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Meta-Analysis
. 2017 Apr;51(7):562-571.
doi: 10.1136/bjsports-2016-097066. Epub 2017 Jan 13.

Effect of specific exercise-based football injury prevention programmes on the overall injury rate in football: a systematic review and meta-analysis of the FIFA 11 and 11+ programmes

Kristian Thorborg  1   2 , Kasper Kühn Krommes  1   3 , Ernest Esteve  4   5 , Mikkel Bek Clausen  6 , Else Marie Bartels  7 , Michael Skovdal Rathleff  3   8   9
Affiliations
Meta-Analysis

Effect of specific exercise-based football injury prevention programmes on the overall injury rate in football: a systematic review and meta-analysis of the FIFA 11 and 11+ programmes

Kristian Thorborg et al. Br J Sports Med. 2017 Apr.

Abstract

Objective: To investigate the effect of FIFA injury prevention programmes in football (FIFA 11 and FIFA 11+).

Design: Systematic review and meta-analysis.

Eligibility criteria for selecting studies: Randomised controlled trials comparing the FIFA injury prevention programmes with a control (no or sham intervention) among football players.

Data sources: MEDLINE via PubMed, EMBASE via OVID, CINAHL via Ebsco, Web of Science, SportDiscus and Cochrane Central Register of Controlled Trials, from 2004 to 14 March 2016.

Results: 6 cluster-randomised controlled trials had assessed the effect of FIFA injury prevention programmes compared with controls on the overall football injury incidence in recreational/subelite football. These studies included 2 specific exercise-based injury prevention programmes: FIFA 11 (2 studies) and FIFA 11+ (4 studies). The primary analysis showed a reduction in the overall injury risk ratio of 0.75 (95% CI 0.57 to 0.98), p=0.04, in favour of the FIFA injury prevention programmes. Secondary analyses revealed that when pooling the 4 studies applying the FIFA 11+ prevention programme, a reduction in the overall injury risk ratio (incidence rate ratio (IRR) 0.61; 95% CI 0.48 to 0.77, p<0.001) was present in favour of the FIFA 11+ prevention programme. No reduction was present when pooling the 2 studies including the FIFA 11 prevention programme (IRR 0.99; 95% CI 0.80 to 1.23, p=0.940).

Conclusions: An injury-preventing effect of the FIFA injury prevention programmes compared with controls was shown in football. This effect was induced by the FIFA 11+ prevention programme which has a substantial injury-preventing effect by reducing football injuries by 39%, whereas a preventive effect of the FIFA 11 prevention programme could not be documented.

Trial registration number: PROSPERO CRD42015024120.

Keywords: Exercises; Football; Injury prevention.

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