Objective To investigate the effect of FIFA injury prevention programmes in football (FIFA 11 and FIFA 11+).
Design Systematic review and meta-analysis.
Eligibility criteria for selecting studies Randomised controlled trials comparing the FIFA injury prevention programmes with a control (no or sham intervention) among football players.
Data sources MEDLINE via PubMed, EMBASE via OVID, CINAHL via Ebsco, Web of Science, SportDiscus and Cochrane Central Register of Controlled Trials, from 2004 to 14 March 2016.
Results 6 cluster-randomised controlled trials had assessed the effect of FIFA injury prevention programmes compared with controls on the overall football injury incidence in recreational/subelite football. These studies included 2 specific exercise-based injury prevention programmes: FIFA 11 (2 studies) and FIFA 11+ (4 studies). The primary analysis showed a reduction in the overall injury risk ratio of 0.75 (95% CI 0.57 to 0.98), p=0.04, in favour of the FIFA injury prevention programmes. Secondary analyses revealed that when pooling the 4 studies applying the FIFA 11+ prevention programme, a reduction in the overall injury risk ratio (incidence rate ratio (IRR) 0.61; 95% CI 0.48 to 0.77, p<0.001) was present in favour of the FIFA 11+ prevention programme. No reduction was present when pooling the 2 studies including the FIFA 11 prevention programme (IRR 0.99; 95% CI 0.80 to 1.23, p=0.940).
Conclusions An injury-preventing effect of the FIFA injury prevention programmes compared with controls was shown in football. This effect was induced by the FIFA 11+ prevention programme which has a substantial injury-preventing effect by reducing football injuries by 39%, whereas a preventive effect of the FIFA 11 prevention programme could not be documented.
Trial registration number PROSPERO CRD42015024120.
- Injury prevention
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Twitter Follow Kristian Thorborg @KThorborg
Contributors KT, KKK, MBC, EE, EMB and MSR all participated in the conception and design of the study. KT, KKK and EE were responsible for acquisition of data. MSR did the statistical analysis, and KT, KKK, MBC, EE and EMB took part in the interpretation of the analysis. KT drafted the manuscript. All authors critically revised the manuscript for important intellectual content and approved the final version of the manuscript. KT is the guarantor.
Funding EMB is supported by the OAK foundation (grant number Ocay-07-264).
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Data sharing statement The statistical code and data set are available from the corresponding author.
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