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Changes in biomechanical knee injury risk factors across two collegiate soccer seasons using the 11+ prevention program.

ABSTRACT: The 11+ injury prevention program effectively reduces injuries in high school-aged female soccer player, but the mechanism of the 11+ is unknown, particularly whether it impacts biomechanical risk factors associated with knee injuries. The purpose of this study was to report the changes in hip and knee biomechanics with use of the 11+ over two soccer seasons. Two collegiate women's soccer teams performed the 11+ for two soccer seasons. A control team was followed for one season. Athletes performed motion analysis of a drop vertical jump during preseason and postseason. Both groups had meaningful increases in peak knee abduction angle over the first season, and there were no meaningful changes in peak knee abduction moment over either season. The control group had bilateral decreases in knee flexion angle. The program did not seem to systematically impact biomechanical risk factors associated with knee injuries, with increases in peak knee abduction angle and no bilateral changes in frontal or transverse hip motion. The 11+ may have mitigated clinically meaningful decreases in knee flexion; however, as ACL injuries do not occur purely in the sagittal plane, it is unclear the impact of these changes. The results of this study indicate that the 11+ may require some modifications to impact landing biomechanics and potentially risky movement patterns, particularly when used in collegiate women over multiple seasons.

SUBMITTER: Arundale AJH

PROVIDER: S-EPMC6238630 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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Changes in biomechanical knee injury risk factors across two collegiate soccer seasons using the 11+ prevention program.

Arundale Amelia J H AJH Silvers-Granelli Holly J HJ Marmon Adam A Zarzycki Ryan R Dix Celeste C Snyder-Mackler Lynn L

Scandinavian journal of medicine & science in sports 20180906 12

The 11+ injury prevention program effectively reduces injuries in high school-aged female soccer player, but the mechanism of the 11+ is unknown, particularly whether it impacts biomechanical risk factors associated with knee injuries. The purpose of this study was to report the changes in hip and knee biomechanics with use of the 11+ over two soccer seasons. Two collegiate women's soccer teams performed the 11+ for two soccer seasons. A control team was followed for one season. Athletes perform ...[more]

PMID: 30117605

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Project description:BackgroundThe Fédération Internationale de Football Association (FIFA) 11+ Kids is an exercise-based injury prevention program developed by an international group of experts to prevent injuries among child soccer players.HypothesisIt was hypothesized that the FIFA 11+ Kids program would be more effective than performing a typical warm-up regimen in reducing overall injuries among soccer players aged 7 to 13 years.Study designA clustered randomized controlled trial.Level of evidenceLevel 1.MethodsA total of 94 boys' soccer teams, including 780 players, were randomly allocated into an experimental or control group. Complete datasets were collected from 45 teams (377 players) and 43 teams (363 players) in the experimental and control groups, respectively. The experimental group underwent the FIFA 11+ Kids program as a warm-up during training sessions and matches at least twice a week, and the control group continued performing their usual warm-ups. Participants were prospectively followed during 1 season (6 months). The primary outcomes included the incidence of overall and recurrent injuries and their mechanism and severity. The secondary outcome was the rate of compliance with the intervention program.ResultsA total of 43 injuries were reported in the experimental group in 50,120 hours of exposure (0.85 injuries/1000 exposure hours). A total of 86 injuries were reported in the control group in 42,616 hours of exposure (2.01 injuries/1000 exposure hours). The injury risk ratio was 0.43 (0.29-0.61), suggesting that the experimental group experienced 57% fewer injuries than those in the control group.ConclusionThe FIFA 11+ Kids program reduced overall injury rates in children playing soccer more than the usual warm-ups.Clinical relevanceThe results of this study provide evidence for children's coaches to consider including the FIFA 11+ Kids program in their warm-up regimen. Such a program may prevent injury risk and decrease absenteeism and injury-related financial burdens.

Project description:The purpose of this study was to evaluate the effects of a competitive soccer season on biomarkers and performance metrics in order to determine the correlation between changes in biomarkers, body composition, and performance outcomes. Twenty-one Division 1 female collegiate soccer players were monitored throughout the 16-week season. Player workload was measured using heart rate and Global Position Satellite systems at all practices and games. Performance testing, including vertical jump, VO2max, and 3-repetition maximum testing for bench press, squat and deadlift, occurred prior to pre-season and immediately post-season. Blood draws occurred prior to preseason and every 4-weeks thereafter, following a game. Body composition was assessed prior to the start of season (week 0) and weeks 6, 10, 14, and 17 (post-season). Delta area under the curve was calculated for biomarkers and body composition variables to account for seasonal changes adjusted for baseline. Pearson-product moment correlations were used to assess relationships with significance set at p < 0.05. Trends were considered p ≤ 0.10. No significant time main effects were seen for anabolic biomarkers (p > 0.05). Significant time effects were seen for catabolic biomarkers throughout the season (p = 0.001). No changes in body weight, VO2max, vertical jump, and deadlift occurred. Squat and bench press improved (p = 0.01 and p = 0.02, respectively) with a decline in percent body fat (p = 0.03) and a trend for increased fat free mass (p = 0.09). Additionally, total cortisol (TCORT) negatively correlated with fat free mass (r = -0.48; p = 0.03) and positively correlated with VO2max (r = 0.47; p = 0.04). A trend was shown for a positive correlation between both TCORT and free cortisol (FCORT) and percent body fat (r = 0.39; r = 0.40; p = 0.08, respectively). IGF-1 and growth hormone positively correlated to deadlift (r = 0.57; P = 0.02 and r = 0.59; p = 0.03), whereas creatine kinase showed a trend for a positive correlation with deadlift (r = 0.49; p = 0.06). IL-6 negatively correlated with bench press (r = -0.53; p = 0.03). These findings support a relationship between biomarkers, performance outcomes, and body composition. Biomarker monitoring may be useful to detect individual player's physiological response to an athletic season and may help provide insights in efforts to optimize performance outcomes.

