Muscle Injury Rates in Professional Football Increase With Fixture Congestion: An 11-Year Follow-Up of the Uefa Champions League Injury Study

Bengtsson, H; Ekstrand, Jimmy; Waldén, Markus; Hägglund, Martin

doi:10.1136/bjsports-2014-093494.19

Cited by 64 publications

(101 citation statements)

References 6 publications

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“…This is supported by evidence as the number of matches played particularly over a short period of time increases the injury rate in elite footballers 14 15. Other specific measurement types identified by teams included rating of perceived exertion (RPE) heart rate (HR) and GPS.…”

Section: Discussionmentioning

confidence: 87%

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Injury prevention strategies, coach compliance and player adherence of 33 of the UEFA Elite Club Injury Study teams: a survey of teams’ head medical officers

Dupont²,

2016

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Section: Discussionmentioning

confidence: 87%

“…Congested match periods with reduced recovery time are a significant risk factor in elite European teams 14 15. With the exception of congested match fixtures/reduced recovery time between matches, most workload-related variables (eg, training load, physical fitness) require validation as a risk factor in the elite football population.…”

Section: Discussionmentioning

confidence: 99%

Injury prevention strategies, coach compliance and player adherence of 33 of the UEFA Elite Club Injury Study teams: a survey of teams’ head medical officers

Dupont²,

2016

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“…Most professional clubs have a very congested playing calendar,18 with many matches as well as many days and nights of travelling 18. A tight schedule has a negative effect on the injury situation and the availability of players for training sessions, with increased muscle injury rates found in periods of match congestion 16. Consequently, coaches could be reluctant to include any time-consuming preventive measures in their regular training schedule.…”

Section: Discussionmentioning

confidence: 99%

Hamstring injuries have increased by 4% annually in men's professional football, since 2001: a 13-year longitudinal analysis of the UEFA Elite Club injury study

2016

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Background There are limited data on hamstring injury rates over time in football. Aim To analyse time trends in hamstring injury rates in male professional footballers over 13 consecutive seasons and to distinguish the relative contribution of training and match injuries. Methods 36 clubs from 12 European countries were followed between 2001 and 2014. Team medical staff recorded individual player exposure and time-loss injuries. Injuries per 1000 h were compared as a rate ratio (RR) with 95% CI. Injury burden was the number of lay off days per 1000 h. Seasonal trend for injury was analysed using linear regression. Results A total of 1614 hamstring injuries were recorded; 22% of players sustained at least one hamstring injury during a season. The overall hamstring injury rate over the 13-year period was 1.20 injuries per 1000 h; the match injury rate (4.77) being 9 times higher than the training injury rate (0.51; RR 9.4; 95% CI 8.5 to 10.4). The time-trend analysis showed an annual average 2.3% year on year increase in the total hamstring injury rate over the 13-year period (R 2 =0.431, b=0.023, 95% CI 0.006 to 0.041, p=0.015). This increase over time was most pronounced for training injuries-these increased by 4.0% per year (R 2 =0.450, b=0.040, 95% CI 0.011 to 0.070, p=0.012). The average hamstring injury burden was 19.7 days per 1000 h (annual average increase 4.1%) (R 2 =0.437, b=0.041, 95% CI 0.010 to 0.072, p=0.014). Conclusions Training-related hamstring injury rates have increased substantially since 2001 but matchrelated injury rates have remained stable. The challenge is for clubs to reduce training-related hamstring injury rates without impairing match performance.

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“…Congested fixtures increase both match injury incidence and severity,30 31 as well as the risk of injury in the subsequent match31 and month of training 23. Intensive, camp-based training has been associated with very high-injury incidence 6.…”

Section: Prevention Based On Risk Factors For Developing a Sports Injurymentioning

confidence: 99%

Sports-related workload and injury risk: simply knowing the risks will not prevent injuries: Narrative review

Drew¹,

Cook

Finch

2016

Br J Sports Med

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Training loads contribute to sports injury risk but their mitigation has rarely been considered in a sports injury prevention framework. A key concept behind monitoring training loads for injury prevention is to screen for those at increased risk of injury so that workloads can be adjusted to minimise these risks. This review describes how advances in management of workload can be applied as a preventive measure. Primary prevention involves screening for preparticipation load risk factors, such as low training loads, prior to a training period or competition. Secondary prevention involves screening for workloads that are known to precede an injury developing so that modification can be undertaken to mitigate this risk. Tertiary prevention involves rehabilitation practices that include a graded return to training programme to reduce the risk of sustaining a subsequent injury. The association of training loads with injury incidence is now established. Prevention measures such as rule changes that affect the workload of an athlete are universal whereas those that address risk factors of an asymptomatic subgroup are more selective. Prevention measures, when implemented for asymptomatic individuals exhibiting possible injury risk factors, are indicated for an athlete at risk of developing a sports injury. Seven key indicated risks and associated prevention measures are proposed.

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Muscle Injury Rates in Professional Football Increase With Fixture Congestion: An 11-Year Follow-Up of the Uefa Champions League Injury Study

Abstract: Background:The influence of match congestion on injury rates and team

Cited by 64 publications

References 6 publications

Injury prevention strategies, coach compliance and player adherence of 33 of the UEFA Elite Club Injury Study teams: a survey of teams’ head medical officers

Injury prevention strategies, coach compliance and player adherence of 33 of the UEFA Elite Club Injury Study teams: a survey of teams’ head medical officers

Hamstring injuries have increased by 4% annually in men's professional football, since 2001: a 13-year longitudinal analysis of the UEFA Elite Club injury study

Sports-related workload and injury risk: simply knowing the risks will not prevent injuries: Narrative review

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