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1

Al Attar, Wesam Saleh A., Najeebullah Soomro, Peter J. Sinclair, Evangelos Pappas, Qassim I. Muaidi, and Ross H. Sanders. "Implementation of an evidence-based injury prevention program in professional and semi-professional soccer." International Journal of Sports Science & Coaching 13, no. 1 (May 1, 2017): 113–21. http://dx.doi.org/10.1177/1747954117707482.

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The ideal implementation of soccer injury prevention programs is essential knowledge for soccer coaches. The objective of this study was to investigate and compare the implementation of injury prevention programs, specially the FIFA 11+ program, among Australian and Saudi Arabian soccer coaches. A Web-based survey was used to obtain information regarding the coaches’ implementation of injury prevention programs, the FIFA 11+ program, the Nordic hamstring exercise, pre- and post-training exercises. Sixty coaches—30 from both selected countries—responded to the survey (response rate = 75%). In Australia, 93% of the coaches implemented an injury prevention program; while 73% implemented the FIFA 11+ program, only 51% implemented all the FIFA 11+ exercise components as recommended. In Saudi Arabia, 70% of the coaches stated that they followed an injury prevention program, but only 40% followed the FIFA 11+ program. However, 70% reported using all the FIFA 11+ exercise components in their current practices, which they may have adapted from different exercise-based injury prevention programs. The Australian coaches were significantly more likely to implement injury prevention programs ( p = 0.020) and the FIFA 11+ program ( p = 0.009). Nonetheless, no significant difference in the full implementation of the FIFA 11+ exercises components was found ( p = 0.114). The Australian coaches had greater awareness of injury prevention programs and more familiarity with the FIFA 11+ program than the Saudi Arabian coaches. Nevertheless, there was a gap between the coaches’ knowledge and their actual practice.
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Franchina, Méline, Marco Turati, Stéphane Tercier, and Barbara Kwiatkowski. "FIFA 11+ Kids: Challenges in implementing a prevention program." Journal of Children's Orthopaedics 17, no. 1 (February 2023): 22–27. http://dx.doi.org/10.1177/18632521221149057.

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Purpose: Soccer is a popular sport among children and adolescents that exposes to a high risk of injury. Several prevention programs, including the FIFA 11+ Kids program have been developed to decrease this injury rate. The aim of the study was to investigate the knowledge and use of the FIFA 11+ Kids program among soccer coaches of skeletally immature soccer players in a Swiss canton and analyze difficulties of implementing such a prevention program. Materials & methods: First, an online survey was sent to all soccer coaches involved in Swiss training programs for male players from 7 to 13 years of age. Coaches were identified through existing Swiss coaching networks. A total of 237 coaches completed the survey. Second, the FIFA 11+ Kids program was implemented in three soccer teams (players from 7 to 13 years of age) during 6 months in the same canton. Utilization of FIFA 11+ Kids program and compliance of coaches were recorded by the research staff. Results: Around 84% of the included coaches in the survey were certified. Of those, 59% had been taught injury prevention during their course(s). Only 14% of the included coaches knew one of the FIFA programs (11, 11+, 11+ Kids), of those, about one-third (10 out of 237) used the FIFA 11+ Kids program. After 6 months, none of the soccer coaches applied the entire FIFA 11+ Kids program twice a week. One coach had completely abandoned the program. The main reasons for their disapproval were the time and surveillance needed and the players’ lack of motivation. They stated, however, that the exercises were good if used occasionally. Conclusion: Injury prevention should be integrated in every soccer coach education courses. An adaptation of the FIFA 11+ Kids program should be considered, especially for the youngest players.
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Al Attar, Wesam Saleh A., Sameer Yamani, Hussain Ghulam, Eyad Alharbi, and Ross H. Sanders. "Limited Implementation of the FIFA 11+ Shoulder Injury Prevention Program (FIFA 11+ S) Among Professional Soccer Goalkeepers Globally." Teorìâ ta Metodika Fìzičnogo Vihovannâ 22, no. 1 (March 25, 2022): 36–42. http://dx.doi.org/10.17309/tmfv.2022.1.05.

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Purpose. Soccer is one of the most popular sports worldwide. Soccer goalkeepers are more likely than outfield players to injure their upper extremities, particularly their shoulders. The Fédération Internationale de Football Association (FIFA) 11+ Shoulder Injury Prevention Program (FIFA 11+S) was developed to prevent upper extremity injuries. The aim of this study was to assess soccer goalkeepers’ and goalkeepers’ coaches’ awareness, implementation, and opinion of FIFA 11+S effectiveness in reducing upper extremity injuries. Materials and methods. A self-administered questionnaire was developed and distributed to worldwide professional soccer goalkeepers and goalkeepers’ coaches. The survey was available in 10 different languages. The questionnaire consisted of questions covering the awareness, implementation, and goalkeepers’ and goalkeepers’ coaches’ opinion of the FIFA 11+ Shoulder Injury Prevention Program in reducing upper extremity injuries. Questions development was guided by several authors expert in sport medicine and injury prevention programs. Results. A total of 722 goalkeepers and goalkeepers’ coaches completed the survey. The vast majority (97.60%) of the participants were goalkeepers. Only 204 (28.25%) participants were aware of FIFA 11+S, and 155 (21.46 %) were implementing FIFA 11+S in their current practice. Participants who implemented FIFA 11+S reported a positive opinion about the program efficacy, with a score of 8.19 ± 0.93 out of 10. Conclusions. This study is the first to investigate goalkeepers’ and coaches’ awareness, implementation, and opinion of the effectiveness of the FIFA 11+S program in reducing shoulder injuries globally. Overall, the awareness rate was exceptionally low, but the implementation level among aware participants was good. Goalkeepers and coaches attained a positive score regarding the FIFA 11+S effectiveness in reducing shoulder injuries. Further efforts and research are needed to increase the awareness and usage of the FIFA 11+S program.
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Slauterbeck, James R., Rebecca Choquette, Timothy W. Tourville, Mickey Krug, Bert R. Mandelbaum, Pamela Vacek, and Bruce D. Beynnon. "Implementation of the FIFA 11+ Injury Prevention Program by High School Athletic Teams Did Not Reduce Lower Extremity Injuries: A Cluster Randomized Controlled Trial." American Journal of Sports Medicine 47, no. 12 (September 17, 2019): 2844–52. http://dx.doi.org/10.1177/0363546519873270.

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Background: Lower extremity injuries are common in high school sports and are costly, and some have poor outcomes. The FIFA 11+ injury prevention program has been shown to decrease injuries in elite athletes by up to 72%. Hypothesis: High schools in which coaches implement the FIFA 11+ injury prevention program in their athletic programs will have a decreased incidence of lower extremity injuries compared with schools using their usual prepractice warm-up. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: Fourteen high schools that employed an athletic trainer were randomly assigned to either the FIFA 11+ group or control group (usual warm-up routine). Exposure to sports and injuries were recorded and used to determine the incidence rates of lower extremity injuries per athlete-exposure (AE). The FIFA 11+ program was implemented by coaches and complicance with the program recorded. Results: There were 196 lower extremity injuries among 1825 athletes in the FIFA 11+ group and 172 injuries among 1786 athletes in the control group (1.59 and 1.47 injuries per 1000 AEs, respectively; P = .771). The distribution of the types of injury in the 2 groups did not differ, but the body locations where the injuries occurred differed somewhat ( P = .051). The FIFA 11+ group had larger proportions of thigh and foot injuries, while the control group had higher proportions of knee and ankle injuries. Group differences in injury rates varied with sport ( P = .041 for interaction), but there were no significant differences in injury rates between the FIFA 11+ and control groups by sport, level of play, and sex. In the FIFA 11+ group, 62% of the coaches reported that their teams completed the full FIFA 11+ program at least once a week, and 32% reported that they completed it at least twice a week. Conclusion: This study did not demonstrate a reduction in lower extremity injuries in schools randomized to use the FIFA 11+ program compared with schools using their usual prepractice warm-up program. Coach-reported compliance with performing the FIFA 11+ program at least twice a week was low.
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Al Attar, Wesam Saleh A., Sami Alharbi, Yasser Alraddadi, Mashaer Alyami, Saad Alhosaini, and Hussain S. Ghulam. "The FIFA 11+ Kids Injury Prevention Program: Awareness, Implementation, and Opinion of Children’s Football (Soccer) Coaches." Sport Mont 20, no. 2 (June 1, 2022): 27–33. http://dx.doi.org/10.26773/smj.220605.

