What do community football players think about different exercise-training programmes? Implications for the delivery of lower limb injury prevention programmes

Finch, Caroline F.; Doyle, Tim; Dempsey, Alasdair R.; Elliott, Bruce; Twomey, D.; White, Priscilla; Diamantopoulou, Kathy; Young, Warren; Lloyd, David G.

doi:10.1136/bjsports-2013-092816

Cited by 33 publications

(27 citation statements)

References 39 publications

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“…Additional common facilitators reported were satisfactory education and follow-up, program variation and progression, expected performance gains, and the practicability to implement the program as a part of the training session. These facilitators were in line with previous studies reporting on implementation of injury prevention exercise programs in team sports 10,[17][18][19][20][21][22] and should be emphasized in future dissemination. Influence from the team medical staff was further highlighted as a common facilitator in our data.…”

Section: Discussionsupporting

confidence: 86%

Attitudes, beliefs, and behavior toward shoulder injury prevention in elite handball: Fertile ground for implementation

Andersson

Bahr

Olsen

et al. 2019

Scandinavian Med Sci Sports

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We aimed to examine attitudes, beliefs, and current behavior toward risk factors and prevention of shoulder injuries, and to investigate the application of an exercise program during a cluster‐randomized controlled trial aiming to prevent shoulder injuries in elite handball. All captains and coaches of 44 elite handball teams (22 male and 22 female) constituting the intervention (21 teams) and control arm (n = 23 teams) in the trial were invited to take part in a survey. A questionnaire, based on the Reach, Efficacy, Adoption, Implementation, and Maintenance framework, addressing the end user perspective on risk factors and prevention of shoulder injuries, as well as key issues related to the application of the Oslo Sports Trauma Research Center (OSTRC) Shoulder Injury Prevention Programme, was distributed using electronic survey software. The response rate was 100%. Overall, the majority of coaches (84%) and captains (89%) believed that handball players are at high risk for shoulder injuries. All delivery agents in the trial reported to be familiar with the exercise program and the majority believed in a preventative effect (coaches 90% and captains 81%). Only a minority reported full compliance with the recommended frequency (coaches 29%, captains 14%), with program being too time‐consuming (coaches 67%, captains 81%) and lack of player motivation (coaches 76%, captains 62%) as the main barriers. Our results suggest that there is fertile ground for implementation of the OSTRC Shoulder Injury Prevention Programme in elite handball, with program length and lack of player motivation as the main barriers to overcome.

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Section: Discussionsupporting

confidence: 86%

Attitudes, beliefs, and behavior toward shoulder injury prevention in elite handball: Fertile ground for implementation

Andersson

Bahr

Olsen

et al. 2019

Scandinavian Med Sci Sports

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“…When developing and introducing the exercise programme, we followed recommendations from implementation research, for example, limit the length of the programme, enhance variation in the exercises and equip the delivery agents with skills to confidently implement the programme 41 42. Despite this, the players in the intervention group reported only having completed the exercise programme 53% of the three times recommended per week; this is a limitation of the study.…”

Section: Discussionmentioning

confidence: 99%

Preventing overuse shoulder injuries among throwing athletes: a cluster-randomised controlled trial in 660 elite handball players

