The Effect of The FIFA 11+ Program on Kinematical Risk Factors related to Anterior Cruciate Ligament Injury Utilizing Soccer-Specific Landing Task in Elite Male Youth Soccer Players

Document Type : Research Paper

Authors

1 Assistant Professor, Department of Sport Sciences, University of Zabol

2 Professor, Department of Corrective Exercises and Sports Injuries, Faculty of Sport Science, Shahid Bahonar University of Kerman, Kerman, Iran.

3 Assistant Professor, Department of Corrective Exercises and Sports Injuries, Faculty of Sport Science, Shahid Bahonar University of Kerman, Kerman, Iran.

4 Associate Professor, Department of Sport Biomechanics, Faculty of Sport Science, Shahid Bahonar University of Kerman, Kerman, Iran.

Abstract

Background and aim: Anterior cruciate ligament (ACL) injuries are common in soccer and motion patterns are believed to play a key role in the incidence of non-contact ACL injuries. The aim of this study was to investigate the effect of the FIFA 11+ program on kinematical risk factors related to anterior cruciate ligament (ACL) injury and durability of the results in male elite-youth soccer players.
Materials and Methods: Twenty- four male soccer players (mean ± SD: age = 16.79 ± 1.18 years, height = 174.17 ± 8.12 cm, mass = 62.45 ± 10.01 kg, experience = 6.96 ± 1.26 years) participated in this study and randomly were divided into two groups, intervention and control (n = 12 per group). The experimental group performed the FIFA 11+ program 3 times per week for 8 weeks whereas the control group just performed their regular warm-up program.
Results: The mixed-repeated measure showed that there was a significant improvement in the landing pattern between the pre-test and post-test for the 11+ group (P=0.006) while no significant was found improvement between the post-test and retention-test; after one month of post-test (P=0.146).
Conclusion: It can be concluded that the FIFA 11+ program can improve the landing pattern during the real-world scenario in male elite-youth soccer players and this likely can be effective in reducing non-contact ACL injuries. However, due to the failure to maintain the effects of this program on the landing pattern, the necessity of continuation of performing the 11+ program is felt.

