The Effect of the “11+ Kids” Program on the Isokinetic Strength of Young Football Players

in International Journal of Sports Physiology and Performance

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Mostafa Zarei
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Hamed Abbasi
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Abdolhamid Daneshjoo
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Mehdi Gheitasi
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Kamran Johari
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Oliver Faude
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Nikki Rommers
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Roland Rössler
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Purpose: The “11+ Kids” injury-prevention program has been shown to reduce injuries and related costs in youth football players less than 14 y of age. A major argument to convince coaches to use this exercise-based injury-prevention program is a potential performance enhancement of the players. Therefore, this study investigated the effects of the “11+ Kids” program on isokinetic strength. Methods: Two teams were randomly assigned to the intervention and control groups. The intervention group replaced their warm-up by the “11+ Kids” and the control group warmed up as usual. Two days before and after the 10-wk intervention, isokinetic strength of the hip adductors and abductors, knee flexors and extensors, and ankle invertors and evertors was tested. Results: Thirty-one players (mean age 11.5 [0.8] y) completed the study. The intervention group showed large improvements in all isokinetic strength measures (P < .001 for all measures; Cohen d = 0.8–1.4), whereas the control group only showed negligible to medium positive effects (P values ranging from .006 to .718; Cohen d = −0.1 to 0.7). The intervention was beneficial compared with the control group regarding isokinetic strength of the hip adductors (P < .001), knee flexors (P = .002), and ankle evertors (P < .001) and invertors (P = .005). Conclusions: Given the relatively short intervention period of 10 wk, the observed improvements relate to a practically meaningful effect of the intervention. The gain in strength may improve players’ performance and may contribute to a reduction of injury risk in the long-term application.

Zarei and Gheitasi are with the Dept of Physical Education and Sports Sciences, Shahid Beheshti University, Tehran, Iran. Abbasi is with the Dept of Sport Injuries and Corrective Exercises, Sport Sciences Research Inst, Tehran, Iran. Daneshjoo is with the Dept of Physical Education and Sports Sciences, Shahid Bahonar University of Kerman, Kerman, Iran. Johari is with the Dept of Physical Education, Islamic Azad University, Branch Bukan, Bukan, Iran. Faude and Rössler are with the Dept of Sport, Exercise and Health, University of Basel, Basel, Switzerland. Rommers is with the Dept of Movement and Sports Sciences, Vrije Universiteit Brussel, Brussels, Belgium; the Dept of Movement and Sports Sciences, Ghent University, Ghent, Belgium; and Research Foundation—Flanders (FWO), Brussels, Belgium. Rommers and Rössler are also with the Dept of Public and Occupational Health, Amsterdam Public Health Research Inst, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.

Rommers (Nikki.Rommers@vub.be) is corresponding author.
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  • 1.

    Emery CA. Risk factors for injury in child and adolescent sport: a systematic review of the literature. Clin J Sport Med. 2003;13(4):256268. PubMed ID: 12855930 doi:10.1097/00042752-200307000-00011

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Read PJ, Oliver JL, De Ste Croix MBA, Myer GD, Lloyd RS. A prospective investigation to evaluate risk factors for lower extremity injury risk in male youth soccer players. Scand J Med Sci Sports. 2018;28(3):12441251. PubMed ID: 29130575 doi:10.1111/sms.13013

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Rössler R, Donath L, Verhagen E, Junge A, Schweizer T, Faude O. Exercise-based injury prevention in child and adolescent sport: a systematic review and meta-analysis. Sports Med. 2014;44(12):17331748. doi:10.1007/s40279-014-0234-2

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Faude O, Rössler R, Petushek EJ, Roth R, Zahner L, Donath L. Neuromuscular adaptations to multimodal injury prevention programs in youth sports: a systematic review with meta-analysis of randomized controlled trials. Front Physiol. 2017;8:791. PubMed ID: 29075200 doi:10.3389/fphys.2017.00791

