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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