Risk of injury and rehabilitation in football

von Jürgen Pranger


Gepostet am 20.5.2022



The risk of injury in football is high. A professional football team with 25 players suffers on average 50 injuries per season. The rate of injury is therefore 8.1 injuries/1000 loading hours, with the frequency in games being ten times higher than in training.

In addition to scientific knowledge and clinical experience, the success of programs for prevention and rehabilitation of injury has also been a great deal with the Perceptions and expectations the player and trainer to do. If the scientific knowledge coincides with the ideas of the athletes, it is relatively easy to introduce a new approach. In other cases, however, the perception of players and trainers may differ from the scientific findings. It is therefore very important to understand which factors athlete and trainer influence the elements of the intervention, accept and maintain. The follow-up of the training suggestions is higher if the athletes believe in what they do. We already know that high compliance in prevention programs leads to a lower probability of injury.


How do players and trainers perceive the risk of injury?


Some recent investigations have examined the perception of football players and trainers as regards the factors that can lead to injury, as well as prevention and recovery strategies. Some interesting conclusions were drawn:

  1. Trainers and players are convinced that Violations a serious problem are generally more specific by implementing Prevention programmes can be avoided.
  2. Players and trainers have different views about when they should play again after an injury. While the players want to decide themselves (81%), the team coaches rely on the doctors as the main executive (84%). Sometimes both groups make decisions against the doctor's recommendation (64 % and 87 %). Interestingly, 29% of the players and 71% of the trainers observed new injuries after they had not followed the doctor's recommendation to stop playing. In this sense it was demonstrated that Internal communication in football teams very important is. It has also been shown how it is related to injuries and the availability of players for training and competition. Creating a good working environment in the association, asking and pointing out interest in the work of others and creating Internal communication protocols (Canals, calendar of meetings, place in the week, reports to be submitted, ...) to promote a positive interaction between members the coach and the players are very recommended Measures.
  3. Four of the five main risk factors, which lead to injuries, depend on the information of the players with fatigue Together: too little rest/sleep, too little rest between games, too many games and too much training. The most significant factor was a lower force level. However, the football players did not consider the prehistory of injuries and the age as key elements that lead to injuries.
  4. Almost all interviewed players and trainers indicated that the Injury prevention important or very important is, and most of them said they felt well informed about the topic.
  5. The player's view is that Main factor for the effectiveness of injury prevention programmes Monitoring of load in the training sessions and in the competition. Warm-up routines, stabilization of the lumbar spine and the pelvis, proprioceptive and functional training, nutritional control and flexibility exercises were the other factors that were considered very important. Rotation in the game, however, were not considered to be an important aspect to avoid injury.



Read also “Monitoring in football – just what you do, you can also manage



In summary, it can be said that the perception of the players partly matches the existing scientific findings. The proposal for a programme for the prevention of injury, which is based solely on scientific findings, is potential by some players rejected, which is a risk to their success. To be exact, the aspects related to participation in the game seem to be the two aspects that can lead to most of the problems a player can face. The medical team and the trainers should know the perceptions and beliefs of their athletes.




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Literature


Carlos L. 2022. THE RISK OF INJURIES AND RECOVERY STRATEGIES IN FOOTBALL. https://barcainnovationhub.com/the-risk-of-injuries-and-recovery strategies-in-football/

Ekstrand J, Hägglund M, Waldén M. Injury incidence and injury patterns in professional football: the UEFA injury study. Br J Sports Med 2011;45:553–8.

López-Valenciano A, Ruiz-Pérez I, García-Gómez A, et al. Epidemiology of injuries in profesional football: a systematic review and meta-analysis.

Silvers-Granelli H, Mandelbaum B, Adeniji O, Insler S, Bizzini M, Pohlig R, Junge A, Snyder-Mackler L, Dvorak J. 2015. Efficacy of the FIFA 11+ injury prevention program in the collegiate male soccer player. On J Sports Med. 43(11):2628–2637.

Liporaci R, Yoshimura S, Manfredini B. 2021. Perceptions of Professional Football Players on Injury Risk Factors and Prevention Strategies. Sci Med Football. Ahead of print.

Loose O, Achenbach L, Fellner B, Lehmann J, Jansen P, Nerlich M, Angele P, Krutsch W. 2018. Injury prevention and return to play strategies in elite football: no consent between players and team coaches. Arch Orthop Trauma Surg. 138(7):985–992.

Zech A, Wellmann K. 2017. Perceptions of football players regarding injury risk factors and prevention strategies. PloS One. 12(5): e0176829.

Ekstrand J, Lundqvist D, Davison M, et al. Communication quality between the medical team and the head coach/manager is associated with injury and player availability in elite football clubs. Br J Sports Med 2019; 53: 304-308.