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Arnason A, Andersen TE, Holme I, Engebretsen L, Bahr R. Prevention of hamstring strains in elite soccer: an intervention study. Scand J Med Sci Sports. 2008;18(1):4048. PubMed ID: 17355322 doi:10.1111/j.1600-0838.2006.00634.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Daneshjoo A, Mokhtar A, Rahnama N, Yusof A. The effects of injury prevention warm-up programmes on knee strength in male soccer players. Biol Sport. 2013;30(4):281288. PubMed ID: 24795499 doi:10.5604/20831862.1077554

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Brito J, Figueiredo P, Fernandes L, et al. Isokinetic strength effects of FIFA’s “The 11+” injury prevention training programme. Isokinet Exer Sci. 2010;18(4):211215. doi:10.3233/IES-2010-0386

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Reis I, Rebelo A, Krustrup P, Brito J. Performance enhancement effects of Federation Internationale de Football Association’s “The 11+” injury prevention training program in youth futsal players. Clin J Sport Med. 2013;23(4):318320. PubMed ID: 23528840 doi:10.1097/JSM.0b013e318285630e

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Al Attar WSA, Soomro N, Pappas E, Sinclair PJ, Sanders RH. How effective are F-MARC injury prevention programs for soccer players? A systematic review and meta-analysis. Sports Med. 2016;46(2):205217. PubMed ID: 26403470 doi:10.1007/s40279-015-0404-x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Zarei M, Abbasi H, Daneshjoo A, et al. Long-term effects of the 11+ warm-up injury prevention programme on physical performance in adolescent male football players: a cluster-randomised controlled trial. J Sports Sci. 2018;36(21):24472454. PubMed ID: 29638190 doi:10.1080/02640414.2018.1462001

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Daneshjoo A, Mokhtar AH, Rahnama N, Yusof A. The effects of comprehensive warm-up programs on proprioception, static and dynamic balance on male soccer players. PLoS ONE. 2012;7(12):e51568. PubMed ID: 23251579 doi:10.1371/journal.pone.0051568

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Donath L, Rössler R, Faude O. Effects of virtual reality training (exergaming) compared to alternative exercise training and passive control on standing balance and functional mobility in healthy community-dwelling seniors: a meta-analytical review. Sports Med. 2016;46(9):12931309. PubMed ID: 26886474 doi:10.1007/s40279-016-0485-1

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Rössler R, Junge A, Bizzini M, et al. A multinational cluster randomised controlled trial to assess the efficacy of ‘11+ kids’: a warm-up programme to prevent injuries in children’s football. Sports Med. 2018;48(6):14931504. doi:10.1007/s40279-017-0834-8

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Beaudouin F, Rössler R, Aus der Fünten K, et al. Effects of the ‘11+ Kids’ injury prevention programme on severe injuries in children’s football: a secondary analysis of data from a multicentre cluster-randomised controlled trial [published online ahead of print October 2, 2018]. Br J Sports Med.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Rössler R, Verhagen E, Rommers N, et al. Comparison of the ‘11+ Kids’ injury prevention programme and a regular warmup in children’s football (soccer): a cost effectiveness analysis. Br J Sports Med. 2019;53(5):309314. doi:10.1136/bjsports-2018-099395

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Rössler R, Donath L, Bizzini M, Faude O. A new injury prevention programme for children’s football—FIFA 11+ Kids—can improve motor performance: a cluster-randomised controlled trial. J Sports Sci. 2016;34(6):549556. doi:10.1080/02640414.2015.1099715

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Rahnama N, Bambaeichi E, Daneshjoo A. The epidemiology of knee injuries in Iranian male professional soccer players. Sport Sci Health. 2009;5(1):914. doi:10.1007/s11332-009-0070-1

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Rössler R, Junge A, Chomiak J, et al. Risk factors for football injuries in young players aged 7 to 12 years. Scand J Med Sci Sports. 2018;28(3):11761182. doi:10.1111/sms.12981