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The Fédération Internationale de Football Association (FIFA) 11+ Kids Injury Prevention Program was developed and shown to effectively reduce football-related injuries in numerous studies. The aim of this study was to assess the awareness, implementation, and opinion of children’s football coaches worldwide regarding the FIFA 11+ Kids Injury Prevention Program efficacy using a self-administered questionnaire. Six hundred children’s football coaches were invited through their local Football Federations to complete the online survey consisted of questions relating to awareness, implementation, and coaches’ opinions of the FIFA 11+ Kids Injury Prevention Program. A total of 486 children’s soccer coaches completed the survey. The survey was available in different languages. A total of 202 (41.6%) of the children’s football coaches reported awareness of the FIFA 11+ Kids Injury Prevention Program and 155 (31.9%) reported implementing the FIFA 11+ Kids Injury Prevention Program in their current practice. Participants who reported implementation of the FIFA 11+ Kids Injury Prevention Program also reported a positive attitude towards program efficacy, with a score of 8.19±0.88 out of 10. To conclude, there is a need for further efforts and research to increase international awareness and implementation of the FIFA 11+ Kids Injury Prevention Program.
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Sikora, Damian, Paweł Heesch, and Paweł Linek. "The Effect of FIFA 11 based warm up program on „Y” Balance Test in Teenager football players." Polish Journal of Sports Medicine 38, no. 3 (September 30, 2022): 153–63. http://dx.doi.org/10.5604/01.3001.0016.0368.

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Background. The FIFA 11 program was designed and introduced for the team of footballers and its goal was reduction of injuries in footballers. Moreover, the FIFA 11 warm up program introduced in the group of teenage footballers can contribute to improvement of body balance and “Y” test results. Therefore, the main goal of this paper was assessment of FIFA 11 program effectiveness in improvement of „Y” balance test in the sample of teen­age footballers. Material and methods. 30 subjects were selected for the study and the sample was next randomly divided into 2 equal groups: the experimental group and the control group. The participants’ age ranged from 16 to17 years. In order to assess body balance the test was performed twice prior to FIFA11 warm up program an on completion of the 10-weeks’ workout program. Next, the competitors’ body balance was assessed using „Y” test. In the experimental group, the competitors participated in FIFA warm up program instead of doing standard warm up. Results. The results indicate body balance improvement in the teenager footballers after the 10-day FIFA 11 program, and the “Y” test revealed an improvement of dynamic balance (the right and left lower limbs, mean forward movement p<0.05 and the overall result p<0.05). Moreover, the applied FIFA 11 program contributed to improvement of the total normalized value (as compared with the result of the first test) and the final assessment of 50% of participants (as compared with the first study) revealed that the total result obtained in the experimental group during “Y” test was above 89.6%. Conclusions. The 10 day FIFA 11 program contributed to the improvement of selected parameters of “Y” balance test in teenage football players. Moreover, the introduced FIFA 11 program contributed to the improvement of the normalized value obtained in “Y” test, which was above 89.6%. The presented experimental research has confirmed the potential of FIFA 11 in improvement of selected balance parameters.
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Judge, Lawrence W., Jeffrey C. Petersen, Donald L. Hoover, Bruce W. Craig, Nick Nordmann, Makenzie A. Schoeff, Brian D. Fox, D. Clark Dickin, and David M. Bellar. "A Fraction of Recommended Practices: Implementation of the FIFA 11+ in NCAA Soccer Programs." Medicina 56, no. 9 (August 19, 2020): 417. http://dx.doi.org/10.3390/medicina56090417.

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Background and Objectives: National Collegiate Athletic Association (NCAA) soccer coaches implement numerous warm-up and flexibility strategies to prepare athletes for training and competition. The Fédération Internationale de Football Association (FIFA) developed the 11+ injury prevention program to reduce non-contact injuries. This study aimed to analyze the level of familiarity with and implementation of the evidence-based FIFA 11+ amongst NCAA Division I (DI) and Division III (DIII) men’s and women’s soccer coaches. Materials and Methods: NCAA soccer coaches in the United States received an Institutional Review Board—approved survey hyperlink. A total of 240 coaches completed the survey. The respondents represented 47.5% men’s and 52.5% women’s teams distributed within DI and DIII programs. Descriptive statistics are reported as frequency counts and mean ± standard deviation where applicable. Pearson’s chi-square tests were performed to assess potential differences with a significance level set at α < 0.05. Results: The results indicated that approximately 62% of the respondents reported being familiar with the FIFA 11+ program. Of those coaches familiar with the program, 15.0% reported full implementation, 57.5% reported partial implementation, and 27.5% reported no implementation. Chi-square analyses revealed significant differences in FIFA 11+ implementation based upon division level (χ2 = 4.56, p = 0.033) and coaching certification levels (χ2 = 13.11, p = 0.011). Conclusions: This study indicates that there is a gap between FIFA 11+ knowledge and actual implementation. To reduce the risk of non-contact injury, there is a need to educate coaches and athletic trainers on the purpose of the FIFA 11+ program and how to perform the exercises correctly.
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Hameed, Ammar, Muzna Munir, Haris bin Tariq, and Zainab Hassan. "EFFECTS OF FIFA 11+ PROGRAM ON SPEED, AGILITY, POWER AND QUALITY OF LIFE AMONG CRICKET PLAYERS." Pakistan Journal of Social Research 06, no. 01 (March 31, 2022): 270–74. http://dx.doi.org/10.52567/trj.v6i01.65.

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Background: The FIFA 11+ program is established protocol in the training of football players. Speed agility and power are also the crucial component of cricket performance. FIFA 11+ program may be the choice of training among cricketers. Objective: To determine the effects of FIFA 11+ program on speed, agility, power and quality of life among cricket players. Methods: A single blinded randomized controlled trial was conducted on n= 50 cricket players were recruited through non-probability convenient sampling technique from Pakistan sports board and coaching centre Lahore. The inclusion criteria were cricketers having age between 14 to 35 years and those never participated in FIFA 11+ program was enrolled in study. The participants were randomly allocated to two groups receiving six (6) sessions of Injury prevention program FIFA 11+ (Group A) and conventional stretching (Group B) respectively. The outcome measures were 30m sprint test for speed, T-drill test for agility, 5 jumps test for power and athlete Life Quality Scale. As the data was not normally distributed non-parametric tests were applied for with-in and between the group comparisons. Results: The mean age of participants was 20.19 + 2.796 years. Both groups showed statistically significant improvement (p<0.001) in speed, agility, power, and quality of life. While comparing the groups, there was no significant difference (p=0.264) was observed in speed. But FIFA 11+ program showed more significant improvement in agility, power and quality of life as compare to conventional dynamic stretching group (p<0.05) after 3 weeks of intervention. Conclusion: FIFA 11+ program can be recommended as an effective approach towards improving the agility, power, and quality of life of in cricket players. Key words: Agility, Dynamic stretching program, FIFA 11+, Power, Speed, athlete, cricket
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Trajković, Nebojša, Marko Gušić, Slavko Molnar, Draženka Mačak, Dejan M. Madić, and Špela Bogataj. "Short-Term FIFA 11+ Improves Agility and Jump Performance in Young Soccer Players." International Journal of Environmental Research and Public Health 17, no. 6 (March 18, 2020): 2017. http://dx.doi.org/10.3390/ijerph17062017.

