Injury Profile of Elite Male Young Soccer Players in a Spanish Professional Soccer Club: A Prospective Study During 4 Consecutive Seasons

in Journal of Sport Rehabilitation
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Context: As the number of injuries in young soccer players increases, an epidemiological study is the first step in improving preventive strategies. Objectives: To analyze the injury profile of a Spanish professional soccer club’s academy during 4 consecutive seasons and to examine the injury incidence across different chronological age groups. Design: Prospective cohort design. Setting: Aggregate injury and exposure data collected during 4 consecutive seasons. Participants: Three hundred nine elite male young soccer players. Main Outcomes Measures: Injuries that led to participation time missed from training and match play prospectively reported by medical or coaching staff of the club. Results: A total of 464 time-loss injuries were observed during this study period. The overall injury incidence was 2.93 injuries per 1000 hours, with higher incidence during matches than during training (10.16 vs 2.10 injuries/1000 h; rate ratio [RR] = 0.21; 95% confidence interval [CI], 0.17–0.25; P < .05), with the U14 age group presenting the lowest injury rate (2.39 injuries/1000 h; RR = 1.15–1.57; P < .05). In terms of injury severity, moderate injuries were the most frequent (1.42 injuries/1000 h). Muscle injuries were the most common type of injuries (57.7%; 2.75 injuries/1000 h; RR = 1.84–13.4; P < .05), and hamstrings (93/268) were the most affected muscle group (0.58 injuries/1000 h; RR = 1.58–2.91; P < .05). Injury incidence showed a seasonal variation as indicated by peaks in August and October. In matches, specifically, the match period between 75 and 90 minutes showed the highest injury incidence (10.29 injuries/1000 h; RR = 1.89–6.38; P < .01). Conclusions: The findings of this study suggest that specific preventive strategies must be implemented to try to reduce the injury incidence in Spanish elite young soccer players attending to the characteristics of each age group.

Raya-González is with the Faculty of Health Sciences, Universidad Isabel I, Burgos, Spain. Suárez-Arrones and Sáez de Villarreal are with the Faculty of Sport, Pablo de Olavide University, Seville, Spain. Navandar is with the Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Madrid, Spain. Balsalobre-Fernández is with the Department of Physical Education, Sport and Human Movement, Autonomous University of Madrid, Madrid, Spain.

Raya-González (rayagonzalezjavier@gmail.com) is corresponding author.
  • 1.

    Di Salvo V, Gregson W, Atkinson G, Tordoff P, Drust B. Analysis of high intensity activity in premier league soccer. Int J Sports Med. 2009;30(03):205–212. doi:

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

    Van Winckel J, Helsen W, Mc Millan K, Tenney D, Mert J-P, Bradley P. Fitness in Soccer: The Science and Practical Application. KleinGelmen: Moveo Ergo Sum; 2013.

    • Search Google Scholar
    • Export Citation
  • 3.

    Drawer S, Fuller CW. Evaluating the level of injury in English professional football using a risk based assessment process. Br J Sports Med. 2002;36(6):446–451. PubMed ID: 12453840 doi:

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

    Hägglund M, Waldén M, Ekstrand J. Injury incidence and distribution in elite football—a prospective study of the Danish and the Swedish top divisions. Scand J Med Sci Sports. 2005;15(1):21–28. PubMed ID: 15679568 doi:

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

    Ekstrand J, Waldén M, Hägglund M. Hamstring injuries have increased by 4% annually in men’s professional football, since 2001: a 13-year longitudinal analysis of the UEFA Elite Club injury study. Br J Sports Med. 2016;50(12):731–737. PubMed ID: 26746908 doi:

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

    Dvorak J, Junge A, Derman W, Schwellnus M. Injuries and illnesses of football players during the 2010 FIFA World Cup. Br J Sports Med. 2011;45(8):626–630. PubMed ID: 21257668 doi:

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

    Ekstrand J, Hägglund M, Waldén M. Epidemiology of muscle injuries in professional football (Soccer). Am J Sports Med. 2011;39(6):1226–1232. PubMed ID: 21335353 doi:

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

    Leppänen M, Pasanen K, Kannus P, et al. Epidemiology of overuse injuries in youth team sports: a 3-year prospective study. Int J Sports Med. 2017, 38(11):847–856. doi:

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

    Mallo J, González P, Veiga S, Navarro E. Injury incidence in a Spanish sub-elite professional football team: a prospective study during four consecutive seasons. J Sports Sci Med. 2011;10(4):731–736. PubMed ID: 24149566

    • Search Google Scholar
    • Export Citation
  • 10.