Project description:The purpose of the present study was to investigate the explosive strength and endurance adaptations in young elite soccer players who underwent a supervised training program for a period of two years. Nineteen players, with seven years of training experience (age: 13.3 ± 0.1 years; body weight: 57.9 ± 4.9 kg; height: 168.9 ± 4.7 cm; BMI: 20.1 ± 1.1 kg/m2), voluntarily participated in the present study. The testing sessions were performed at the beginning of the preparation period in the first (T1), second (T2), and third year (T3). The following performance variables were measured: explosive strength [squat-jump (SJ) and counter-movement-jump (CMJ)], pre-stretch augmentation (CMJ-SJ), leg stiffness [hopping test (HT)], short sprint performance [15 m (SSP15) and 30 m (SSP30)], aerobic endurance [test of Leger (VO2max)], maximal heart rate [at the last step of Leger (HR)], and speed-strength endurance [continuous counter-movement-jumps (CCMJ)]. A significant main effect on the VO2Max (+5.72%; F(2.49) = 3.822; p = 0.029; ES = 1.00), HR (-1.70%; F(2.54) = 3.472; p = 0.038; ES = 0.97), CCMJ (+7.64%; F(2.54) = 5.438; p = 0.007; ES = 1.15), SJ (+10.26%; F(2.54) = 15.254; p = 0.0001; ES = 1.53), CMJ (+7.36; F(2.54) = 8.270; p = 0.001; ES = 1.33), HT (+8.34%; F(2.48) = 3.297; p = 0.046; ES = 1.01), SSP15 (-3.50%; F(2.44) = 12.760; p = 0.0001; ES = 1.53), and SSP30 (-4.44%; F(2.44) = 5.797; p = 0.006; ES = 1.16) was observed in the two soccer seasons. These results highlight that, in long-term training, the monitoring of the adaptive responses in relation to the training load may provide a guideline to optimize the trainability of some performance variables in young elite soccer players (13-15 years). In the present study, we cannot exclude the influence of growth and maturation on some performance variables; therefore, the monitored adaptive responses should be considered as the possible results of an interaction between the applied training load and maturation.

Project description:PurposeOne third of the U.S. adult population is estimated to have prediabetes. Hispanics have a 50% higher type 2 diabetes (T2DM) death rate compared to non-Hispanic whites, yet low participation in lifestyle change programs, making this subgroup an important target for prevention efforts. The purpose of this study was to determine the effects of an exercise intervention implementing the Center for Disease Control and Prevention National Diabetes Prevention Program (NDPP) plus recreational soccer (RS) in Hispanic men.MethodsOverweight and obese Hispanic men, aged 30-57 years with prediabetes at screening were recruited from the community. Trained soccer coaches led 30-min facilitated discussion of the NDPP modules after each RS session, with two weekly sessions delivered over 12 wks, then once a wk until 24 wks. The 1-h RS sessions followed the Football Fitness curriculum structure. Standardized study assessments included objectively measured physical activity via fitness tracker, physical fitness via validated field tests, global positional system soccer specific metrics and behavior change questionnaires. Mixed models assessed the outcomes as a function of time and cohort and incorporated an unstructured covariance structure to examine the difference between baseline, 12 and 24 wks. All analyses were conducted as intent-to-treat and generated using SAS v 9.4.ResultsHispanic males (n = 41; mean age 41.9 [6.2 SD] years) were obese at baseline (mean BMI 32.7, standard error [0.7]). After 24 wks of the NDPP+RS intervention, there were significant beneficial changes in vertical jump (2.8 [1.3] cm; p = 0.048), agility and lower extremity muscular power (figure 8-run) at 12 wks (-4.7% change; p = 0.001) and 24 wks (-7.2% change; p < 0.0001), predicted VO2 max (12 wks: 1.9%; p = 0.007; 24 wks 1.0%; p = 0.036), modified push-ups increased 22% (p < 0.0001) at 12 wks and 31% (p < 0.0001) at 24 wks, dynamic sit-ups increased 10% (p = 0.005) at 12 wks and 15% (p < 0.0001) at 24 wks.ConclusionAmong middle-aged Latino men, broad-ranging significant improvements in physical fitness were observed after 24 wks participating in lifestyle education plus RS in a single arm feasibility trial.

Dataset Information

Changes in biomechanical knee injury risk factors across two collegiate soccer seasons using the 11+ prevention program.

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Changes in biomechanical knee injury risk factors across two collegiate soccer seasons using the 11+ prevention program.

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