Efficacy of the FIFA 11+ Injury Prevention Program in the Collegiate Male Soccer Player. (November 2015)

• Record Type: Journal Article
• Authors: Silvers-Granelli, Holly; Mandelbaum, Bert; Adeniji, Ola; Insler, Stephanie; Bizzini, Mario; Pohlig, Ryan; Junge, Astrid; Snyder-Mackler, Lynn; Dvorak, Jiri
• Is Part Of: American journal of sports medicine. Volume 43:Number 11(2015:Nov.)
• Page Start: 2628
• Page End: 2637
• Publication Date: 2015-11
• Subjects: injury prevention -- epidemiology -- neuromuscular training -- FIFA 11+; Sports medicine -- Periodicals; Sports injuries -- Periodicals; Orthopedic surgery -- Periodicals; 617.102705
• DOI: 10.1177/0363546515602009
• Languages: English
• ISSNs: 0363-5465

Abstract

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).