Hassanmirzaei Bahar, Schumacher Yorck, Tabben Montassar, Bahr Roald
Aspetar Sports Injury and Illness Prevention Programme (ASPREV), Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo Sports Trauma Research Center, Oslo, Norway.
BMJ Open Sport Exerc Med. 2024 Oct 4;10(4):e002101. doi: 10.1136/bmjsem-2024-002101. eCollection 2024.
Current injury prevention programmes in football are limited by a one-size-fits-all approach, which predominantly focuses on preventive exercise programmes while ignoring differences in risk profiles between individuals and teams.
To address this gap, we developed a new data-driven, customisable approach based on the principles of risk management. We collaborated with key stakeholders to identify focus areas for injury and illness prevention and determine their priorities.
The team medical and coaching staff included members from 17 professional football clubs, the national team and a youth football academy in Qatar.
In 2015, we launched a series of annual workshops under the Aspetar Sports Injury and Illness Prevention Programme. The workshops included club medical personnel and fitness coaches in a process to develop team-specific programmes for injury and illness prevention based on the principle of risk management. Over 2 years, workshops refined focus areas through discussions, surveys and small-group presentations, culminating in the creation a novel programme for football injury prevention.
Out of 44 focus areas first identified, 23 were selected as priorities for inclusion in multimodal injury and illness prevention programmes. The identified focus areas represent a variety of aspects, including social/behavioural/lifestyle, exercise programmes/training, load management, recovery and equipment. The top priorities included communication, the Nordic hamstring exercise, training load, recovery strategies, nutrition, sleep, warm-up, the Copenhagen adduction exercise and core and dynamic stability.
We have developed a comprehensive framework for preventing injuries and illnesses in football grounded in the general principles of risk management. This framework has proven feasible and led to the creation of a new multicomponent programme, The Aspetar IP (Injury and Illness Prevention for Performance) NetWork, focusing on a range of areas beyond preventive exercise programmes only.
目前足球运动中的损伤预防计划受一刀切方法的限制,该方法主要侧重于预防性锻炼计划,而忽略了个体和团队之间风险状况的差异。
为填补这一空白,我们基于风险管理原则开发了一种新的数据驱动、可定制的方法。我们与关键利益相关者合作,确定损伤和疾病预防的重点领域并确定其优先顺序。
团队医疗和教练人员包括来自卡塔尔17家职业足球俱乐部、国家队和一家青年足球学院的成员。
2015年,我们在阿斯佩塔尔运动损伤与疾病预防计划下举办了一系列年度研讨会。研讨会邀请了俱乐部医务人员和体能教练,按照风险管理原则制定针对各球队的损伤和疾病预防计划。在两年时间里,研讨会通过讨论、调查和小组展示对重点领域进行了完善,最终创建了一项新颖的足球损伤预防计划。
在最初确定的44个重点领域中,23个被选为多模式损伤和疾病预防计划的优先领域。确定的重点领域涵盖多个方面,包括社会/行为/生活方式、锻炼计划/训练、负荷管理、恢复和装备。首要重点包括沟通、北欧绳肌练习、训练负荷、恢复策略、营养、睡眠、热身、哥本哈根内收肌练习以及核心和动态稳定性。
我们基于风险管理的一般原则制定了一个全面的足球损伤和疾病预防框架。该框架已被证明是可行的,并促成了一个新的多组件计划——阿斯佩塔尔IP(Performance Injury and Illness Prevention,即运动损伤与疾病预防)网络的创建,该计划关注的领域不仅限于预防性锻炼计划。