Background The Fédération Internationale de Football Association (FIFA) 11+ program has been shown to be an effective injury prevention program in the female soccer cohort, but there is a paucity of research to demonstrate its efficacy in the male population. Hypothesis To examine the efficacy of the FIFA 11+ program in men's collegiate United States National Collegiate Athletic Association (NCAA) Division I and Division II soccer. Study Design Randomized controlled trial; Level of evidence, 1. Methods Before the commencement of the fall 2012 season, every NCAA Division I and Division II men's collegiate soccer team (N = 396) was solicited to participate in this research study. Human ethics review board approval was obtained through Quorum Review IRB. Sixty-five teams were randomized: 34 to the control group (CG; 850 players) and 31 to the intervention group (IG; 675 players). Four teams in the IG did not complete the study, reducing the number for analysis to 61. The FIFA 11+ injury prevention program served as the intervention and was utilized weekly. Athlete-exposures (AEs), compliance, and injury data were recorded using a secure Internet-based system. Results In the CG, 665 injuries (mean ± SD, 19.56 ± 11.01) were reported for 34 teams, which corresponded to an incidence rate (IR) of 15.04 injuries per 1000 AEs. In the IG, 285 injuries (mean ± SD, 10.56 ± 3.64) were reported for 27 teams, which corresponded to an IR of 8.09 injuries per 1000 AEs. Total days missed because of injury were significantly higher for the CG (mean ± SD, 13.20 ± 26.6 days) than for the IG (mean ± SD, 10.08 ± 14.68 days) (P = .007). There was no difference for time loss due to injury based on field type (P = .341). Conclusion The FIFA 11+ significantly reduced injury rates by 46.1% and decreased time loss to injury by 28.6% in the competitive male collegiate soccer player (rate ratio, 0.54 [95% CI, 0.49-0.59]; P < .0001) (number needed to treat = 2.64).
Objectives:To examine the efficacy of the FIFA 11+ injury prevention program in Men’s NCAA collegiate soccer.Methods:A prospective randomized controlled trial was conducted in Division I and Division II NCAA men’s soccer teams during the Fall, 2012 season. Every athletic director, head soccer coach and head athletic trainer from each Divion I and Division II member institution with a men’s collegiate soccer program (N=411) was contacted via a formal letter, email and phone call. Sixty-one member institutions consented to participate. Human ethics review board approval was obtained through Quorum IRB, Seattle, WA, USA. After randomization was completed, the intervention group received an instructional DVD, teaching manual and exercise placards thoroughly describing the FIFA 11+ intervention. An injury surveillance database was utilized (HealtheAthleteTM, Overland Park, Kansas). Every athletic exposure, injury incurred, utilization of the 11+ program and compliance data was entered weekly. Sixty-one institutions completed the study: 34 control institutions (N=850 athletes) and 27 intervention institutions (N=675 athletes). The FIFA 11+ program served as the intervention program over the course of one collegiate season. The warm-up was utilized two to three times per week for the duration of the season.Results:In the intervention Group (IG), 285 Injuries were reported (mean=10.56 injuries/team+/-3.64) compared to 665 Injuries (mean=20.15 injuries +/- 11.01) in the control group (CG). The number of athletic exposures was 35,226 (Games: 10,935 AE, Practice: 24,291 AE) for the IG and 44,212 (Games: 13,624 AE, Practice: 30,588 AE) in the CG). The incidence rate (IR) was 8.09/1,000 AE (95% CI) in the IG compared to 15.04/1000 AE (CI=95%) in the CG (p=0.00117). Total days missed due to injury was 2824 (mean=9.94) in the IG compared to 8776 days (mean =13.20) in the CG.Conclusion:The FIFA 11+ was shown to significantly reduce injury rates and time loss in the competitive male collegiate soccer player in a statistically significant manner. There was a significant reduction in ACL injuries, hamstring injuries and ankle sprains in the intervention group compared to the control group. A biomechanical analysis has been planned in order to fully understand the neuromuscular changes imparted onto the participating athlete by the FIFA 11+ program.
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