Injury incidence and injury patterns in professional football: the UEFA injury study
- 1Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
- 2Medical Committee, UEFA, Nyon, Switzerland
- Correspondence to Professor Jan Ekstrand, Department of Medical and Health Sciences, Linköping University, Solstigen 3, S-589 43 Linköping, Sweden;
- Accepted 8 June 2009
- Published Online First 23 June 2009
Objective To study the injury characteristics in professional football and to follow the variation of injury incidence during a match, during a season and over consecutive seasons.
Design Prospective cohort study where teams were followed for seven consecutive seasons. Team medical staff recorded individual player exposure and time-loss injuries from 2001 to 2008.
Setting European professional men's football.
Participants The first team squads of 23 teams selected by the Union of European Football Associations as belonging to the 50 best European teams.
Main outcome measurement Injury incidence.
Results 4483 injuries occurred during 566 000 h of exposure, giving an injury incidence of 8.0 injuries/1000 h. The injury incidence during matches was higher than in training (27.5 vs 4.1, p<0.0001). A player sustained on average 2.0 injuries per season, and a team with typically 25 players can thus expect about 50 injuries each season. The single most common injury subtype was thigh strain, representing 17% of all injuries. Re-injuries constituted 12% of all injuries, and they caused longer absences than non re-injuries (24 vs 18 days, p<0.0001). The incidence of match injuries showed an increasing injury tendency over time in both the first and second halves (p<0.0001). Traumatic injuries and hamstring strains were more frequent during the competitive season, while overuse injuries were common during the preseason. Training and match injury incidences were stable over the period with no significant differences between seasons.
Conclusions The training and match injury incidences were stable over seven seasons. The risk of injury increased with time in each half of matches.
Funding The study was funded by UEFA.
Competing interests None.
Patient consent Obtained.
Ethics approval This study was conducted with the approval of the UEFA Medical Committee.
Provenance and peer review Not commissioned; externally peer reviewed.