8/2/2019 Workshop_fifa_bizzini_m the 11+ Prevention Program

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KnEE CARTIlAGE: STRATEGIES FORTREATMEnT OF SPORTS PATIEnTS FROM TRAuMA TO OSTEOARTHRITIS 245

THE 11+ PREVENTION PROGRAM

Bizzini M, Junge A, Dvorak J

FIFA Medical Assessment & Research Centre (F-MARC),Schulthess Klinik Zrich, CH

WORKSHOP

FIFA

Footba is the most popar sport i the wor, pae b approximate 200,000 professioa a240 miio amater paers. Comparig the exposre-reate iciece of ijr i ifferet teamsports, ice hocke, haba, basketba, footba a rgb are cear tpes of sport with a reati-ve high risk of ijr.The iciece of footba ijr has bee ivestigate i severa sties a varies sbstatia e-peig o the efiitio of ijr, the characteristics of the ivestigate paers a the research

esig. The majorit of sties focs o at mae professioa paers.Epiemioogica iformatio o ijries i femae a oth footba paers is imite. From theata presete, it is estimate that o average ever eite mae footba paer icrs approxima-te oe performace-imitig ijr a ear.

Introduction

Severa athors have escribe risk factors for footba ijries, a iscsse possibiities for pre-vetio sch as: warm-p (with more emphasis o stretchig), regar coo-ow, aeqate reha-biitatio with sfficiet recover time, proprioceptive traiig, protective eqipmet, goo paigfie coitios, a aherece to the existig res. However, o few athors have reporte re-sts of prevetive itervetios i footba paers. Some sties have focse o the prevetio

of ijries i geera, a others have evaate the prevetio of specific tpes of ijr, ameake sprais, severe ijries of the kee a hamstrig strais.Smmarisig the rests of these sties, there is some eviece that mti-moa itervetio pro-grammes rest i a rectio of ijries i geera. Proprioceptive or eromscar traiig seemsto prevet severe kee ijries a recrret ake sprais. The se of semi-rigi orthosis shobe recommee for paers with previos ake sprais. The eccetric stregth traiig of ham-strigs has recet bee show to be effective i recig hamstrig strais. However, footba i-jries ca be prevete o part b improve phsica coitio of paers. Kowig that asbstatia amot of footba ijries are case b fo pa, the observace of the aws of thegame a especia the regar to Fair Pa is a essetia aspect i the prevetio of ijr. Re-cet, the effectiveess of specific exercise-base prevetio programs i footba has bee exa-

mie.

Prevention of football injuries

Research i amater footba has show that specific programs were sccessf impemete asstaar warm p prior to the rotie traiig (1, 2). F-MARC eveope i cooperatio with theOso Sports Trama & Research Ceter a the Sata Moica Orthopaeics & Sports Meicie Ce-ter The 11+ ijr prevetio program.The prevetive exercises focs o core stabiisatio, eccetric stregth, eromscar cotro, agi-it a pometrics. Goo bo cotro, a proper techiqe whie performig the exercises arethe ke to ehace sesorimotor awareess a performace.

Prevention programs

8/2/2019 Workshop_fifa_bizzini_m the 11+ Prevention Program

2/2246 XVIII InTERnATIOnAl COnGRESS On SPORTS REHABIlITATIOn And TRAuMATOlOGy

The 11+ program represets a avace versio of the 11, a is the rest of a teamwork wi-thi the above metioe research ceters. I a recet pbishe RCT st, Soigar et a showethat this program was effective i recig the iciece of ijries b 1/3 i og femae foot-ba paers.

The risk of severe ijries, overse ijries, a ijries overa was sigificat rece. Aotheriterestig fiig i the st was that the rests showe a tre towar a ower risk of ijramog the most compait paers, which eries the importace of compiace withi the im-pemetatio of prevetio programs. The teams i the itervetio grop performe regar the11+ as a rotie warm-p, prior to the techica traiig. The program cosists of three parts: arig part i the begiig a at the e to warm p, a six set of exercises focsig o corea egs stregth, baace, pometrics a agiit (each exercises set with 3 eves of icreasigiffict). The 11+ sho be performe at east two to three times a week, a takes abot 20mites to be compete.

Refereces1. Jge A, dvorak J. Soccer Ijries. A Review o Iciece a Prevetio. Sports Me 2004; 34:

929-9382. Soigar T et a. Comprehesive warm-p programme to prevet ijries i og femae foot-

baers: cster raomize cotroe tria. BMJ 2008 dec 9;337: a2469

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FIFA