FIFA 11+ Prevent Injury and Enhance Performance

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1 FIFA 11+ Prevent Injury and Enhance Performance SENSITIVE INTERNAL Written by: Date: Dr Mark L Fulcher 04/11/2015

2 Who I am Sports and Exercise Medicine Physician Medical Director New Zealand Football New Zealand Football Team Doctor 2

3 3

4 FIFA 11+ Injury prevention warmup Minimise injury risk Reduce injury 30% Reduce severe injury 50% Enhance performance 4

5 Nationwide Roll Out Integrated in to all coaching areas Done at all NTC s Done by all NZF representative teams Integrated into Quality Club Mark 5

6 Where are we at currently Recent ACC survey 80-90% Warm-up regularly Only 11% have heard about the Fifa 11+ 6

7 7

8 8

9 The Evidence. Reduction in injury by 30% Reduction in significant and severe injury by 50% Players and teams who do the 11+ more regularly get injured less 9

10 Big business Switzerland Football injuries USD $130 million/year Saving of 10 million swiss francs UEFA Champions League Cost per player if injured for one month 580,000 10

11 Train the trainers 11

12 Partnership Partnership with ACC Football identified as one of our four key sports 12

13 Performance Enhancement 13

14 We spend the first nine months making them strong enough to do the training U17 National Coach. 14

15 Movement patterns 15

16 Make better athletes Fitter Faster Stronger More agile 16

17 Make better athletes Physiological and performance effects of FIFA 11+, male amateur players Impellizzeri, Italy, 2011 / J Sport Sciences 2013 in press 17

18 Small player pool Large number of registered players Limited elite player group Keep the best players on the park Perform better 18

19 19

20 20

21 21

22 Recreational players I cant afford to get injured 22

23 You have control 23

24 Implementation Strategy Coach Education Pre-season coach education workshop Better compliance Reduced injury risk! Compared to unsupervised delivery (web) or occasional PT supervision 24

25 Anterior Cruciate Ligament (ACL) Common Typically requires surgery 6-12 months off sport Higher rates of further injury Higher rates of arthritis later in life 25

26 26

27 27

28 28

29 29

30 30

31 31

32 What we re trying to prevent 32

33 Hamstring injury Typically 6-8 weeks off sport Related to fatigue and weakness Prior injury a major risk factor - recurrence 33

34 A Single Component - Hamstring A single component of the Fifa 11+ Reduces hamstring injury by 60% Reduces re-injury by 85% 34

35 35

36 Outcomes Fifa 11+ Reduction in injury by 30% Reduction in significant and severe injury by 50% Enhance performance 36

37 Fifa 11+ in male players American collegiate athletes RCT Sixty one team participated 34 control (n=986) 27 intervention (n=783) Ages years 37

38 Injury rates (IR) body part 38 Author/Unit

39 ACL injury N = 16; IR N=3, IR=0.085 Intervention Control P = Intervention Control 39 Author/Unit

40 40 Author/Unit

41 Running Exercises 1. Straight ahead 2. Hip out 3. Hip in 4. Circling partner 5. Jumping with shoulder contact 6. Quick forwards and backwards sprints Important: Running Important: Straight leg alignment, knee over toe position and soft landings 41 Author/Unit

42 1. Straight ahead 42 Author/Unit

43 2. Hip out 43 Author/Unit

44 3. Hip In 44 Author/Unit

45 4. Circling Partner 45 Author/Unit

46 4. Circling Partner 46 Author/Unit

47 5. Jumping with shoulder contact 47 Author/Unit

48 6. Quick forwards and backwards sprints Run quickly to the second cone then run backwards quickly to the first cone, keeping your hips and knees slightly bent. Repeat, running two cones forwards and one cone backwards until you reach the other side of the pitch. 2 sets. 48 Author/Unit

49 Strength, plyometrics & balance (Part 2) 7. The Bench 8. Sideways bench 9. Hamstring 10. Single-leg balance 11. Squats 12. Jumping Important: Correct technique. 49 Author/Unit

50 7. Bench 50 Author/Unit

51 8. Sideways bench 51 Author/Unit

52 9. Hamstrings 52 Author/Unit

53 10. Single leg balance 53 Author/Unit

54 11. Squats 54 Author/Unit

55 12. Jumping 55 Author/Unit

56 Running Exercises (Part 3) 13. Across the pitch 14. Bounding 15. Plant and cut Important: Single leg alignment and soft landing. 56 Author/Unit

57 13. Across the pitch 57 Author/Unit

58 14. Bounding 58 Author/Unit

59 15. Plant and cut 59 Author/Unit

60 The evidence Reduction in injury by 30% Reduction in significant and severe injury by 50% Enhance performance 60 Author/Unit

61 The bottom line Injury prevention is possible You are an important resource Compliance is important Sell your message well 61 Author/Unit

62 Questions..? Author/Unit

63 Contact us Name Surname Title ACC Justice Centre Level ## PO Box 242 Wellington NZ Phone: #### Name Surname Title ACC Justice Centre Level ## PO Box 242 Wellington NZ Phone: #### 63

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