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Fagher K, Fritzson A, Drake AM. Test-retest reliability of isokinetic knee strength measurements in children aged 8 to 10 years. Sports Health. 2016;8(3):255259. PubMed ID: 26895853 doi:10.1177/1941738116632506

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Tsiros MD, Grimshaw PN, Schield AJ, Buckley JD. Test-retest reliability of the Biodex System 4 isokinetic dynamometer for knee strength assessment in paediatric populations. J Allied Health. 2011;40(3):115119. PubMed ID: 21927776

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    De Noronha MA, Borges NG Jr. Lateral ankle sprain: isokinetic test reliability and comparison between invertors and evertors. Clin Biomech. 2004;19(8):868871. doi:10.1016/j.clinbiomech.2004.05.011

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Parcell AC, Sawyer RD, Tricoli VA, Chinevere TD. Minimum rest period for strength recovery during a common isokinetic testing protocol. Med Sci Sports Exerc. 2002;34(6):10181022. PubMed ID: 12048331 doi:10.1097/00005768-200206000-00018

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Fuller CW, Ekstrand J, Junge A, et al. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Scand J Med Sci Sports. 2006;16(2):8392. PubMed ID: 16533346 doi:10.1111/j.1600-0838.2006.00528.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Lloyd RS, Cronin JB, Faigenbaum AD, et al. National strength and conditioning association position statement on long-term athletic development. J Strength Cond Res. 2016;30(6):14911509. PubMed ID: 26933920 doi:10.1519/JSC.0000000000001387

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Zarei M, Namazi P, Abbasi H, Noruzyan M, Mahmoodzade S, Seifbarghi T. The effect of ten-week FIFA 11+ injury prevention program for kids on performance and fitness of adolescent soccer players. Asian J Sports Med. 2018;9(3):e61013. doi:10.5812/asjsm.61013

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26.

    Askling C, Karlsson J, Thorstensson A. Hamstring injury occurrence in elite soccer players after preseason strength training with eccentric overload. Scand J Med Sci Sports. 2003;13(4):244250. PubMed ID: 12859607 doi:10.1034/j.1600-0838.2003.00312.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Padua DA, Marshall SW, Beutler AI, et al. Predictors of knee valgus angle during a jump-landing task. Med Sci Sports Exerc. 2005;37(5):S398S398.

    • Search Google Scholar
    • Export Citation
  • 28.

    Willems T, Witvrouw E, Verstuyft J, Vaes P, De Clercq D. Proprioception and muscle strength in subjects with a history of ankle sprains and chronic instability. J Athl Train. 2002;37(4):487493. PubMed ID: 12937572

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Ozcakar L, Kunduracyoolu B, Cetin A, Ulkar B, Guner R, Hascelik Z. Comprehensive isokinetic knee measurements and quadriceps tendon evaluations in footballers for assessing functional performance. Br J Sports Med. 2003;37(6):507510. PubMed ID: 14665589 doi:10.1136/bjsm.37.6.507

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Vaeyens R, Lenoir M, Williams AM, Philippaerts RM. Talent identification and development programmes in sport: current models and future directions. Sports Med. 2008;38(9):703714. PubMed ID: 18712939 doi:10.2165/00007256-200838090-00001

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31.

    Soligard T, Nilstad A, Steffen K, et al. Compliance with a comprehensive warm-up programme to prevent injuries in youth football. Br J Sports Med. 2010;44(11):787793. PubMed ID: 20551159 doi:10.1136/bjsm.2009.070672

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Steffen K, Emery CA, Romiti M, et al. High adherence to a neuromuscular injury prevention programme (FIFA 11+) improves functional balance and reduces injury risk in Canadian youth female football players: a cluster randomised trial. Br J Sports Med. 2013;47(12):794802. PubMed ID: 23559666 doi:10.1136/bjsports-2012-091886

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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