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Studies dealing with the effectiveness of the Fédération Internationale de Football Association (FIFA) 11+ prevention program to improve performance outcomes in children aged < 14 years are limited. This study aimed to point out the effects of the application of short-term FIFA 11+ warm-up program on physical performance in young football players. Participants were 36 youth male football players, divided into a FIFA 11+ (n = 19; mean (SD) age: 11.15 (0.79) y) and a control group (CG: n = 17; age: 10.87 (0.8) y) and trained for 4 weeks. Before and after the training period, standing long jump performance, agility, repeated sprint ability, sit and reach, and “30–15” intermittent fitness tests were assessed. A mixed ANOVA showed significant differences between the groups in the standing long jump test (FIFA 11+: 5.6% vs. CG: −1.9%) in favor of FIFA 11+ over CG. Additionally, the FIFA 11+ performance of the Illinois agility test was significantly better compared to the CG performance (FIFA 11+: −1.9% vs. CG: 0.03%). The main findings of this study suggest that just 4 weeks of implementation of the FIFA 11+ improves physical performance compared with traditional warm-up routines in young soccer players.
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Al Attar, Wesam Saleh A., Saud Alarifi, Ibrahim Alramadhani, Majed Aljabri, Mashaer Alyami, Muhsen Alsufiany, Msaad Alzhrani, and Hussain S. Ghulam. "The FIFA 11+ Injury Prevention Program Still not Implemented by the Majority of Professional and Semi-professional Soccer Players and Coaches Globally." Open Sports Sciences Journal 14, no. 1 (October 28, 2021): 58–62. http://dx.doi.org/10.2174/1875399x02114010058.

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Background: The Fédération International de Football Association (FIFA) has promoted and deployed the FIFA 11+ injury prevention program worldwide. Developed by the FIFA Medical Assessment and Research Centre (F-MARC), the program relied on the results of an international randomized controlled trial that aimed to reduce sport-related injuries and healthcare costs. Objective: The objective of this study was to assess the awareness level, implementation rate, and opinions about the effectiveness of the FIFA 11+ Injury Prevention Program among professional and semi-professional soccer players and coaches worldwide. Methods: In all, 2000 professional and semi-professional soccer players and coaches were invited to complete a self-administered questionnaire. Several authors, who are experts in sports medicine and injury prevention, participated in developing the questionnaire. The primary outcomes were awareness level, implementation rate, and opinion on the FIFA 11+ Program’s effectiveness in reducing injuries. Results: A total of 1690 professional and semi-professional soccer players and coaches completed the survey (response rate: 84.5%). A total of 824 professional and semi-professional soccer players and coaches (48.8%) were aware of the FIFA 11+ Program, and 680 (83.8%) reported implementing the program in their practice. The participants who implemented the program reported a positive attitude toward the program’s efficacy, with a score of 8.20 ± 1.10 out of 10. Conclusion: More than half of professional and semi-professional soccer players and coaches from different continents are not aware of the FIFA 11+ Injury Prevention Program. Therefore, educating players and coaches is necessary for increased implementation and injury reduction.
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Kim, Hyunmin, Juseoung Lee, and Junghoon Kim. "The Impact of the FIFA 11+ Program on the Injury in Soccer Players: A Systematic Review." Asian Journal of Kinesiology 22, no. 4 (October 31, 2020): 55–61. http://dx.doi.org/10.15758/ajk.2020.22.4.55.

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OBJECTIVES The purpose of this study was to integrate information about the effects of FIFA 11+ injury prevention program in soccer.DESIGN AND METHODS Systematic review. We used PubMed, Medline, PMC, and Web of Science to search randomized controlled trials comparing FIFA 11+ injury prevention program with control groups among soccer players.RESULTS Total of 13 studies was selected through eligibility criteria. 7 studies included overall, ankle, knee, and hamstring injury rate between FIFA 11+ versus control groups, while the other 6 studies included improvement of physical performance, such as vertical jump, 20m sprint, agility, hip adduction strength, and FMS total score between FIFA 11+ versus control groups. There was a lower rate of injury in the intervention group from all 7 studies. Couple of studies had different criteria to compare with other studies. Most values of physical performance were also significantly improved from all 6 studies except for the values of agility time.CONCLUSIONS Multiple studies have proven injury rate reduction and physical performance improvement of FIFA 11+ program between intervention and control groups. We also found that it at least required a few weeks of intervention time to be effective. Therefore, coaches and players might need to consider including FIFA 11+ program as a warm-up period to prepare the regular season.
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Street, Scott Benson, and Thomas Kaminski. "Does the FIFA 11+ Program Prevent Hamstring Injuries in College-Aged Male Soccer Players? A Critically Appraised Topic." Journal of Sport Rehabilitation 30, no. 1 (January 1, 2021): 158–60. http://dx.doi.org/10.1123/jsr.2019-0390.

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Clinical Scenario: Hamstring injuries are the most prevalent lower-extremity injury among soccer players. The Fédération Internationale de Football Association (FIFA) has addressed this issue by developing the FIFA 11+ program, which is focused on improving strength and decreasing the incidence of lower-extremity injuries in the sport. This critically appraised topic focuses on this program as well as one of its components, the Nordic hamstring exercise, in the prevention of hamstring injuries. Clinical Question: Does the FIFA 11+ program prevent hamstring injuries in college-aged male soccer players? Summary of Key Findings: Four studies were selected to be critically appraised. The PEDro checklist was used to score the articles on methodology and consistency. All 4 articles demonstrated support for the clinical question. Clinical Bottom Line: There is moderate evidence to support the use of the FIFA 11+ program and Nordic hamstring exercise as part of a college soccer team’s warm-up routine. Strength of Recommendation: Grade B evidence exists in support of incorporating the FIFA 11+ program to reduce the incidence of hamstring injuries in male college soccer players.
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Akbari, Hadi, Mansour Sahebozamani, Ablolhamid Daneshjoo, Mohammadtaghi Amiri-Khorasani, and Yohei Shimokochi. "Effect of the FIFA 11+ on Landing Patterns and Baseline Movement Errors in Elite Male Youth Soccer Players." Journal of Sport Rehabilitation 29, no. 6 (August 1, 2020): 730–37. http://dx.doi.org/10.1123/jsr.2018-0374.

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Context: There is no evidence regarding the effect of the FIFA 11+ on landing kinematics in male soccer players, and few studies exist regarding the evaluating progress of interventions based on the initial biomechanical profile. Objective: To investigate the effect of the FIFA 11+ program on landing patterns in soccer players classified as at low or high risk for noncontact anterior cruciate ligament injuries. Design: Randomized controlled trial. Setting: Field-based functional movement screening performed at the soccer field. Participants: A total of 24 elite male youth soccer players participated in this study. Intervention: The intervention group performed the FIFA 11+ program 3 times per week for 8 weeks, whereas the control group performed their regular warm-up program. Main Outcome Measures: Before and after the intervention, all participants were assessed for landing mechanics using the Landing Error Scoring System. Pretraining Landing Error Scoring System scores were used to determine risk groups. Results: The FIFA 11+ group had greater improvement than the control group in terms of improving the landing pattern; there was a significant intergroup difference (F1,20 = 28.86, P < .001, ). Soccer players categorized as being at high risk displayed greater improvement from the FIFA 11+ program than those at low risk (P = .03). However, there was no significant difference in the proportion of risk category following the routine warm-up program (P = 1.000). Conclusions: The present study provides evidence of the usefulness of the FIFA 11+ program for reducing risk factors associated with noncontact anterior cruciate ligament injuries. The authors’ results also suggest that soccer players with the higher risk profile would benefit more than those with lower risk profiles and that targeting them may improve the efficacy of the FIFA 11+ program.
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Pankaj, Buch Phalak, and Manmitkaur A. Gill. "Effect of FIFA 11+ Warm-Up Programme on Physical Performance Parameters in Male Collegiate Football Players: An Evidence based Study." International Journal of Health Sciences and Research 11, no. 8 (August 26, 2021): 149–57. http://dx.doi.org/10.52403/ijhsr.20210822.

