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Research Title: Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial
Type of Research: Publication Articles
Category: Original
Keywords: Football
Soccer
Young
female, adolescent, warm up
Author(s): Soligard T, Myklebust G, Steffen K, Holme I, Silvers H, Bizzini M, Junge A, Dvorak J, Bahr R, Andersen T E
Author(s) Bio Box:
Release Date: 12 April 2010
Research Summary/Text: The high injury rate among soccer players, and female players in particular, is of concern. A cluster randomised controlled trial was conducted in Norway in 2007. A total of 1055 players in the intervention were exposed to a multi-faceted warm-up program which consisted of key exercises focusing on core stability, balance, dynamic stabilisation, and eccentric hamstring strength. The program was designed to increase compliance and therefore enhance the preventive effect on injury rates. It incorporated variation and progression of the exercises and a set of structured running exercises to make it a comprehensive warm-up for training and matches. Players were encouraged to concentrate on the quality of their movements. Coaches and team captains participated in a course to learn the warm-up program. Coaches also received an instructional DVD, poster, book and note cards attached to a neck strap to support their implementation of the program. Site visits and incentives encouraged compliance with the program and return of data for the study.
Research Objectives: The aim of the research was to examine the effect of a comprehensive warm-up program designed to reduce the risk of injuries in female soccer players aged 13-17 years.
Research Outcomes: The risk of lower extremity injury did not reach significance when it was adjusted for the cluster sampling, however there was a significantly lower risk of injuries overall, overuse injuries, and severe injuries in the intervention group. The risk of injury was lowest for those who had highest compliance with the program.
Research Implications: Modest resources were necessary for implementation of this successful program. In the community setting it would be suitable for incorporation as part of basic coaching education accompanied by educational material available to teams, coaches, players and parents.

Compliance on undertaking the warm-up exercises correctly is important to achieve the greatest gain from the program. As may be expected for people of the age in the study group, observations of participating players was that not all seemed to concentrate fully on performance of exercises and this observation should inform future program planning.

Basic motion patterns may be better established through implementation of this type of program in soccer, and similar sports involving pivoting and landing movements, with young players as soon as they start playing organised sport.
  
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