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Alentorn-Geli, Eduard, Mendiguchía, Jurdan, Samuelsson, Kristian, Musahl, Volker, Karlsson, Jon, Cugat, Ramon, & Myer, Gregory D. (2014). Prevention of non-contact anterior cruciate ligament injuries in sports. Part II: systematic review of the effectiveness of prevention programmes in male athletes. Knee surgery, sports traumatology, arthroscopy, 22(1), 16-25.
Alentorn-Geli, Eduard, Myer, Gregory D, Silvers, Holly J, Samitier, Gonzalo, Romero, Daniel, Lázaro-Haro, Cristina, & Cugat, Ramón. (2009). Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors. Knee surgery, sports traumatology, arthroscopy, 17(7), 705-729.
Bizzini, Mario, Junge, Astrid, & Dvorak, Jiri. (2013). Implementation of the FIFA 11+ football warm up program: how to approach and convince the Football associations to invest in prevention. Br J Sports Med, bjsports-2012-092124.[1]
Butler, R. J., Russell, M. E., & Queen, R. (2014). Effect of soccer footwear on landing mechanics. Scandinavian Journal of Medicine & Science in Sports, 24(1), 129-135. doi: 10.1111/j.1600-0838.2012.01468.x
Cochrane, Jodie L, Lloyd, David G, Besier, Thor F, Elliott, Bruce C, Doyle, Tim LA, & Ackland, Timothy R. (2010). Training affects knee kinematics and kinetics in cutting maneuvers in sport. Medicine & Science in Sports & Exercise, 42(8), 1535-1544.
Cohen, Jacob. (1988). Statistical power analysis for the behavioral sciences: Hillsdale, NJ: Erlbaum.
Dallinga, Joan, Benjaminse, Anne, Gokeler, Alli, Cortes, Nelson, Otten, Egbert, & Lemmink, Koen. (2017). Innovative video feedback on jump landing improves landing technique in males. International journal of sports medicine, 38(02), 150-158.
Daneshjoo, A, Mokhtar, AH, Rahnama, N, & Yusof, A. (2013). The effects of injury prevention warm-up programmes on knee strength in male soccer players. Biol Sport, 30(4), 281-288.
Daneshjoo, Abdolhamid, Mokhtar, Abdul Halim, Rahnama, Nader, & Yusof, Ashril. (2012a). The effects of comprehensive warm-up programs on proprioception, static and dynamic balance on male soccer players. PloS one, 7(12), e51568.
Daneshjoo, Abdolhamid, Mokhtar, Abdul Halim, Rahnama, Nader, & Yusof, Ashril. (2012b). The effects of injury preventive warm-up programs on knee strength ratio in young male professional soccer players. PloS one, 7(12), e50979.
Dempsey, Alasdair R, Lloyd, David G, Elliott, Bruce C, Steele, Julie R, & Munro, Bridget J. (2009). Changing sidestep cutting technique reduces knee valgus loading. The American journal of sports medicine, 37(11), 2194-2200.
DiStefano, Lindsay J, Padua, Darin A, DiStefano, Michael J, & Marshall, Stephen W. (2009). Influence of age, sex, technique, and exercise program on movement patterns after an anterior cruciate ligament injury prevention program in youth soccer players. The American Journal of Sports Medicine, 37(3), 495-505.
Donnelly, Cyril J, Elliott, Bruce C, Doyle, Tim LA, Finch, Caroline F, Dempsey, Alasdair R, & Lloyd, David G. (2012). Changes in knee joint biomechanics following balance and technique training and a season of Australian football. Br J Sports Med, bjsports-2011-090829.
Grooms, Dustin R, Palmer, Thomas, Onate, James A, Myer, Gregory D, & Grindstaff, Terry. (2013). Soccer-specific warm-up and lower extremity injury rates in collegiate male soccer players. Journal of athletic training, 48(6), 782-789.
Grooms, Dustin, Appelbaum, Gregory, & Onate, James. (2015). Neuroplasticity following anterior cruciate ligament injury: a framework for visual-motor training approaches in rehabilitation. journal of orthopaedic & sports physical therapy, 45(5), 381-393.
Hammes, Daniel, Aus der Fünten, Karen, Kaiser, Stephanie, Frisen, Eugen, Bizzini, Mario, & Meyer, Tim. (2015). Injury prevention in male veteran football players–a randomised controlled trial using “FIFA 11+”. Journal of sports sciences, 33(9), 873-881.
Hewett, Timothy E, Ford, Kevin R, & Myer, Gregory D. (2006). Anterior cruciate ligament injuries in female athletes Part 2, a meta-analysis of neuromuscular interventions aimed at injury prevention. The American journal of sports medicine, 34(3), 490-498.
Hewett, Timothy E, Myer, Gregory D, Ford, Kevin R, Heidt, Robert S, Colosimo, Angelo J, McLean, Scott G, Succop, Paul. (2005). Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes. The American journal of sports medicine, 33(4), 492-501.
Ifmarc. (2015). Anterior cruciate ligament injuries among Iranian soccer players 2015. [Accessed 23 August 2017]   Available from: http://ifmarc.ir/2015
Khamis, Sam, & Yizhar, Ziva. (2007). Effect of feet hyperpronation on pelvic alignment in a standing position. Gait & posture, 25(1), 127-134.
Kristianslund, Eirik, & Krosshaug, Tron. (2013). Comparison of drop jumps and sport-specific sidestep cutting: implications for anterior cruciate ligament injury risk screening. The American journal of sports medicine, 41(3), 684-688.