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Background: Football is defined to be a physically demanding sport that entails sudden acceleration and deceleration, rapid changes in direction, jumping and landing tasks, also as many situations in which players are involved in tackling to stay possession of or to win the ball. Between 2006 and 2008, FIFA Medical Assessment and Research Centre (F-MARC) developed a neuromuscular warm-up programme &injury prevention program with subsequent enhancement of performance for soccer called the FIFA 11+.The FIFA 11+ programme has been shown to be an efficient means of achieving optimal physiological readiness for sport. Purpose: The purpose is to study the scientific evidences regarding the effect of the 11+ warm -up programme on physical performance parameters in male recreational football players. Methodology: A search for relevant articles was carried out using key words- and search engines-PEDro, Pubmed, Science direct, Google scholar, Researchgate, Wiley library, The Cochrane library. Studies were selected from year 2010-2019. 15 articles were reviewed and included in which study. Results: 13 articles concluded that “FIFA 11+” prevention programme can be considered an appropriate warm-up, inducing improvements in football players. (level of evidence :1a,1b,2a,2b) There are 2 high quality of evidences. (Randomized control trial, Pre-post intervention Comparative study-1b) which suggests that that a soccer specific warm-up protocol relied on dynamic stretching and dynamic warm up is preferable in enhancing performance as compared to protocols relying on static stretches , FIFA 11+ program and other injury prevention programme. Conclusion: Based on evidences collected and analyzed it can be concluded that FIFA 11+ warming up program is soccer specific warming-up program which includes running, strength, plyometric, balance, and agility components which apart from being an effective injury prevention programme it has effective potential to enhance the physical performance of a player in parameters like VO2max, Strength, Balance, Flexibility, Agility etc. Clinical Implication: FIFA 11+ warming up program is soccer specific warming-up program which includes running, strength, plyometric, balance, and agility components. It has effective potential to enhance the performance of a player.Also FIFA 11+ warming up program is easy to be coach and train because it is well organized and structured to follow in every training session and can replace in place of traditional warm- ups. Key words: fifa 11+ warm-up, male football players, soccer, physical performance, neuromuscular parameters.
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Al Attar, Wesam Saleh A., Oliver Faude, Mario Bizzini, Saud Alarifi, Hosam Alzahrani, Raed S. Almalki, Riyadh G. Banjar, and Ross H. Sanders. "The FIFA 11+ Shoulder Injury Prevention Program Was Effective in Reducing Upper Extremity Injuries Among Soccer Goalkeepers: A Randomized Controlled Trial." American Journal of Sports Medicine 49, no. 9 (June 17, 2021): 2293–300. http://dx.doi.org/10.1177/03635465211021828.

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Background: Soccer is one of the most popular sports worldwide. Goalkeepers are more likely to injure their upper limbs, particularly their shoulders, than outfield players. To reduce upper extremity injuries, the FIFA 11+ Shoulder Injury Prevention Program (FIFA 11+S) was developed. Purpose: The purpose of this study was to assess the effectiveness of the FIFA 11+S program in reducing the incidence of upper extremity injuries among amateur soccer goalkeepers. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: A total of 726 goalkeepers, who were blinded to study intent, were randomly assigned to the experimental group (n = 360) or control group (n = 366). The experimental group was instructed to perform the FIFA 11+S program before all training sessions for 1 season (6 months). The control group was instructed to continue performing their usual routine warm-up program before training sessions for 1 season. Primary outcomes included the incidence of upper extremity injury and incidence of mechanism, type, and severity of injury measured using injury risk ratios (IRR); compliance with the experimental and control interventions was also recorded. Results: A total of 50 injuries (0.62 injuries per 1000 exposure-hours) were reported in the experimental group, and 122 injuries (1.94 injuries/1000 hours) were reported in the control group. The FIFA 11+S program reduced the total number of upper extremity injuries by 68% (IRR = 0.32 [95% CI, 0.27-0.34]) compared with the usual warm-up. The FIFA 11+S program reduced the incidence of contact injury (IRR = 0.30 [95% CI, 0.25-0.31]), noncontact injury (IRR = 0.40 [95% CI, 0.35-0.43]), initial injury (IRR = 0.34 [95% CI, 0.29-0.36]), recurrent injury (IRR = 0.20 [95% CI, 0.17-0.21]), and overuse injury (IRR = 0.40 [95% CI, 0.35-0.43]). Participants in the experimental group demonstrated a significant decrease in injuries of minor (IRR = 0.32 [95% CI, 0.27-0.34]) and moderate severity (IRR = 0.33 [95% CI, 0.29-0.35]) compared with the control group. We noted no difference in compliance between the experimental and control groups (80% vs 73%, respectively; P = .92). Conclusion: The FIFA 11+S program resulted in 50% fewer upper extremity injuries among soccer goalkeepers, compared with a regular warm-up. Registration: ACTRN12618001080213 (Australian New Zealand Clinical Trials Registry).
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Baeza, Gerald, Gustavo Paredes, Pablo Vega, Manuel Monrroy, and Rubén Gajardo-Burgos. "EFFECT OF “FIFA 11+” ON THE PATTERN OF FUNDAMENTAL MOVEMENTS IN UNDER-14 SOCCER PLAYERS." Revista Brasileira de Medicina do Esporte 23, no. 6 (December 2017): 465–68. http://dx.doi.org/10.1590/1517-869220172306173456.

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ABSTRACT Introduction: Increasing youth participation in soccer has several benefits, but it also brings risks of injury. The use of neuromuscular techniques is effective in preventing injuries, especially in periods of growth as occurs in puberty, which coincides with the development of fundamental basic movements. Therefore, it is important to implement and evaluate prevention programs that focus on neuromuscular control during this stage. Objective: To determine the effect of the FIFA 11+ over a six-week training period in order to quickly improve fundamental movement patterns in under-14 soccer players. Method: A quasi-experimental study that evaluated the fundamental movement patterns through the Functional Movement Screen (FMS) in 22 athletes who were divided into a control group (CG; N=11) and an experimental group (EG; N=11), submitted to the program FIFA 11+ for six weeks. The SPSS 20.0 program was used to analyze the data. Results: Statistically significant improvements were found in the in-line lunge (IL) and in the post-intervention FMS total scores in EG, as well as intergroup improvements when testing the deep squat (DS) in the EG, but not in both groups. Conclusions: The six week FIFA 11+ program did not produce significant improvements in players’ fundamental movements.
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Gomes Neto, Mansueto, Cristiano Sena Conceição, Alécio Jorge Alves de Lima Brasileiro, Camila Santana de Sousa, Vitor Oliveira Carvalho, and Fabio Luciano Arcanjo de Jesus. "Effects of the FIFA 11 training program on injury prevention and performance in football players: a systematic review and meta-analysis." Clinical Rehabilitation 31, no. 5 (November 3, 2016): 651–59. http://dx.doi.org/10.1177/0269215516675906.

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Objective: To investigate the effects of FIFA 11 training on injury prevention and performance in football players. Design and methods: Systematic review and meta-analysis. We conducted a systematic search using four databases (CINAHL, Cochrane Library, EMBASE, and PubMed) to find controlled trials evaluating the effects of FIFA 11 on injury prevention and performance among football players. Weighted mean differences, standard mean differences, risk ratios, and 95% confidence intervals were calculated, and heterogeneity was assessed using the I2 test. Results: We analyzed 11 trials, including 4700 participants. FIFA 11 resulted in a significant reduction in injury risk (risk ratio = 0.69; 95% confidence interval, 0.49–0.98; P = 0.02) and improvements in dynamic balance (weighted mean difference = 2.68; 95% confidence interval, 0.44–4.92; P = 0.02) and agility (standard mean difference = −0.36; 95% confidence interval, 0.70–0.02; P = 0.04). The meta-analysis indicated a non-significant improvement in jump height (standard mean difference = 0.25; 95% confidence interval, 0.08–0.59; P = 0.14) and running sprint (standard mean difference = −0.24; 95% confidence interval, 0.58–0.10; P = 0.17) in the FIFA 11 group. Conclusions: FIFA 11 can be considered as a tool to reduce the risk of injury. It may improve dynamic balance and agility and can be considered for inclusion in the training of football players.
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Zein, Muhammad Ikhwan, and Saryono. "The Effect of Short Period FIFA 11+ Exercise as Physical Conditioning Program Among Young Amateur Football Players." International Journal of Human and Health Sciences (IJHHS) 5, no. 2 (October 4, 2020): 207. http://dx.doi.org/10.31344/ijhhs.v5i2.261.

