TY - JOUR T1 - The 11+ of the future: a primary injury prevention framework for sub-elite football JF - British Journal of Sports Medicine JO - Br J Sports Med SP - 351 LP - 352 DO - 10.1136/bjsports-2020-102788 VL - 55 IS - 7 AU - Matthew Whalan AU - Ric Lovell AU - Kristian Thorborg AU - John Andrew Sampson Y1 - 2021/04/01 UR - http://bjsm.bmj.com/content/55/7/351.abstract N2 - Originally developed as a way to integrate injury risk mitigating exercises into the warm-up,1 the 11+ importantly reduces injury incidence and burden by ~40% in men’s sub-elite football.2 Despite its efficacy as a primary injury mitigation strategy, challenges remain regarding 11+ compliance and adoption.3 This editorial presents a new framework that modernises the programme and tackles issues related to 11+ adoption.A lack of coach/player buy-in, complaints regarding its prolonged duration, and concerns that some exercises (part 2: strength exercises and plyometrics) induce fatigue, are established barriers to 11+ adoption.3 Although recent research has identified strategies to improve the efficacy and adoption of the 11+, it has not been updated since its 2009 launch.2 The challenge, thus, remains to develop a framework that facilitates implementation of risk reduction strategies, while maintaining the initial philosophy of the original 11+, that is, deliverable by a coach with minimal experience or equipment. The proposed new framework is outlined in figure 1.Figure 1 New framework incorporating the key elements of education, risk … ER -