Krosshaug, Tron, Steffen, Kathrin, Kristianslund, Eirik, Nilstad, Agnethe, Mok, Kam-Ming, Myklebust, Grethe, Bahr, Roald. (2016). The vertical drop jump is a poor screening test for ACL injuries in female elite soccer and handball players: a prospective cohort study of 710 athletes. The American journal of sports medicine, 44(4), 874-883.
Lederman, Eyal. (2010). The myth of core stability. Journal of bodywork and movement therapies, 14(1), 84-98.
Mascal, Catherine L, Landel, Robert, & Powers, Christopher. (2003). Management of patellofemoral pain targeting hip, pelvis, and trunk muscle function: 2 case reports. Journal of Orthopaedic & Sports Physical Therapy, 33(11), 647-660.
McLean, Scott G, Lipfert, Susanne W, & Van den Bogert, Antonie J. (2004). Effect of gender and defensive opponent on the biomechanics of sidestep cutting. Medicine and science in sports and exercise, 36(6), 1008-1016.
Myer, Gregory D, Ford, Kevin R, McLean, Scott G, & Hewett, Timothy E. (2006). The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics. The American journal of sports medicine, 34(3), 445-455.
Noyes, Frank R, Barber-Westin, Sue D, Smith, Stephanie T, Campbell, Thomas, & Garrison, Tiina T. (2012). A training program to improve neuromuscular and performance indices in female high school basketball players. The Journal of Strength & Conditioning Research, 26(3), 709-719.
Padua, Darin A, Marshall, Stephen W, Boling, Michelle C, Thigpen, Charles A, Garrett, William E, & Beutler, Anthony I. (2009). The Landing Error Scoring System (LESS) Is a Valid and Reliable Clinical Assessment Tool of Jump-Landing Biomechanics The JUMP-ACL Study. The American journal of sports medicine, 37(10), 1996-2002.
Padua, Darin A. (2010). Executing a collaborative prospective risk-factor study: findings, successes, and challenges. Journal of athletic training, 45(5), 519.
Pallant, J. (2010). SPSS survival manual, 4th. England: McGraw-Hill Education.
Piva, Sara R, Goodnite, Edward A, & Childs, John D. (2005). Strength around the hip and flexibility of soft tissues in individuals with and without patellofemoral pain syndrome. Journal of orthopaedic & sports physical therapy, 35(12), 793-801.
Read, Paul, Oliver, Jon L., De Ste Croix, Mark B. A., Myer, Gregory D., & Lloyd, Rhodri S. (2015). Injury Risk Factors in Male Youth Soccer Players. Strength & Conditioning Journal, 37(5), 1-7.
Robinson, Ryan L, & Nee, Robert J. (2007). Analysis of hip strength in females seeking physical therapy treatment for unilateral patellofemoral pain syndrome. Journal of orthopaedic & sports physical therapy, 37(5), 232-238.
Silvers-Granelli, Holly J, Bizzini, Mario, Arundale, Amelia, Mandelbaum, Bert R, & Snyder-Mackler, Lynn. (2017). Does the FIFA 11+ injury prevention program reduce the incidence of ACL injury in male soccer players? Clinical Orthopaedics and Related Research®, 1-9.
Silvers-Granelli, Holly, Mandelbaum, Bert, Adeniji, Ola, Insler, Stephanie, Bizzini, Mario, Pohlig, Ryan, Dvorak, Jiri. (2015). Efficacy of the FIFA 11+ injury prevention program in the collegiate male soccer player. The American journal of sports medicine, 43(11), 2628-2637.
Soligard, Torbjørn, Myklebust, Grethe, Steffen, Kathrin, Holme, Ingar, Silvers, Holly, Bizzini, Mario, Andersen, Thor Einar. (2008). Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial. Bmj, 337, a2469.
Steffen, Kathrin, Emery, Carolyn A, Romiti, Maria, Kang, Jian, Bizzini, Mario, Dvorak, Jiri, Meeuwisse, Willem H. (2013). High adherence to a neuromuscular injury prevention programme (FIFA 11+) improves functional balance and reduces injury risk in Canadian youth female football players: a cluster randomised trial. British journal of sports medicine, 47(12), 794-802.
Thijs, Youri, Van Tiggelen, Damien, Willems, Tine, De Clercq, Dirk, & Witvrouw, Erik. (2007). Relationship between hip strength and frontal plane posture of the knee during a forward lunge. British journal of sports medicine, 41(11), 723-727.
Waldén, Markus, Krosshaug, Tron, Bjørneboe, John, Andersen, Thor Einar, Faul, Oliver, & Hägglund, Martin. (2015). Three distinct mechanisms predominate in non-contact anterior cruciate ligament injuries in male professional football players: a systematic video analysis of 39 cases. British journal of sports medicine, bjsports-2014-094573.
Wesley, Caroline A, Aronson, Patricia A, & Docherty, Carrie L. (2015). Lower extremity landing biomechanics in both sexes after a functional exercise protocol. Journal of athletic training, 50(9), 914-920.
Zarei, Mustafa, Alizadeh, Mohammad Hosein, Rahnama, Nader, barghi, Tohid Seif, & Samadi, Hadi. (2014). The Effects of the FIFA Comprehensive Warm Up Program “11+” on Dynamic Balance among Adolescence Male Soccer Players. SMJ, 6(15), 29-42.
 
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