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This study aims to investigate the effectiveness of short period FIFA 11+ exercise, which used as a physical fitness improvement program for young amateur football players. This one group experimental study involving 13 football players as subjects (ages 14.92 + 0.77 years, weight 55.23 + 9.62 kg, height 1.64 + 0.06 meters, BMI 20.42 + 2.71 kg/m2). Subjects underwent FIFA 11+ exercises three times per week for four weeks. Measurements of physical fitness components include core strength, leg strength, leg power, speed, and agility performed before and after FIFA 11+ intervention. Changes in measurement results (pre and post-test) were analyzed using a paired t-test (p <0.05). The results showed that the mean subjects experienced a significant increase in the components of the core strength (p = 0.004), leg strength (p = 0.043), and leg power (p = 0.002). The results of this study indicate that a short period of FIFA 11+ training is useful and can be used as an alternative program to improve physical fitness for young football players.International Journal of Human and Health Sciences Vol. 05 No. 02 April’21 Page: 207-212
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Slauterbeck, James R., Autumn Reilly, Pamela M. Vacek, Rebecca Choquette, Timothy W. Tourville, Bert Mandelbaum, Robert J. Johnson, and Bruce D. Beynnon. "Characterization of Prepractice Injury Prevention Exercises of High School Athletic Teams." Sports Health: A Multidisciplinary Approach 9, no. 6 (October 6, 2017): 511–17. http://dx.doi.org/10.1177/1941738117733981.

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Background: Static and dynamic exercises are performed before activity to decrease injury risk and increase performance. Although evidence supports using dynamic over static stretching and performing Fédération Internationale de Football Association (FIFA) 11+ as a dynamic prepractice routine, we do not know the frequency at which these exercises are utilized in high school populations. Hypothesis: We hypothesize that there is a wide variety of preparticipation exercises performed by high school athletes, and that few high school teams perform FIFA 11+ as an injury prevention program in its entirety. Study Design: Observational study. Level of Evidence: Level 4. Methods: High school prepractice routines were observed for 185 teams (football, soccer, basketball, and lacrosse) over 1 season. The percentages of team warm-up routines that included components of FIFA 11+ were calculated, and the chi-square test was used to compare sex, sport, and level of competition. Results: Of a total 644 warm-up observations, 450 (69.9%) included only non–FIFA 11+ exercises, 56 (8.7%) included at least 1 FIFA 11+ exercise, and 38 (5.9%) included only jogging; 69 (10.6%) consisted only of sport-specific activities. The type of warm-up differed significantly between males and females ( P = 0.002), sports ( P < 0.001), and level of competition ( P < 0.001). Static stretching and athletes stretching on their own were observed in 14% and 15% of all observations. No team performed the FIFA 11+ injury prevention routine in its entirety. Conclusion: The type of warm-up differed by sex, sport, and level of competition. Static stretching was performed more frequently than anticipated, and an entire FIFA 11+ warm-up was never performed. Clinical Relevance: We need to identify the exercises that decrease injury and increase performance and better inform the athletic population about the risks and benefits of static and dynamic warm-up programs.
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Al Attar, Wesam Saleh A., Najeebullah Soomro, Evangelos Pappas, Peter J. Sinclair, and Ross H. Sanders. "Adding a post-training FIFA 11+ exercise program to the pre-training FIFA 11+ injury prevention program reduces injury rates among male amateur soccer players: a cluster-randomised trial." Journal of Physiotherapy 63, no. 4 (October 2017): 235–42. http://dx.doi.org/10.1016/j.jphys.2017.08.004.

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Patti, Antonino, Valerio Giustino, Stefania Cataldi, Vito Stoppa, Federica Ferrando, Riccardo Marvulli, Giacomo Farì, et al. "Effects of 5-Week of FIFA 11+ Warm-Up Program on Explosive Strength, Speed, and Perception of Physical Exertion in Elite Female Futsal Athletes." Sports 10, no. 7 (June 27, 2022): 100. http://dx.doi.org/10.3390/sports10070100.

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Futsal is a sport that originates from soccer and is increasingly practiced all over the world. Since training and warm-up protocols should be sport-specific in order to reduce injuries and maximize performance, this study aimed to evaluate the effects of 5 weeks of the FIFA 11+ warm-up program on explosive strength, speed, and perception of physical exertion in elite female futsal athletes. Twenty-nine elite female futsal athletes participating in the Italian national championships were divided into two groups: the experimental group (EG) underwent 5 weeks of the FIFA 11+ warm-up program, and the control group (CG) underwent 5 weeks of a dynamic warm-up. We evaluated any effect on explosive strength (by Squat Jump test), speed (by Agility T-test), and perception of physical exertion (by Borg CR-10 scale). All measurements were carried out by a technician of the Italian Football Federation before (T0), at the middle (T1), and at the end (T2) of the protocol. The EG showed significant improvements on performances between T0 vs. T1 and T0 vs. T2 both in the Squat Jump test (p = 0.0057 and p = 0.0030, respectively) and in the Agility T-test (p = 0.0075 and p = 0.0122). No significant differences were found in the Squat Jump test performances in the CG, while significant improvements were detected in the Agility T-test performances (p = 0.0004 and p = 0.0053, T0 vs. T1 and T0 vs. T2, respectively). As for the Borg CR-10 scale, we found a significant difference between T0 and T2 in the EG (p = 0.017) and no differences in the CG. This study showed that 5 weeks of the FIFA 11+ warm-up program improves the jumping performance of female futsal athletes without adversely affecting speed. These findings can be useful for coaches and athletic trainers in order to consider FIFA 11+ warm-up program also in female futsal athletes.
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Chiu, Yi-Wen, Filipe Manuel Clemente, Pedro Bezerra, Jeffrey Cayaban Pagaduan, and Yung-Sheng Chen. "Day‐to‐day Variation of the Heart Rate, Heart Rate Variability, and Energy Expenditure during FIFA 11+ and Dynamic Warm‐up Exercises." Journal of Human Kinetics 81, no. 1 (January 28, 2022): 73–84. http://dx.doi.org/10.2478/hukin-2022-0007.

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Abstract There seems to be a scarcity in literature investigating day-to-day warm-up (WU) variations. We investigated day-to-day variation of psychophysiological responses during Fédération Internationale de Football Association (FIFA) 11+ and dynamic warm-up (DWU) exercises. Twenty-one male collegiate soccer players were randomly assigned to the FIFA 11+ (n = 10) or DWU group (n = 11). Each group performed the assigned WU protocol on three different occasions with a 48-h interval in between. The inter-day variation of the heart rate (HR), time distribution of HR zones, heart rate variability (HRV), estimated energy expenditure (EE), blood lactate (BL) concentration, and the Borg rating of perceived exertion (RPE) were recorded. A two-way repeated measures of analysis of variance was used to compare the differences in chosen variables [group (2) × day (3)]. The coefficient of variation was used to determine the dispersion of the variables over the sessions. The interclass correlation coefficient (ICC) with a two-way random model and a single measure (ICC2,1) was used to determine inter-day reliability. There were no significant differences in time spent at particular HR zones and EE in both groups. The FIFA 11+ exercises showed high reliability of exercise duration, average HR (HRaverage), minimal HR (HRmin), peak HR (HRpeak), and post-exercise RPE. In the DWU group, high reliability was found only in HRaverage, HRpeak, and post-exercise RPE. The FIFA 11+ exercises showed similar EE, exercise HR patterns, BL, and RPE compared to the DWU. The FIFA 11+ program is an intense WU protocol with a characteristically low variation of day-to-day exercise HR and RPE responses.
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Zhou, Xin, Anmin Luo, Yifei Wang, Qingqing Zhang, Yu Zha, Sicheng Wang, Caroline Ashton, John Ethan Andamasaris, Henry Wang, and Qirong Wang. "The Effect of FIFA 11+ on the Isometric Strength and Running Ability of Young Soccer Players." International Journal of Environmental Research and Public Health 19, no. 20 (October 13, 2022): 13186. http://dx.doi.org/10.3390/ijerph192013186.

