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Adherence to an Injury Prevention Warm-Up Program in Children’s Soccer—A Secondary Analysis of a Randomized Controlled Trial

Author

Listed:
  • Matias Hilska

    (Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, 33500 Tampere, Finland)

  • Mari Leppänen

    (Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, 33500 Tampere, Finland
    Tampere University Hospital, 33500 Tampere, Finland)

  • Tommi Vasankari

    (UKK Institute for Health Promotion Research, 33500 Tampere, Finland
    Faculty of Medicine and Health Technology, Tampere University, 33520 Tampere, Finland)

  • Sari Aaltonen

    (Institute for Molecular Medicine (FIMM), University of Helsinki, 00290 Helsinki, Finland)

  • Jani Raitanen

    (UKK Institute for Health Promotion Research, 33500 Tampere, Finland
    Faculty of Social Sciences (Health Sciences), Tampere University, 33520 Tampere, Finland)

  • Anu M. Räisänen

    (Department of Physical Therapy Education—Oregon, College of Health Sciences—Northwest, Western University of Health Sciences, Lebanon, OR 97355, USA
    Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada)

  • Kathrin Steffen

    (Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, 0806 Oslo, Norway)

  • Hannele Forsman

    (Eerikkilä Sports Institute Training Center, Eerikkilä, 31370 Tammela, Finland)

  • Niilo Konttinen

    (Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland
    Research Institute for Olympic Sports, 40700 Jyväskylä, Finland)

  • Urho M. Kujala

    (Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland)

  • Kati Pasanen

    (Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, 33500 Tampere, Finland
    Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada
    Alberta Children’s Hospital Research Institute, University of Calgary, Calgary, AB T2N 1N4, Canada
    McCaig Institute for Bone and Joint Health, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada)

Abstract

This study examined the impact of high adherence to a neuromuscular training (NMT) warm-up on the risk of lower extremity (LE) injuries in children’s soccer. Twenty U11–U14 youth clubs ( n = 92 teams, 1409 players) were randomized into intervention ( n = 44 teams) and control ( n = 48 teams) groups. The intervention group was advised to perform an NMT warm-up 2 to 3 times a week for 20 weeks. Team adherence, injuries, and exposure were registered throughout the follow-up. Primary outcomes were the incidence of soccer-related acute LE injuries and the prevalence of overuse LE injuries. Intervention teams conducted mean 1.7 (SD 1.0) NMT warm-ups weekly through follow-up. The seasonal trend for adherence declined significantly by −1.9% (95% CI −0.8% to −3.1%) a week. There was no difference in the incidence of acute injuries nor the prevalence of overuse LE injuries in high team adherence group ( n = 17 teams) compared to controls. However, the risk for acute noncontact LE injuries was 31% lower in the high team adherence group compared to controls (IRR 0.69, 95% CI 0.49 to 0.97). In an efficacy analysis ( n = 7 teams), there was a significant reduction of 47% in the rate of noncontact LE injuries (IRR 0.53, 95% CI 0.29 to 0.97). In conclusion, teams conducted NMT warm-up sessions regularly, but with a declining trend. A greater protective effect was seen in teams with the highest adherence to the NMT warm-up.

Suggested Citation

  • Matias Hilska & Mari Leppänen & Tommi Vasankari & Sari Aaltonen & Jani Raitanen & Anu M. Räisänen & Kathrin Steffen & Hannele Forsman & Niilo Konttinen & Urho M. Kujala & Kati Pasanen, 2021. "Adherence to an Injury Prevention Warm-Up Program in Children’s Soccer—A Secondary Analysis of a Randomized Controlled Trial," IJERPH, MDPI, vol. 18(24), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13134-:d:700996
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    References listed on IDEAS

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    1. Carly D. McKay & Charlotte K. Merrett & Carolyn A. Emery, 2016. "Predictors of FIFA 11+ Implementation Intention in Female Adolescent Soccer: An Application of the Health Action Process Approach (HAPA) Model," IJERPH, MDPI, vol. 13(7), pages 1-15, July.
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    Cited by:

    1. Chenxi Hu & Zhikun Du & Mei Tao & Yafeng Song, 2023. "Effects of Different Hamstring Eccentric Exercise Programs on Preventing Lower Extremity Injuries: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 20(3), pages 1-15, January.

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