Orthopaedic/Sports Physiotherapy, Department of Physiotherapy, Faculty of Clinical Sciences, College of Medicine, University of Lagos , Nigeria.
Neuro-Physiotherapy Units, Department of Physiotherapy, Faculty of Clinical Sciences, College of Medicine, University of Lagos , Nigeria.
J Sports Sci Med. 2014 May 1;13(2):321-8. eCollection 2014 May.
The FIFA 11+ is a structured warm-up programme specially designed to prevent injuries among football players from age 14 years and above. However, studies to prove its efficacy are generally few and it is yet to be tested in male youth footballers and among African players. The purpose of the study was to examine the efficacy of the FIFA 11+ programme in reducing the risk of injuries among male youth football players of the Lagos Junior League. A cluster randomised controlled trial was conducted. All the 20 teams (414 players aged 14 -19 years) in the Premier League division were block-randomised into either an intervention (INT) or a control (CON) group. The INT group performed the FIFA 11+ exercises as warm-up during training sessions and the CON group performed usual warm-up. Participating teams were prospectively followed through an entire league season of 6 months in which they were visited every week to assess injured players for time-loss injuries in both groups. The primary outcomes were any injury to the players, injuries by type of exposure and injuries specific to the lower extremities. The secondary outcomes were injuries reported by body location, aetiology, mechanism and severity. In total, 130 injuries were recorded affecting 104 (25%) of the 416 players. Team and player compliance with the INT was 60% and 74% respectively. Based on the primary outcome measures of the study, the FIFA 11+ programme significantly reduced the overall rate of injury in the INT group by 41% [RR = 0.59 (95% CI: 0.40 - 0.86; p = 0.006)] and all lower extremity injuries by 48% [RR = 0.52 (95% CI: 0.34 - 0.82; p = 0.004)]. However, the rate of injury reduction based on secondary outcomes mostly did not reach the level of statistical significance. The FIFA 11+ programme is effective in reducing the rates of injuries in male youth football players. Key pointsThe FIFA 11+ has only been tested in randomised controlled trials conducted on female youth football players; this study reports its efficacy in male youth football for the first timeThe FIFA 11+ programme significantly reduced the overall rate of injuries and lower extremity injuries in male youth football playersYouth football administrators in Africa and other parts of the world should pursue the implementation of the FIFA 11+ in order to minimize the incidence of injuries among players.
国际足球联合会 11+ 是一种结构化热身方案，专门设计用于预防 14 岁及以上足球运动员的受伤风险。然而，证明其疗效的研究通常很少，而且尚未在男性青年足球运动员和非洲球员中进行测试。本研究的目的是检验国际足球联合会 11+方案在减少拉各斯初级联赛男性青年足球运动员受伤风险方面的功效。进行了一项整群随机对照试验。将超级联赛组的 20 支队伍（年龄 14-19 岁的 414 名球员）进行分组随机分组，分为干预（INT）组或对照组（CON）组。INT 组在训练期间进行 FIFA 11+练习作为热身，CON 组进行常规热身。通过整个为期 6 个月的联赛赛季对参赛队伍进行前瞻性随访，每周对两组中出现时间损失的受伤运动员进行评估。主要结局是运动员的任何损伤、损伤类型和下肢特定损伤。次要结局是按身体部位、病因、机制和严重程度报告的损伤。共有 130 例损伤记录在案，影响了 416 名运动员中的 104 名（25%）。团队和运动员对 INT 的依从性分别为 60%和 74%。根据研究的主要结局测量，国际足球联合会 11+方案显著降低了 INT 组的总体损伤率 41%[RR=0.59（95%CI：0.40-0.86；p=0.006)]和所有下肢损伤率 48%[RR=0.52（95%CI：0.34-0.82；p=0.004)]。然而，基于次要结局的损伤减少率大多未达到统计学意义水平。国际足球联合会 11+方案在降低男性青年足球运动员的损伤率方面是有效的。要点国际足球联合会 11+ 仅在针对女性青年足球运动员的随机对照试验中进行了测试；本研究首次报告了其在男性青年足球中的功效国际足球联合会 11+ 方案显著降低了男性青年足球运动员的总体损伤率和下肢损伤率非洲和世界其他地区的青年足球管理人员应推行国际足球联合会 11+，以尽量减少运动员的受伤发生率。