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Soccer is the world’s game, and keeping athletes healthy while playing the game has often been a focus of study. There is a high occurrence of musculoskeletal injuries reported in soccer. FIFA 11+ was developed as an intervention to help prevent such injuries. FIFA 11+ has previously been studied for its efficacy as an injury prevention program, but not for its effect on sports performance in an adolescent population. The purpose of this study was to look at the effect of implementing the FIFA 11+ intervention on strength, speed, and agility. Twenty youth soccer players were randomly divided into an intervention group (INT) and a control group (CON). The intervention lasted for eight weeks and performance assessments were completed pre- and post-intervention. Post-test INT knee flexor strength was significantly higher than pre-test scores (p < 0.05). INT also demonstrated significantly higher hamstring to quadriceps strength ratio (H/Q) after the intervention (p < 0.05), while the CON H/Q did not change significantly. 30-m sprint performance of both groups improved from pre- to post-test (p < 0.05). Shuttle run performance was significantly improved in post-test scores for INT players (p < 0.05), but did not change significantly for the CON players. It is suggested that implementing FIFA 11+ before training in young soccer players can lead to performance benefits as well as injury prevention benefits.
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Sánchez-Díaz, Silvia. "The influence of nutrition education intervention combined with FIFA11+ program on physical fitness attributes, physical activity behaviors, eating habits and nutritional knowledge in young basketball players." European Journal of Human Movement 48 (2022): 104–17. http://dx.doi.org/10.21134/eurjhm.2022.48.11.

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The aim of this study was to analyze the effects of a nutritional education program combined with the FIFA 11+ program on physical fitness attributes, physical activity levels, food and nutritional habits and nutritional knowledge in young basketball players. Twenty-three under 14 elite basketball players (13 males and 10 females) belonging to a professional basketball academy participated in the study. Physical fitness attributes (countermovement jump [CMJ], drop jump[DJ], linear sprint, Lane Agility Drill, 505 change-of-direction, and repeated-change-of-direction [RCOD]), physical activity levels (Physical Activity Questionnaire for Adolescents, PAQ-A), eating and nutritional habits (Turconi questionnaire), and nutritional knowledge (modified version of the Turconi questionnaire) were assessed before and after the five months intervention period. Participants were involved in five nutrition education sessions and in a weekly session of the FIFA 11+ program. Pre-to-post differences revealed improvements in physical fitness attributes (i.e., CMJ, Lane Drill Test and RCOD time test [p < 0.05; effect size (ES) = 0.52 to -1.68]) and physical activity behaviors (PAQtotal and PAQ Lunch [p < 0.001; ES = 0.68-0.89]), as well as a maintenance of eating and nutritional habits and nutrition knowledge. In practical terms, the usual on-court and the implementation of nutrition education interventions combined with the FIFA 11+ improve physical fitness attributes and physical activity behaviors while favor the maintenance of eating and nutritional habits and nutrition knowledge in U14 elite basketball players
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Nawed, Alvina, Inab A. Khan, Jyoti Jalwan, Shibili Nuhmani, and Qassim I. Muaidi. "Efficacy of FIFA 11+ training program on functional performance in amateur male soccer players." Journal of Back and Musculoskeletal Rehabilitation 31, no. 5 (October 25, 2018): 867–70. http://dx.doi.org/10.3233/bmr-171034.

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Nakase, Junsuke, Anri Inaki, Takafumi Mochizuki, Tatsuhiro Toratani, Masahiro Kosaka, Yoshinori Ohashi, Junichi Taki, Tetsutaro Yahata, Seigo Kinuya, and Hiroyuki Tsuchiya. "Whole Body Muscle Activity during the FIFA 11+ Program Evaluated by Positron Emission Tomography." PLoS ONE 8, no. 9 (September 16, 2013): e73898. http://dx.doi.org/10.1371/journal.pone.0073898.

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Silvers-Granelli, Holly, Bert Mandelbaum, Ola Adeniji, Stephanie Insler, Mario Bizzini, Ryan Pohlig, Astrid Junge, Lynn Snyder-Mackler, and Jiri Dvorak. "Efficacy of the FIFA 11+ Injury Prevention Program in the Collegiate Male Soccer Player." American Journal of Sports Medicine 43, no. 11 (September 16, 2015): 2628–37. http://dx.doi.org/10.1177/0363546515602009.

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Silvers, H., B. Mandelbaum, M. Bizzini, and J. Dvorak. "THE EFFICACY OF THE FIFA 11+ PROGRAM IN THE COLLEGIATE MALE SOCCER PLAYER (USA)." British Journal of Sports Medicine 48, no. 7 (March 11, 2014): 662.1–662. http://dx.doi.org/10.1136/bjsports-2014-093494.272.

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Zein, MI, J. Kurniarobbi, and N. Agung. "THE EFFECT OF FIFA 11+ AS AN INJURY PREVENTION PROGRAM IN YOUTH FUTSAL PLAYERS." British Journal of Sports Medicine 48, no. 7 (March 11, 2014): 673.2–674. http://dx.doi.org/10.1136/bjsports-2014-093494.305.

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Longo, Umile Giuseppe, Mattia Loppini, Alessandra Berton, Andrea Marinozzi, Nicola Maffulli, and Vincenzo Denaro. "The FIFA 11+ Program Is Effective in Preventing Injuries in Elite Male Basketball Players." American Journal of Sports Medicine 40, no. 5 (March 13, 2012): 996–1005. http://dx.doi.org/10.1177/0363546512438761.

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Fairley, Jeffrey Laurence, Evan Wollen, Andrea Gomez, Natalie Vega, and Wesley Oaties. "Impact Of Fifa 11+ Program On Acl Injury Rates In Collegian Female Rugby Players." Medicine & Science in Sports & Exercise 52, no. 7S (July 2020): 793. http://dx.doi.org/10.1249/01.mss.0000683868.55040.de.

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Anam, Khoiril, Sri Sumartiningsih, Dhias Fajar Widya Permana, Risti Nurfadhila, and Eva Ayu Aditia. "FIFA 11+ kids can increase muscle strength: A 12 weeks treatment." Jurnal SPORTIF : Jurnal Penelitian Pembelajaran 8, no. 2 (August 30, 2022): 189–200. http://dx.doi.org/10.29407/js_unpgri.v8i2.18059.

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This study aims to determine the application of the FIFA 11+ Kids program to increase muscle strength in children aged 11-12 years. This research uses experimental research with a pretest-posttest control group design. Twenty people were sampled in this study, divided into two groups: the treatment group and the control group. Purposive sampling was used in determining the research sample. The subject matching A-B-B-A technique was used to divide the treatment group and the control group. The instrument in this study is to measure arm muscle strength using a push-up test, measure leg muscle strength using a leg dynamometer test, and measure abdominal muscle strength using a sit-up test. Data analysis in this study used a paired sample t-test with a significance level of 5%. The results of the study in the treatment group showed a significance value of 0.000 (p<0.05), a significant value of leg strength was 0.004 (p<0.05), while a significant value of abdominal strength was 0.000 (p<0.05). Coaches and athletes can use the implications of this research as an injury prevention method for child footballers.
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Chen, Chia-Hui, Ghazi Rekik, Yosra Belkhir, Ya-Ling Huang, and Yung-Sheng Chen. "Gender Differences in Attention Adaptation after an 8-Week FIFA 11+ for Kids Training Program in Elementary School Children." Children 8, no. 9 (September 18, 2021): 822. http://dx.doi.org/10.3390/children8090822.

