛季的 4 个月期间，向 31 个 1 级至 3 级水平的球队的教练和 13 至 18 岁的球员介绍了 11+，方法是通过自主监督的网站（“对照”）或教练重点研讨会（“全面”），并由物理治疗师提供（“常规”）额外的监督。记录团队和个人对 11+的依从性、比赛暴露情况、受伤史和受伤情况。
全面和常规干预组的球队完成了 11+方案总可能课程的 85.6%和 81.3%，而对照组球队仅完成了 73.5%。在调整了团队、年龄、级别和受伤史的聚类后，这些差异没有统计学意义。与依从性低的运动员相比，依从性高的运动员受伤风险降低了 57%（IRR 0.43，95%CI 0.19 至 1.00）。然而，调整协变量后，这种组间差异无统计学意义（IRR=0.44，95%CI 0.18 至 1.06）。
在教练研讨会之后，无论是否有物理治疗师额外参与现场，教练主导的 FIFA 11+传递方式同样有效。在广泛的季前赛研讨会期间，对教练进行适当的教育比向团队自主提供 11+方案更能提高团队的依从性。
ISRCTN67835569。
