of the FIFA 11+ Injury Prevention Program in Collegiate Male Soccer Player

H, Mandelbaum B, Adeniji O, Insler S, Bizzini M, Pohlig R, Junge A,
Snyder-Mackler L, & Dvorak J. Am J Sports Med. Published Online First:
September 16, 2015; DOI: 10.1177/0363546515602009

Take Home Message: The FIFA11+ program was effective at
reducing injuries in Division I and II collegiate male soccer players.  Compliance may be key, as those with the
highest compliance had the lowest injury rates.

is a popular sport worldwide and athletes in soccer have a high risk for lower
extremity injuries.  Injury prevention
programs have been designed and implemented in a variety of populations in an
attempt to reduce the number of injuries.  Sports Med Res has a few posts on the FIFA11+ program, which was designed to
reduce injuries and improve performance specifically within a soccer population.  The authors of this study investigated the
effectiveness and compliance to the FIFA11+ program in injury reduction among NCAA
Division I and II collegiate male soccer players.  The authors randomized 65 teams but 4 teams
assigned to the FIFA11+ program failed to complete the study. Therefore, 61
teams completed the study in the FIFA11+ group (27 teams / 675 players) or the
control group (34 teams / 850 players). The FIFA11+ teams received
instructional videos and documentation that described how to implement the
FIFA11+ program into pre-practice warmups at least 3 times per week.  Athletic trainers with the teams reported any
injuries (i.e., upper body or lower body) and exposures into a centralized
database.  The FIFA11+ group had 46% less
injuries per team than the control group. 
Overall, the authors found moderate compliance to the FIFA11+ program
and a relationship between compliance and injury rates, which suggested that
higher compliance is related to less injuries. 

is another research study that clearly demonstrates the effectiveness of the
FIFA11+ program.  This is more evidence
as to why we should be using some type of injury prevention program with our teams.  These findings agree with previous reports
that compliance is related to injury rates, with higher compliance being
related to lower injury rates.  The
authors conducted this study during a competitive season and found positive
results.  It would be interesting to see
if there is a carryover effect to the off-season, or if it is as effective if
initiated in the off-season and continued through the competitive season.  A previous post on the FIFA11+ program
demonstrated that coaches can positively influence compliance to the
program.  As clinicians, we should
possibly focus our efforts on educating coaches as to the tremendous value of
implementing an injury prevention program like the FIFA11+.  We can explain to coaches that the FIFA11+
program can reduce the risk of injuries and improve functional
performance.  Finally, since coaches can
positively influence athlete compliance to the FIFA11+, this means that they
can help us (as clinicians) in our injury prevention efforts and we need to get
them invested in these efforts. 

for Discussion:  If you have an injury
prevention program at your school, how is it going? If you don’t have an injury
prevention program at your school, what is preventing these programs from being

by: Nicole Cattano
by: Jeffrey Driban


Silvers-Granelli, H., Mandelbaum, B., Adeniji, O., Insler, S., Bizzini, M., Pohlig, R., Junge, A., Snyder-Mackler, L., & Dvorak, J. (2015). Efficacy of the FIFA 11+ Injury Prevention Program in the Collegiate Male Soccer Player The American Journal of Sports Medicine DOI: 10.1177/0363546515602009