Grooms Dustin R, Bizzini Mario, Silvers-Granelli Holly, Benjaminse Anne
Ohio Musculoskeletal & Neurological Institute & The Department of Physical Therapy Ohio University.
Human Perfomance Lab Schulthess Clinic.
Int J Sports Phys Ther. 2024 Nov 1;19(11):1362-1372. doi: 10.26603/001c.123956. eCollection 2024.
The 11+ is a structured warm-up program designed to prevent injuries in soccer players, but has proven efficacy in many populations, settings and sports. It consists of 15 exercises that target the most common injury sites, such as the knee, ankle, and groin. However, the implementation and adherence of the 11+ remain suboptimal, and recent compelling data indicates underlying mechanisms of injury risk related to neural control of movement may not be adequately targeted. Updates to the 11+ considering practical implications of neurocognitive and ecological motor learning may be warranted for coaches and practitioners. We review the evidence on how an updated 11+ may influence the cognitive and perceptual processes involved in motor control and learning, such as attention, anticipation, decision making, and feedback. How the 11+ can be adapted to the ecological constraints and affordances of the football (soccer) environment is also discussed, including the task, the individual, and the context. By considering these factors, the 11+ can be more effective, engaging, and enjoyable for the players, and thus improve its adoption and compliance. The 11+ has the capability to not only a physical warm-up, but also a neurocognitive and ecological preparation for the game. Therefore, the purpose of this manuscript is to describe the conceptual design of a new ecological neurocognitively enriched 11+, that builds on the strong foundation of the original intervention with considerations for the newly discovered potential neural control of movement risk factors.
11+是一个结构化的热身项目,旨在预防足球运动员受伤,但已证明在许多人群、环境和运动项目中都有效果。它由15项针对最常见受伤部位(如膝盖、脚踝和腹股沟)的练习组成。然而,11+的实施和坚持情况仍不尽人意,最近有令人信服的数据表明,与运动神经控制相关的受伤风险潜在机制可能未得到充分关注。考虑到神经认知和生态运动学习的实际影响,对11+进行更新可能对教练和从业者来说是必要的。我们回顾了关于更新后的11+如何影响运动控制和学习中涉及的认知和感知过程(如注意力、预期、决策和反馈)的证据。还讨论了11+如何适应足球环境的生态限制和条件,包括任务、个体和环境。通过考虑这些因素,11+对球员来说可以更有效、更具吸引力且更有趣,从而提高其采用率和依从性。11+不仅能够进行身体热身,还能为比赛进行神经认知和生态准备。因此,本手稿的目的是描述一种新的生态神经认知丰富型11+的概念设计,它在原始干预的坚实基础上,考虑了新发现的潜在运动神经控制风险因素。