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School-based exercise intervention is recognized as an optimal tool for enhancing attentional performance in healthy school children. However, gender differences in the training adaptation regarding attentional capacities have not been elucidated clearly in the current literature. This study aimed to investigate the effects of an 8-week Fédération Internationale de Football Association (FIFA) 11+ for Kids training program on attentional performance in schoolboys and girls. Based on a quasi-experimental design, fifty-two children registered in year five of elementary school were assigned into the following groups: training boys (n = 13), training girls (n = 13), control boys (n = 13), and control girls (n = 13). The training groups undertook an 8-week FIFA 11+ Kids intervention with a training frequency of five times per week, whereas the control groups were deprived of any exercise during the study period. All the participants maintained their regular physical activity and weekly physical education (PE) lessons (two 50-min lessons per week of school curriculum) during the training period. The Chinese version of the Attention Scale for Elementary School Children (ASESC) test was used for attentional assessment at the baseline and one week after the interventional period. The Kruskal–Wallis H test was used for between-group comparison, whereas the Wilcoxon signed-rank test was used for within-group comparison. Significant differences in total scale, focused attention, selective attention, and alternating attention were found in group comparisons (p < 0.001). Furthermore, the training children significantly increased their values in relation to total scale, focused attention, sustained attention, and selective attention (p < 0.05). Only training girls significantly improved their divided attention after the training period (p < 0.001, MD = −0.77, ES = −0.12). In conclusion, the FIFA 11+ for Kids is an effective school-based exercise intervention for attentional improvement in school children. The schoolgirls demonstrated a positive outcome regarding divided attention after the interventional period.
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Vlachas, Theodosis, and Eleftherios Paraskevopoulos. "The Effect of the FIFA 11+ on Injury Prevention and Performance in Football: A Systematic Review with Meta-Analysis." BioMed 2, no. 3 (August 10, 2022): 328–40. http://dx.doi.org/10.3390/biomed2030026.

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Football is characterized as a contact sport that increases the risk of injury. For the reduction of injuries, health care providers created a warm-up program that is called the FIFA11+. This is a 20 min warm-up program that has the goal of preventing injuries. This literature review investigated the effects of FIFA11+ on injury prevention and performance in football players. A systematic search was performed in three scientific databases (Pubmed, Scopus, and Physiotherapy Evidence Database (PEDro)) and one search engine (Google Scholar) from inception to June 2022. Relevant studies published in the English language were extracted, evaluated, and independently rated for methodological quality (PEDro scale). Overall, 10 randomized controlled trials were analyzed and their outcomes are discussed. Through the analysis of the studies, it was observed that the groups which performed the FIFA 11+ warm-up program had fewer incidents of injuries. In addition, the athletes of these groups increased their performance, especially in balance, proprioception, and strength of hamstrings. After the analysis, the results and limitations of the randomized controlled trials are discussed. Finally, this review suggests the inclusion of the FIFA 11+ in training sessions, and future recommendations are provided for the next trials for the maximization of their reliability.
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Silvers, Holly J., Bert R. Mandelbaum, Ola Adeniji, Stephanie Insler, Mario Bizzini, and Jiri Dvorak. "The Efficacy Of The Fifa 11+ Injury Prevention Program In The Collegiate Male Soccer Player." Orthopaedic Journal of Sports Medicine 2, no. 7_suppl2 (July 2014): 2325967114S0008. http://dx.doi.org/10.1177/2325967114s00082.

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Nemati, Nezam, Ali Asghar Norasteh, and Mohammad Hosein Alizadeh. "The Effect of FIFA +11 Program on Functional Movement Screen Scores of Junior Soccer Players." Annals of Applied Sport Science 5, no. 3 (October 1, 2017): 23–29. http://dx.doi.org/10.29252/acadpub.aassjournal.5.3.23.

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Argothy, Rodrigo, Adriana Gutiérrez-Galvis, Rodrigo Pérez-Rodríguez, Yesica Moreno, and Keily Puerta. "Effects Of Fifa 11+ Training Program Over The Lower Limbs Neuromuscular Control In Professional Soccer Players." Medicine & Science in Sports & Exercise 48 (May 2016): 289–90. http://dx.doi.org/10.1249/01.mss.0000485871.25878.13.

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Ejnisman, Benno, Carlos Vicente Andreoli, Alberto de Castro Pochini, Moises Cohen, Mario Bizzini, Jiri Dvorak, Rodrigo Zogaib, Thiago Lobo, and Gisele Barbosa. "Shoulder injuries in soccer goalkeepers: review and development of a FIFA 11+ shoulder injury prevention program." Open Access Journal of Sports Medicine Volume 7 (August 2016): 75–80. http://dx.doi.org/10.2147/oajsm.s97917.

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Burboa, Jair, Camilo Valles, Nelson Ormeño, Barahona Maximiliano, Alvaro Zamorano, and Jaime Hinzpeter. ""The 11 +" Warm-Up Program in Female Soccer Players and the Morpho-Physiological Changes Generated after its Implementation." International Physiology Journal, no. 2 (October 28, 2018): 24–31. http://dx.doi.org/10.14302/issn.2578-8590.ipj-18-2433.

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Objective: Use "The 11 +" warm-up program in female players of the National Chilean Sub-17 Football team in order to analyze morpho – physiological variables. The implementation of this training program will generate morpho – physiological changes between players exposed. Federation International Football Association (FIFA) created a training program known as the "11+", designed to amend morpho-functional parameters such as lower extremity alignment, strength, intra, and inter muscular coordination and balance, among others. Subjects: Information indicates that injuries are a serious cause of concern for the soccer clubs and therefore, it is necessary to introduce the prevention programs. Methods: 20 female players of the National Chilean Sub-17 Soccer Team, from 14 to 17 years, who trained from March 2017 to January 2018. The “The 11+” warm-up program was considering an independent variable and thigh circumference, jumping ability, speed and balance are considered dependent variables. We use The STATA 11.1 SE (Statistics / Data Analysis) program for the statistical. Results: After implementing the “The 11+” program, significant changes (p < 0.05) were observed in the morphological variables of thigh circumference and functional speed. Concerning the functional variables of jump and balance, favorable but not statistically significant. Conclusions: Application of the "The 11 +" warm-up program for 3 months in addition to proper training, generated morpho – physiological changes associated with an increase in thigh circumference and an improvement in speed. The practical utility is to improve morpho-physiological characteristics of players in a competitive area and thereby to improve the utility of athletic performance indirectly.
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Barengo, Noël, José Meneses-Echávez, Robinson Ramírez-Vélez, Daniel Cohen, Gustavo Tovar, and Jorge Bautista. "The Impact of the FIFA 11+ Training Program on Injury Prevention in Football Players: A Systematic Review." International Journal of Environmental Research and Public Health 11, no. 11 (November 19, 2014): 11986–2000. http://dx.doi.org/10.3390/ijerph111111986.

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Silvers-Granelli, Holly J., Mario Bizzini, Amelia Arundale, Bert R. Mandelbaum, and Lynn Snyder-Mackler. "Does the FIFA 11+ Injury Prevention Program Reduce the Incidence of ACL Injury in Male Soccer Players?" Clinical Orthopaedics and Related Research 475, no. 10 (October 2017): 2447–55. http://dx.doi.org/10.1007/s11999-017-5342-5.

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Owoeye, Oluwatoyosi, Muge Bulat, Carly McKay, Tate Hubka, Luz Palacios-Derflingher, Kathryn Schneider, and Carolyn Emery. "IMPACT OF A COMPREHENSIVE FIFA 11+ WORKSHOP ON YOUTH SOCCER COACHES' TASK SELF-EFFICACY FOR PROGRAM IMPLEMENTATION." British Journal of Sports Medicine 51, no. 4 (February 2017): 369.2–370. http://dx.doi.org/10.1136/bjsports-2016-097372.218.

