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
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
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DOI：
10.1136/bjsports-2012-091886
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发表时间：
2013-08-01
影响因子：
18.4
通讯作者：
Meeuwisse, Willem H.
中科院分区：
文献类型：
--
作者：
Steffen, Kathrin;Emery, Carolyn A.;Meeuwisse, Willem H.
研究背景通过常规的神经肌肉热身训练对青少年运动损伤风险的保护作用一直被证实。然而，有一个关于教练主导的伤害预防计划的数量和质量及其对运动员的身体性能的影响的信息缺乏。目的本随机对照试验的目的是评估是否不同的交付方法的伤害预防计划，（国际足联11+）教练可以提高球员的表现，并研究球员坚持对表现和受伤风险的影响。方法在2011年足球赛季期间，（5月至8月），31个1-3级球队的教练通过一个无人监督的网站或一个以教练为重点的研讨会被介绍给11+，有或没有额外的现场监督。记录了13岁至18岁女性球员的比赛暴露、对11+的坚持和受伤情况。性能测试包括星星漂移平衡测试（SEBT），单腿平衡，三级跳和跳过一个酒吧tests.Results完整的季前赛和季后赛的性能测试226名球员（66.5%）。与无监督组相比，在现场监督组的运动员中，单腿平衡（OR=2.8; 95%CI 1.1至4.6）和SEBT的前向显著改善（OR=4.7; 95%CI 2.2至7.1），而双腿跳跃性能下降（OR=-5.1; 95%CI-9.9至-0.2）。然而，在SEBT中，6个到达距离中有5个有显着改善，有利于高度坚持11+的球员。此外，这些球员的受伤风险较低（受伤率比，IRR=0.28，95%CI 0.10至0.79）。结论不同的交付方式的FIFA 11+教练员影响球员的身体表现最小。然而，高球员坚持11+导致功能平衡的显着改善和降低受伤风险。
Background A protective effect on injury risk in youth sports through neuromuscular warm-up training routines has consistently been demonstrated. However, there is a paucity of information regarding the quantity and quality of coach-led injury prevention programmes and its impact on the physical performance of players.Objective The aim of this cluster-randomised controlled trial was to assess whether different delivery methods of an injury prevention programme (FIFA 11+) to coaches could improve player performance, and to examine the effect of player adherence on performance and injury risk.Method During the 2011 football season (May-August), coaches of 31 tiers 1-3 level teams were introduced to the 11+ through either an unsupervised website or a coach-focused workshop with and without additional on-field supervisions. Playing exposure, adherence to the 11+, and injuries were recorded for female 13-year-old to 18-year-old players. Performance testing included the Star Excursion Balance Test (SEBT), single-leg balance, triple hop and jumping-over-a-bar tests.Results Complete preseason and postseason performance tests were available for 226 players (66.5%). Compared to the unsupervised group, single-leg balance (OR=2.8; 95% CI 1.1 to 4.6) and the anterior direction of the SEBT improved significantly in the onfield supervised group of players (OR=4.7; 95% CI 2.2 to 7.1), while 2-leg jumping performance decreased (OR=-5.1; 95% CI -9.9 to -0.2). However, significant improvements in 5 of 6 reach distances in the SEBT were found, favouring players who highly adhered to the 11+. Also, injury risk was lower for those players (injury rate ratio, IRR=0.28, 95% CI 0.10 to 0.79).Conclusions Different delivery methods of the FIFA 11+ to coaches influenced players' physical performance minimally. However, high player adherence to the 11+ resulted in significant improvements in functional balance and reduced injury risk.