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Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial.

Soligard T, Myklebust G, Steffen K, Holme I, Silvers H, Bizzini M, Junge A, Dvorak J, Bahr R, Andersen TE - BMJ (2008)

Bottom Line: To examine the effect of a comprehensive warm-up programme designed to reduce the risk of injuries in female youth football.Though the primary outcome of reduction in lower extremity injury did not reach significance, the risk of severe injuries, overuse injuries, and injuries overall was reduced.ISRCTN10306290.

View Article: PubMed Central - PubMed

Affiliation: Oslo Sports Trauma Research Centre, Norwegian School of Sport Sciences, PO Box 4014 Ullevaal Stadion, 0806 Oslo, Norway. torbjorn.soligard@nih.no

ABSTRACT

Objective: To examine the effect of a comprehensive warm-up programme designed to reduce the risk of injuries in female youth football.

Design: Cluster randomised controlled trial with clubs as the unit of randomisation.

Setting: 125 football clubs from the south, east, and middle of Norway (65 clusters in the intervention group; 60 in the control group) followed for one league season (eight months).

Participants: 1892 female players aged 13-17 (1055 players in the intervention group; 837 players in the control group).

Intervention: A comprehensive warm-up programme to improve strength, awareness, and neuromuscular control during static and dynamic movements.

Main outcome measure: Injuries to the lower extremity (foot, ankle, lower leg, knee, thigh, groin, and hip).

Results: During one season, 264 players had relevant injuries: 121 players in the intervention group and 143 in the control group (rate ratio 0.71, 95% confidence interval 0.49 to 1.03). In the intervention group there was a significantly lower risk of injuries overall (0.68, 0.48 to 0.98), overuse injuries (0.47, 0.26 to 0.85), and severe injuries (0.55, 0.36 to 0.83).

Conclusion: Though the primary outcome of reduction in lower extremity injury did not reach significance, the risk of severe injuries, overuse injuries, and injuries overall was reduced. This indicates that a structured warm-up programme can prevent injuries in young female football players.

Trial registration: ISRCTN10306290.

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Related in: MedlinePlus

Fig 2 Example of running exercise illustrating key objectives of all running, jumping, cutting, and landing exercises: core stability and correct lower extremity alignment. Left: correct technique; right: incorrect technique with pelvic tilt and knee valgus alignment to right
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fig2: Fig 2 Example of running exercise illustrating key objectives of all running, jumping, cutting, and landing exercises: core stability and correct lower extremity alignment. Left: correct technique; right: incorrect technique with pelvic tilt and knee valgus alignment to right

Mentions: When introducing the programme to the clubs, our main focus was to improve awareness and neuromuscular control during standing, running, planting, cutting, jumping, and landing. We encouraged the players to concentrate on the quality of their movements and put emphasis on core stability, hip control, and proper knee alignment to avoid excessive knee valgus during both static and dynamic movements (fig 2). We asked the coaches and the players to watch each other closely and give feedback during training. Once players were familiar with the exercises the programme took about 20 minutes to complete.


Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial.

Soligard T, Myklebust G, Steffen K, Holme I, Silvers H, Bizzini M, Junge A, Dvorak J, Bahr R, Andersen TE - BMJ (2008)

Fig 2 Example of running exercise illustrating key objectives of all running, jumping, cutting, and landing exercises: core stability and correct lower extremity alignment. Left: correct technique; right: incorrect technique with pelvic tilt and knee valgus alignment to right
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2600961&req=5

fig2: Fig 2 Example of running exercise illustrating key objectives of all running, jumping, cutting, and landing exercises: core stability and correct lower extremity alignment. Left: correct technique; right: incorrect technique with pelvic tilt and knee valgus alignment to right
Mentions: When introducing the programme to the clubs, our main focus was to improve awareness and neuromuscular control during standing, running, planting, cutting, jumping, and landing. We encouraged the players to concentrate on the quality of their movements and put emphasis on core stability, hip control, and proper knee alignment to avoid excessive knee valgus during both static and dynamic movements (fig 2). We asked the coaches and the players to watch each other closely and give feedback during training. Once players were familiar with the exercises the programme took about 20 minutes to complete.

Bottom Line: To examine the effect of a comprehensive warm-up programme designed to reduce the risk of injuries in female youth football.Though the primary outcome of reduction in lower extremity injury did not reach significance, the risk of severe injuries, overuse injuries, and injuries overall was reduced.ISRCTN10306290.

View Article: PubMed Central - PubMed

Affiliation: Oslo Sports Trauma Research Centre, Norwegian School of Sport Sciences, PO Box 4014 Ullevaal Stadion, 0806 Oslo, Norway. torbjorn.soligard@nih.no

ABSTRACT

Objective: To examine the effect of a comprehensive warm-up programme designed to reduce the risk of injuries in female youth football.

Design: Cluster randomised controlled trial with clubs as the unit of randomisation.

Setting: 125 football clubs from the south, east, and middle of Norway (65 clusters in the intervention group; 60 in the control group) followed for one league season (eight months).

Participants: 1892 female players aged 13-17 (1055 players in the intervention group; 837 players in the control group).

Intervention: A comprehensive warm-up programme to improve strength, awareness, and neuromuscular control during static and dynamic movements.

Main outcome measure: Injuries to the lower extremity (foot, ankle, lower leg, knee, thigh, groin, and hip).

Results: During one season, 264 players had relevant injuries: 121 players in the intervention group and 143 in the control group (rate ratio 0.71, 95% confidence interval 0.49 to 1.03). In the intervention group there was a significantly lower risk of injuries overall (0.68, 0.48 to 0.98), overuse injuries (0.47, 0.26 to 0.85), and severe injuries (0.55, 0.36 to 0.83).

Conclusion: Though the primary outcome of reduction in lower extremity injury did not reach significance, the risk of severe injuries, overuse injuries, and injuries overall was reduced. This indicates that a structured warm-up programme can prevent injuries in young female football players.

Trial registration: ISRCTN10306290.

Show MeSH
Related in: MedlinePlus