et al. 2016

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Dette er siste tekst-versjon av artikkelen, og den kan inneholde små forskjeller fra forlagets pdf-versjon. Forlagets pdf-versjon finner du på bjsm.bmj.com: http://dx.doi. org/10.1136/bjsports-2016-096226 This is the final text version of the article, and it may contain minor differences from the journal's pdf version. Design Stratified cluster-randomised controlled trial with teams as the unit of randomisation.Setting 45 handball teams (22 female, 23 male) from the two upper divisions in Norway (22 in the intervention group, 23 in the control group) were followed for one competitive season (7 months).Participants 660 players aged 16-47 (331 in the intervention group, 329 in the control group).Intervention Ten-minute comprehensive exercise program to increase glenohumeral internal rotation, external rotation strength and scapular control, as well as improve kinetic chain and thoracic mobility, to be delivered by coaches and team captains three times per week as a part of the handball warm-up throughout the season. Main outcome measuresPrevalence of shoulder problems and substantial shoulder problems. ResultsThe average prevalence of shoulder problems during the season was 17% (95% CI: 16% to 19%) in the intervention group and 23% (95% CI: 21% to 26%) in the control group (mean difference: 6%). The average prevalence of substantial shoulder problems was 5% (95% CI: 4% to 6%) in the intervention group and 8% (95% CI: 7% to 9%) in the control group (mean difference: 3%). Using generalized estimating equation models, a 28% lower risk of shoulder problems (OR 0.72, 95% CI: 0.52 to 0.98, p=0.038) and 22% lower risk of substantial shoulder problems (OR 0.78, 95% CI: 0.53 to 1.16, p=0.23) was observed in the intervention group compared to the control group.Conclusion A comprehensive exercise program reduced the prevalence of shoulder problems in elite handball.

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“…This could suggest either that more experienced individuals think the programme is only suited to novice teams, or that they feel more confident in making their own decisions about the best warm-up to do. FIFA 11+ delivery may therefore need to be tailored to the audience, and focusing on the potential performance benefits associated with the programme may better appeal to more experienced players and coaches than an injury prevention message alone 27 46…”

Section: Discussionmentioning

confidence: 99%

The effect of coach and player injury knowledge, attitudes and beliefs on adherence to the FIFA 11+ programme in female youth soccer

et al. 2014

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BackgroundInjury knowledge and beliefs influence uptake of prevention programmes, but the relationship between knowledge, beliefs and adherence remains unclear.AimTo describe injury knowledge and beliefs among youth female soccer coaches and players, and to identify the relationship between these factors, different delivery strategies of the FIFA 11+ programme and adherence.MethodsA subcohort analysis from a cluster-randomised controlled trial of 31 female soccer teams (coaches n=29, players (ages 13–18) n=258). Preseason and postseason questionnaires were used to assess knowledge and beliefs. Teams recorded FIFA 11+ adherence during the season.ResultsAt baseline, 62.8% (95% CI 48.4% to 77.3%) of coaches and 75.8% (95% CI 71.5% to 80.1%) of players considered ‘inadequate warm-up’ a risk factor for injury. There was no effect of delivery method (OR=1.1; 95% CI 0.8 to 1.5) or adherence (OR=1.0; 95% CI 0.9 to 1.1) on this belief. At baseline, 13.8% (95% CI 1.3% to 26.4%) of coaches believed a warm-up could prevent muscle injuries, but none believed it could prevent knee and ankle injuries. For players, 9.7% (95% CI 6.1% to 13.3%), 4.7% (95% CI 2.1% to 7.3%) and 4.7% (95% CI 2.1% to 7.3%) believed a warm-up would prevent muscle, knee and ankle injuries, respectively. Years of playing experience were negatively associated with high adherence for coaches (OR=0.93; 0.88 to 0.99) and players (OR=0.92; 0.85 to 0.98).ConclusionsThere were gaps in injury knowledge and beliefs, which differed for coaches and players. Beliefs did not significantly affect adherence to the FIFA 11+, suggesting additional motivational factors should be considered.

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What do community football players think about different exercise-training programmes? Implications for the delivery of lower limb injury prevention programmes

Cited by 33 publications

References 39 publications

Attitudes, beliefs, and behavior toward shoulder injury prevention in elite handball: Fertile ground for implementation

Attitudes, beliefs, and behavior toward shoulder injury prevention in elite handball: Fertile ground for implementation

Preventing overuse shoulder injuries among throwing athletes: a cluster-randomised controlled trial in 660 elite handball players

The effect of coach and player injury knowledge, attitudes and beliefs on adherence to the FIFA 11+ programme in female youth soccer

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