FIFA 11+ Reducing injury rates in soccer in Ontario Rhona McGlasson Stella Makris Chelsea Norris Matt Greenwood

Reduction of football injuries Promotion of football as a safe and health enhancing leisure activity 2 FIFA- Medical Assessment and Research Centre

Agenda Review of the research What is injury prevention Injuries in soccer FIFA 11+ program Ontario project 3

Research Higher in game than training Increased rates with skill level Most caused by contact with another player Most injuries are minor Most injuries affect the lower extremity – Ankle sprain – Knee sprain – ACL – Fractures Aligns with program for head injuries 4

Injuries - Anterior cruciate ligament rupture Males versus females: 1 / 5 70% non-contact injuries Multiple factors Recovery 6-9 months Return to sport up to 1 year of competitive play Early development of OA Reduced ability to be active long term 5

Ligaments in knee Medial collateral ligament (MCL) Lateral collateral ligament (LCL) Posterior cruciate ligament (PCL) Anterior cruciate ligament (ACL) 6

What happens in an ACL injury?

Injuries - Ankle Sprain

FIFA 11+ Website

Exercises 15 exercises 3 Parts – Running 6 exercises, 8 mins – Strength, plyometrics and balance 6 exercises, 10 mins, 3 levels of difficulty – Running 3 exercises 2 mins 10

Part 1: Running Running Hip in Hip out Circling partner Jumping with shoulder contact Quick forward and backward sprints 11

Part 2: Strength, plyometrics and balance 3 levels of difficulty Core strength – Planks Forward side Hamstring – Eccentric (muscle working as it gets longer)

Part 2: Strength, plyometrics and balance Plyometrics Jumping and Landing Bend knees Knee over toe Girls do not do this well Improves with training Balance – Dynamic – Working together 13

Part 3: Running Putting it all together Agility – Cutting – Knee over toe 14

References Soligard T, Nilstad A, Steffen K, et al. Compliance with a comprehensive warm-up programme to prevent injuries in youth football. Br J Sports Med 2010;44: Steffen K, Meeuwisse WH, Romiti M, Kang J, Bizzini M, Dvorak J, Finch CF, Emery CA. 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 randomized trial. Br J Sports Med Aug; 47(12): Steffen K, Romiti R, C Finch, G Myklebust, R Bahr, J Dvorak, M Bizzini, Meeuwisse WH, Emery CA. The effect of different delivery methods of the 11+ programme on performance in Canadian female youth football players Br J Sport Med 2013:47(12);

Acknowledgements Dr. Cathy Campbell, FIFA representative Canada Dr. Julia Alleyne, Medical Lead Pan Am Games

FIFA team Matt Greenwood Rhona McGlasson Stella Makris Chelsea Norris

Thank You For Reducing Injuries in youth!