Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.
Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
Phys Ther Sport. 2024 May;67:68-76. doi: 10.1016/j.ptsp.2024.04.001. Epub 2024 Apr 6.
To describe the perceptions of physiotherapists and the injury prevention practices implemented within elite women's football clubs in Brazil.
Cross-sectional study.
Online survey.
Head physiotherapists from 32 Brazilian elite clubs.
Structured questionnaire.
Physiotherapists identified ACL rupture as the primary target for prevention. The top-five perceived injury risk factors included 'early return to sport after injury', 'workload too high', 'previous injury', 'poor sleep/rest', and 'muscle strength/power deficit'. 'Adoption of return to sport criteria' was almost unanimously recognized as a very important preventive strategy. 'Poor infrastructure' was elected as the main barrier to implementing prevention programs. From a practical standpoint, at least two-third of clubs implemented multi-component exercise interventions for injury prevention. These interventions typically encompassed flexibility/mobility, balance/proprioception, lumbo-pelvic stability, and agility exercises, alongside exposure to sprinting. Strength training routines typically included traditional, functional, and eccentric exercises. Most teams also employed other prevention strategies, including adoption of return to sport criteria, internal workload monitoring, post-exercise recovery modalities, preseason risk factor screening, and application of rigid strapping tapes.
This study provided unprecedented insights into the physiotherapists' perceptions and injury prevention practices implemented within elite women's football clubs.
描述巴西女足精英俱乐部中物理治疗师的认知和实施的损伤预防措施。
横断面研究。
在线调查。
来自 32 家巴西精英俱乐部的首席物理治疗师。
结构化问卷。
物理治疗师将 ACL 撕裂视为预防的主要目标。前五个被认为的损伤风险因素包括“受伤后过早重返运动”、“工作量过高”、“既往损伤”、“睡眠/休息不佳”和“肌肉力量/力量不足”。“采用重返运动标准”几乎被一致认为是一项非常重要的预防策略。“基础设施差”被选为实施预防计划的主要障碍。从实际角度来看，至少三分之二的俱乐部实施了多组分的损伤预防运动干预措施。这些干预措施通常包括灵活性/机动性、平衡/本体感受、腰骨盆稳定性和敏捷性练习，以及短跑训练。力量训练常规通常包括传统、功能性和离心运动。大多数球队还采用了其他预防策略，包括采用重返运动标准、内部工作量监测、运动后恢复方式、赛前危险因素筛查以及使用刚性固定带。
本研究首次深入了解了巴西女足精英俱乐部中物理治疗师的认知和实施的损伤预防措施。
