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Efficacy of the FIFA 11+ injury prevention program in the collegiate male soccer player
Silvers-Granelli H, Mandelbaum B, Adeniji O, Insler S, Bizzini M, Pohlig R, Junge A, Snyder-Mackler L, Dvorak J
The American Journal of Sports Medicine 2015 Nov;43(11):2628-2637
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: The Federation Internationale de Football Association (FIFA) 11+ program has been shown to be an effective injury prevention program in the female soccer cohort, but there is a paucity of research to demonstrate its efficacy in the male population. HYPOTHESIS: To examine the efficacy of the FIFA 11+ program in men's collegiate United States National Collegiate Athletic Association (NCAA) division I and division II soccer. STUDY DESIGN: Randomized controlled trial; level of evidence, 1. METHODS: Before the commencement of the fall 2012 season, every NCAA division I and division II men's collegiate soccer team (n = 396) was solicited to participate in this research study. Human ethics review board approval was obtained through Quorum Review IRB. Sixty-five teams were randomized: 34 to the control group (CG; 850 players) and 31 to the intervention group (IG; 675 players). Four teams in the IG did not complete the study, reducing the number for analysis to 61. The FIFA 11+ injury prevention program served as the intervention and was utilized weekly. Athlete-exposures (AEs), compliance, and injury data were recorded using a secure internet-based system. RESULTS: In the CG, 665 injuries (mean +/- SD 19.56 +/- 11.01) were reported for 34 teams, which corresponded to an incidence rate (IR) of 1,504 injuries per 1,000 AEs. In the IG, 285 injuries (mean +/- SD 10.56 +/- 3.64) were reported for 27 teams, which corresponded to an IR of 809 injuries per 1,000 AEs. Total days missed because of injury were significantly higher for the CG (mean +/- SD 13.20 +/- 26.6 days) than for the IG (mean +/- SD 10.08 +/- 14.68 days) (p = 0.07). There was no difference for time loss due to injury based on field type (p = 3.41). CONCLUSION: The FIFA 11+ significantly reduced injury rates by 461% and decreased time loss to injury by 286% in the competitive male collegiate soccer player (rate ratio 0.54 (95% CI 0.49 to 0.59); p < 0.001) (number needed to treat 2.64).

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