Prevention of Soccer-Related Ankle Injuries in Youth Amateur Players: A Randomized Controlled Trial

Ahmed Fadhil Farhan, Maria J. Stephany, Shamil K. Mahammed

Abstract


Background: In lower levels of play, the lateral ankle sprain is the most common time loss injury, especially amongst male youth soccer players.

Purpose: The aim of the present study was to evaluate the effects of an injury prevention program on the incidence of ankle injuries in male youth amateur players.

Study Design: Randomized controlled trial study.

Methods: Fifty boys (mean ±SD: age 13.3±0.4 yr; body mass index of 20.9 ± 1.5 kg/m2; stature: 1.6 ± 0.1 m) from two sport schools, with 4.4 ± 0.5 years playing experience, participated. Players were randomly assigned to either an experimental (EXP, n = 25) or a control (CON, n = 25) group. A physical exercise program designed exclusively for youth male soccer players was combined with education of athletes and coaches to increase awareness of injury risk. Over 1 year all injuries were documented monthly by physiotherapist. Complete monthly injury reports were available for 50 players.

Results: Nine ankle injuries occurred in the EXP group and 20 injuries occurred in the CON group, corresponding to incidence rates of 0.96 and 2.16, respectively, per 1000 player hours, which equates to 55% fewer injuries in the EXP group.

Conclusions: The incidence of ankle injuries among youth male soccer players can be reduced by implementation of a multifaceted, soccer-specific physical exercise program. Coaches and players need better education regarding injury prevention strategies and should include such interventions as part of their regular training.


Keywords


ankle injuries,injury risk,physical exercise, soccer players

Full Text:

PDF

References


Bahr, R. & Holme, I. (2003). Risk factors for sports injuries—a methodological approach. British journal of sports medicine, 37, 384-392.

Brito, J., Malina, R. M., Seabra, A., Massada, J. L., Soares, J. M., Krustrup, P., & Rebelo, A. (2012).Injuries in Portuguese youth soccer players during training and match play. Journal of athletic training, 47(2), 191.

Carson, S., Woolridge, D. P., Colletti, J., & Kilgore, K. (2006). Pediatric upper extremity injuries. Pediatric clinics of North America, 53(1), 41-67.

D'Hooghe, P., J. I. Wiegerinck, J. L. Tol, and P. Landreau. "A 22-year-old professional soccer player with atraumatic ankle pain." British journal of sports medicine (2013): bjsports-2013.

Emery, C., Rose, M., Meeuwisse, W. & McAllister, J. (2007).The effectiveness of an injury prevention strategy in high school basketball. A cluster-randomized controlled trial. Clinical Journal of Sport Medicine, 17, 17-24.

Engebretsen, A. H., Myklebust, G., Holme, I., Engebretsen, L., & Bahr, R. (2008). Prevention of Injuries Among Male Soccer Players A Prospective, Randomized Intervention Study Targeting Players With Previous Injuries or Reduced Function. The American journal of sports medicine, 36(6), .

Farhan, A. F., Justine, M., & Mahammed, S. K. (2013). Effect of training program on physical performance in junior male Malaysian soccer players. Journal of Physical Education and Sport, 13(2), 238.

Faude, O., Robler, R. & Junge, A. (2013). Football injuries in children and adolescent players: are there clues for prevention? Sports medicine, 43, 819-837.

Frank, J. B., Jarit, G. J., Bravman, J. T., & Rosen, J. E. (2007).Lower extremity injuries in the skeletally immature athlete. Journal of the American Academy of Orthopaedic Surgeons, 15(6), 356-366.

Heidt, R.S., Jr., Sweeterman, L.M., Carlonas, R.L., Traub, J.A. & Tekulve, F.X. (2000).Avoidance of soccer injuries with preseason conditioning. American Journal of Sports Medicine 28, 659-662.

Hoskins, W. & Pollard, H. (2010). The effect of a sports chiropractic manual therapy intervention on the prevention of back pain, hamstring and lower limb injuries in semi-elite Australian Rules footballers: a randomized controlled trial. BMC musculoskeletal disorders, 11, 64.

Hoskins, W. T., Pollard, H. P., & Orchard, J. W. (2006). The Effect of Sports Chiropractic on the Prevention of Hamstring Injuries: A Randomized Controlled Trial: 691: 2: 30 PM–2: 45 PM. Medicine & Science in Sports & Exercise, 38(5), S27.

Junge, A. 2000.The influence of psychological factors on sports injuries review of the literature. The American journal of sports medicine, 28, 10-15.

Junge, A., Rosch, D., Peterson, L., Graf-Baumann, T. & Dvorak, J. (2002). Prevention of soccer injuries: a prospective intervention study in youth amateur players. The American journal of sports medicine, 30, 652-65.

Knowles, S. B., Marshall, S. W., & Guskiewicz, K. M. (2006).Issues in estimating risks and rates in sports injury research. Journal of athletic training, 41(2), 207.

Koutures, C. G., & Gregory, A. J. (2010).Injuries in youth soccer. Pediatrics, 125(2), 410-414.

Leininger, R. E., Knox, C. L., & Comstock, R. D. (2007). Epidemiology of 1.6 million pediatric soccer-related injuries presenting to US emergency departments from 1990 to 2003.The American Journal of Sports Medicine, 35(2), 288-293.

MacKay, M., Scanlan, A., Olsen, L., Reid, D., Clark, M., McKim, K., & Raina, P. (2004).Looking for the evidence: a systematic review of prevention strategies addressing sport and recreational injury among children and youth. Journal of Science and Medicine in Sport, 7(1), 58-73.

McGuine, T. A., & Keene, J. S. (2006). The effect of a balance training program on the risk of ankle sprains in high school athletes. The American journal of sports medicine, 34(7), .

Olsen, L., Scanlan, A., MacKay, M., Babul, S., Reid, D., Clark, M., & Raina, P. (2004). Strategies for prevention of soccer related injuries: a systematic review. British journal of sports medicine, 38(1), 89-94.

Soligard, T., Nilstad, A., Steffen, K., Myklebust, G., Holme, I., Dvorak, J., Andersen, T. E. (2010). Compliance with a comprehensive warm-up programme to prevent injuries in youth football. British journal of sports medicine, 44(11), 787-793.

Spinks, A. B., & McClure, R. J. (2007). Quantifying the risk of sports injury: a systematic review of activity specific rates for children under 16 years. British journal of sports medicine. 41(9):548–557.

Van Beijsterveldt, A. M., Van De Port, I. G., Krist, M. R., Schmikli, S. L., Stubbe, J. H., Frederiks, J. E. & Backx, F. J. (2012). Effectiveness of an injury prevention programme for adult male amateur soccer players: a cluster-randomised controlled trial. British journal of sports medicine, 46, .

Waldén, M., Atroshi, I., Magnusson, H., Wagner, P., & Hägglund, M. (2012). Prevention of acute knee injuries in adolescent female football players: cluster randomised controlled trial. British Medical Journal, 344, e3042.




DOI: https://doi.org/10.15282/mohe.v6i1.83