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178 The effect of the fédération internationale de football association (FIFA) 11+ kids injury prevention program on reducing injury rates in children’s soccer: a cluster-randomized controlled trial
  1. Wesam Saleh A Al Attar1,2,3,
  2. Saud Alarifi4,
  3. Hussain Saleh H Ghulam5,
  4. Hosam Alzahrani6,
  5. Msaad M Alzhrani7,
  6. Ross H Sanders3
  1. 1Department of Physical Therapy, Faculty of Applied Medical Science, Umm Al Qura University, Makkah, Saudi Arabia
  2. 2Department of Sport, Exercise and Health, Faculty of Medicine, University of Basel, Basel, Switzerland
  3. 3Discipline of Exercise and Sport Science, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
  4. 4Department of Physical Therapy, King Abdulaziz Medical City, Riyadh, Saudi Arabia
  5. 5Department of Rehabilitation Medical Sciences, Faculty of Applied Medical Science, Najran University, Najran, Saudi Arabia
  6. 6Department of Physiotherapy, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia
  7. 7Department of Physical Therapy, Faculty of Applied Medical Science, Majmaah University, Majmaah, Saudi Arabia


Background The Fédération International de Football Association (FIFA) 11+ Kids injury prevention program is an exercise-based program developed by an international group of experts to prevent injuries among children’s soccer players.

Objective The objective of this study is to evaluate the effect of the FIFA 11+ Kids injury prevention program on reducing the incidence of injuries among children soccer players aged 7–13 years.

Design A cluster-randomized controlled trial.

Setting Children’s soccer.

Patients (or Participants) Ninety-four boys’ soccer teams (780) players (under 8 years, under 9 years, under 11 years, and under 13 years age groups) were randomly allocated into the experimental or a control group.

Interventions (or Assessment of Risk Factors) The experimental group performed the FIFA 11+ Kids injury prevention program as warm-up during training sessions for at least twice a week, and the control group performed their usual warm-ups. Participants were prospectively followed during one season.

Main Outcome Measurements The primary outcome was to investigate the incidence of initial, recurrent injury, mechanism of injury and injury severity.

Results A total of 43 injuries were reported among 391 players in the experimental group in 8353.33 hours of exposure (0.85 injuries/1000 exposure hours), and a total of 86 injuries were reported among 389 players in the control group in 7102.67 hours of exposure (2.01 injuries/1000 exposure hours). The injury risk ratio IRR was 0.43, which suggests that the injuries in the experimental group were 57% less in comparison to the control group.

Conclusions Implementation of the FIFA 11+ Kids injury prevention program reduced overall injury rates in boys’ soccer players more than the usual warm-up.

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