    Ergun M, Denerel HN, Binnet MS, Ertat KA. Injuries in elite youth football players: a prospective three-year study. Acta Orthop Traumatol Turc. 2013;47(5):339–346. PubMed ID: 24164944 doi:

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

    Renshaw A, Goodwin PC. Injury incidence in a Premier League youth soccer academy using the consensus statement: a prospective cohort study. BMJ Open Sport Exerc Med. 2016;2(1):e000132. PubMed ID: 27900186 doi:

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

    Read PJ, Oliver JL, De Ste Croix MBA, Myer GD, Lloyd RS. An audit of injuries in six English professional soccer academies. J Sports Sci. 2018;36(13):1542–1548. PubMed ID: 29125037 doi:

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

    Brink MS, Visscher C, Arends S, Zwerver J, Post WJ, Lemmink KA. Monitoring stress and recovery: new insights for the prevention of injuries and illnesses in elite youth soccer players. Br J Sports Med. 2010;44(11):809–815. PubMed ID: 20511621 doi:

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

    Koutures CG, Gregory AJM, American Academy of Pediatrics. Council on Sports Medicine and Fitness. Injuries in youth soccer. Pediatrics. 2010;125(2):410–414. PubMed ID: 20100755 doi:

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

    van Mechelen W, Hlobil H, Kemper HC. Incidence, severity, aetiology and prevention of sports injuries. A review of concepts. Sports Med. 1992;14(2):82–99. PubMed ID: 1509229 doi:

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

    Bahr R, Clarsen B, Ekstrand J. Why we should focus on the burden of injuries and illnesses, not just their incidence. Br J Sports Med. 2018;52(16):1018–1021. PubMed ID: 29021247 doi:

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

    Pfirrmann D, Herbst M, Ingelfinger P, Simon P, Tug S. Analysis of injury incidences in male professional adult and elite youth soccer players: a systematic review. J Athl Train. 2016;51(5):410–424. PubMed ID: 27244125 doi:

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

    Le Gall F, Carling C, Reilly T, Vandewalle H, Church J, Rochcongar P. Incidence of injuries in elite French youth soccer players. Am J Sports Med. 2006;34(6):928–938. PubMed ID: 16436535 doi:

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

    Noya Salces J, Gomez-Carmona PM, Moliner-Urdiales D, Gracia-Marco L, Sillero-Quintana M. An examination of injuries in Spanish Professional Soccer League. J Sports Med Phys Fitness. 2014;54(6):765–771. PubMed ID: 25350033

    • Search Google Scholar
    • Export Citation
  • 20.

    Noya J, Gómez-Carmona PM, Gracia-Marco L, Moliner-Urdiales D, Sillero-Quintana M. Epidemiology of injuries in First Division Spanish football. J Sports Sci. 2014;32(13):1263–1270. doi:

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

    Hägglund M, Waldén M, Bahr R, Ekstrand J. Methods for epidemiological study of injuries to professional football players: developing the UEFA model. Br J Sports Med. 2005;39(6):340–346. doi:

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

    Harriss DJ, Atkinson G. Ethical standards in sport and exercise science research: 2014 update. Int J Sports Med. 2013;34(12):1025–1028. PubMed ID: 24293054 doi:

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

    Larruskain J, Lekue JA, Diaz N, Odriozola A, Gil SM. A comparison of injuries in elite male and female football players: a five-season prospective study. Scand J Med Sci Sports. 2018;28(1):237–245. PubMed ID: 28207979 doi:

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

    Kirkwood B, Sterne J. Essential Medical Statistics. 2nd ed. Malden, MA: Blackwell Science; 2003.

  • 25.

    Brito J, Malina RM, Seabra A, et al. Injuries in Portuguese youth soccer players during training and match play. J Athl Train. 2011;47(2):191–197. doi:

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

    Freckleton G, Pizzari T. Risk factors for hamstring muscle strain injury in sport: a systematic review and meta-analysis. Br J Sports Med. 2013;47(6):351–358. PubMed ID: 22763118 doi:

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

    Price RJ, Hawkins RD, Hulse MA, Hodson A. The Football Association medical research programme: an audit of injuries in academy youth football. Br J Sports Med. 2004;38(4):466–471. PubMed ID: 15273188 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    van der Sluis A, Elferink-Gemser MT, Coelho-e-Silva MJ, Nijboer JA, Brink MS, Visscher C. Sport injuries aligned to peak height velocity in talented pubertal soccer players. Int J Sports Med. 2014;35(4):351–355. PubMed ID: 24022568

    • Search Google Scholar
    • Export Citation
  • 29.

    Philippaerts RM, Vaeyens R, Janssens M, et al. The relationship between peak height velocity and physical performance in youth soccer players. J Sports Sci. 2006;24(3):221–230. PubMed ID: 16368632 doi:

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

    Deehan DJ, Bell K, McCaskie AW. Adolescent musculoskeletal injuries in a football academy. J Bone Joint Surg Br. 2007;89-B(1):5–8. doi:

  • 31.

    López-Valenciano A, Ayala F, Vera-García FJ, et al. Comprehensive profile of hip, knee and ankle ranges of motion in professional football players. J Sports Med Phys Fitness. 2019;59(1):102–109. PubMed ID: 29087138

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

    Ekstrand J, Timpka T, Hägglund M, Karlsson J. Risk of injury in elite football played on artificial turf versus natural grass: a prospective two-cohort study. Br J Sports Med. 2006;40(12):975–980. PubMed ID: 16990444 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 33.

    Gabbett TJ. The training—injury prevention paradox: should athletes be training smarter and harder? Br J Sports Med. 2016;12:1–9.

  • 34.

    Woods C, Hawkins RD, Maltby S, et al. The Football Association Medical Research Programme: an audit of injuries in professional football—analysis of hamstring injuries. Br J Sports Med. 2004;38(1):36–41. PubMed ID: 14751943 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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