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Deshmukh, N. "EFFECTS OF THE FIFA 11+ AND HARMOKNEE WARM-UP PROGRAMS ON PHYSICAL PERFORMANCE MEASURES ININDIAN ELITE FOOTBALL PLAYERS (AN EXPERIMENTAL STUDY)." Journal of Medical pharmaceutical and allied sciences 10, no. 3 (July 15, 2021): 3001–6. http://dx.doi.org/10.22270/jmpas.v10i3.1148.

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This study was carried to determine the benefits of fifa 11+ and harmoknee warm-up protocol in indian male football players and conclude the superiority between the two established protocols in accordance with their effects on sprinting, vertical jump, kicking accuracy, and agility. 45 healthy male footballers (mean age 21.44±5.3yrs, height1.76±0.2m&weight 73.19±11.5kgs) participated in the study. The participants were equally divided into group a= fifa 11+, group b = harmoknee, and the control group. The experimental groups (gp a &gp b) underwent training for 6 weeks, and trained for 20 minutes per session on all days except sunday (36 sessions), whereas the control group performed their regular football training. The performance tests carried out were the 20m speed test, vertical jump test, illinois agility test, and wall volley test. The results were analyzed by spss version 17. Within-group pre and post comparisons were done using paired t-test, an inter-group comparison was done using one-way anova followed by multiple comparisons bonferroni. The level of significance for all tests was set at 5% (p=0.05). In the present study, the vertical jump was improved significantly only in gp a (6.75% increase, p=0.001) as compared to gp b (p=0.082) & the control group (p=0.291). While agility improved in both gp.a (7.23% increase, p=0.00) & gp.b (5.43% increase, p=0.001), no significant improvements were observed in the kicking accuracy & sprinting ability in all the 3 groups within group comparison. However, on inter-group comparison, significant differences were observed between group a& b (p=0.009) with gp b demonstrating more kicking accuracy as compared to gp a. 6-weeks training of 11+ warm-up program enhance vertical jump and agility but it does not improve player’s kicking accuracy and sprinting ability and the harmony program improves agility but has no positive effect on sprinting and kicking accuracy in young professional male footballers. 11+ injury prevention programs can be implemented to enhance agility and vertical jump in young male football players.
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Grooms, Dustin R., Thomas Palmer, James A. Onate, Gregory D. Myer, and Terry Grindstaff. "Soccer-Specific Warm-Up and Lower Extremity Injury Rates in Collegiate Male Soccer Players." Journal of Athletic Training 48, no. 6 (December 1, 2013): 782–89. http://dx.doi.org/10.4085/1062-6050-48.4.08.

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Context: A number of comprehensive injury-prevention programs have demonstrated injury risk-reduction effects but have had limited adoption across athletic settings. This may be due to program noncompliance, minimal exercise supervision, lack of exercise progression, and sport specificity. A soccer-specific program described as the F-MARC 11+ was developed by an expert group in association with the Federation Internationale de Football Association (FIFA) Medical Assessment and Research Centre (F-MARC) to require minimal equipment and implementation as part of regular soccer training. The F-MARC 11+ has been shown to reduce injury risk in youth female soccer players but has not been evaluated in an American male collegiate population. Objective: To investigate the effects of a soccer-specific warm-up program (F-MARC 11+) on lower extremity injury incidence in male collegiate soccer players. Design: Cohort study. Setting: One American collegiate soccer team followed for 2 seasons. Patients or Other Participants: Forty-one male collegiate athletes aged 18–25 years. Intervention(s): The F-MARC 11+ program is a comprehensive warm-up program targeting muscular strength, body kinesthetic awareness, and neuromuscular control during static and dynamic movements. Training sessions and program progression were monitored by a certified athletic trainer. Main Outcome Measure(s): Lower extremity injury risk and time lost to lower extremity injury. Results: The injury rate in the referent season was 8.1 injuries per 1000 exposures with 291 days lost and 2.2 injuries per 1000 exposures and 52 days lost in the intervention season. The intervention season had reductions in the relative risk (RR) of lower extremity injury of 72% (RR = 0.28, 95% confidence interval = 0.09, 0.85) and time lost to lower extremity injury (P &lt; .01). Conclusions: This F-MARC 11+ program reduced overall risk and severity of lower extremity injury compared with controls in collegiate-aged male soccer athletes.
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Dubij, Maciej, and Monika Grygorowicz. "EFFECTIVENESS OF THE FIFA11+ INJURY PREVENTION PROGRAM IN TEAM SPORTS." Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion – IRONS 38 (March 2022): 47–57. http://dx.doi.org/10.19271/irons-000163-2022-38.

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Introduction Since some types of injuries are common for different sports, it is justified to implement the FIFA11+ program also to other team sports despite soccer. Aim This systematic review investigates the effectiveness of the FIFA11+ program in preventing injuries in team sports other than soccer. Material and methods PubMed and Web of Science databases were searched, applying keywords such as FIFA 11, injury prevention, warm-up program, basketball, volleyball, handball, rugby, cricket, netball, softball, team sport. Quality evaluation of included papers was performed based on the PEDro scale. Results From 4.641 potentially eligible publications, only two met the criteria and were enrolled on this systematic review. Both studies were classified with average methodological quality. Conclusions Up to now, only a few large-scale randomized control trials are published regarding the effectiveness of FIFA11+ injury prevention programs in other sports then soccer, and their results are contradictory; the impact of this program still needs to be verified in future. The publications should be designed following the best quality criteria (especially including blinding assessors, intervention, allocation), and with well-powered sample size.
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Al Attar, Wesam Saleh A., Mario Bizzini, Fahad Alkabkabi, Nasser Alshamrani, Saud Alarifi, Hosam Alzahrani, Hussain Ghulam, Eman Aljedaani, and Ross H. Sanders. "Effectiveness of the FIFA 11+ Referees Injury Prevention Program in reducing injury rates in male amateur soccer referees." Scandinavian Journal of Medicine & Science in Sports 31, no. 9 (May 18, 2021): 1774–81. http://dx.doi.org/10.1111/sms.13983.

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Parsons, Joanne L., Joanne Carswell, Izuchukwu Michael Nwoba, and Haley Stenberg. "ATHLETE PERCEPTIONS AND PHYSICAL PERFORMANCE EFFECTS OF THE FIFA 11 + PROGRAM IN 9-11 YEAR-OLD FEMALE SOCCER PLAYERS: A CLUSTER RANDOMIZED TRIAL." International Journal of Sports Physical Therapy 14, no. 5 (September 2019): 740–52. http://dx.doi.org/10.26603/ijspt20190740.

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Silvers-Granelli, Holly, Mario Bizzini, Amy Arundale, Bert Mandelbaum, Ryan Pohlig, and Lynn Snyder-Mackler. "DOES HIGHER COMPLIANCE TO THE FIFA 11+ INJURY PREVENTION PROGRAM IMPROVE OVERALL INJURY RATE IN MALE SOCCER (FOOTBALL) PLAYERS?" British Journal of Sports Medicine 51, no. 4 (February 2017): 389.2–390. http://dx.doi.org/10.1136/bjsports-2016-097372.268.

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Akodu, A., O. Adesanya, and U. Okafor. "Effect of “FIFA 11+” warm up program on fatigue, sleep quality, muscle flexibility and psychological status among amateur football players." Physiotherapy 113 (December 2021): e85. http://dx.doi.org/10.1016/j.physio.2021.10.055.

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Beynnon, Bruce D., Pamela Vacek, Timothy W. Tourville, Rebecca Choquette, Chongyang Wang, Mickey Krug, and James R. Slauterbeck. "Implementation of the FIFA 11+ Injury Prevention Program by High School Athletic Teams Did Not Reduce Lower Extremity Injuries: Response." American Journal of Sports Medicine 48, no. 6 (April 30, 2020): NP36—NP37. http://dx.doi.org/10.1177/0363546520915187.

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