نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری حرکات اصلاحی، دانشگاه تهران

2 استادیار بهداشت و طب ورزشی، دانشگاه تهران

3 استاد بهداشت و طب ورزشی، دانشگاه تهران

چکیده

در سال‌های اخیر، فیفا برنامۀ گرم‌کردن +11 را با هدف پیشگیری از آسیب‌ در فوتبال توسعه داده است. نتایج مطالعات پیشین، بیانگر عدم کاهش معنادار آسیب مچ پا پس از اجرای این برنامه می‌باشد؛ بنابراین، پژوهش حاضر با هدف بررسی تأثیر برنامۀ گرم‌کردن +11 اصلاح‌شده همراه با تختۀ تعادل بر پیشگیری از آسیب‌های اندام تحتانی و مچ پای فوتبالیست‌های مرد انجام شد. جهت انجام پژوهش، 111 فوتبالیست مرد جوان لیگ جوانان تهران به دو گروه +11 اصلاح‌شده و کنترل تقسیم شدند. نتایج نشان ‌می‌دهد که در‌مجموع، بازیکنان گروه مداخله به‌شکل معناداری آسیب کمتری نسبت به بازیکنان گروه کنترل داشته‌اند، اما میزان بروز آسیب‌های مچ پای بازیکنان گروه مداخله نسبت به بازیکنان گروه کنترل، با وجود کاهش 88/58 درصدی، معنا‌دار نمی‌باشد. با توجه به نتایج پیشنهاد می‌گردد مطالعات بیشتری درمورد اضافه‌شدن تمرینات تختۀ تعادل به برنامۀ +11 صورت گیرد.

کلیدواژه‌ها

عنوان مقاله [English]

Effects of the Modified 11+ Warm up Program on Lower Extremity Injuries Prevention Among Young Male Footballers

نویسندگان [English]

  • Fatemeh Kheiroddin 1
  • Hooman Minoo Nejad 2
  • Mohammad Hossein Alizadeh 3

1 Ph.D. Student of Sport Injury & Corrective Exercise, University of Tehran

2 Assistant Professor of Sport Medicine, University of Tehran

3 Professor of Sport Medicine, University of Tehran

چکیده [English]

Recently, FIFA has developed +11 warm up program for injury prevention in football but previous studies indicate that performing these +11 programs could not reduce the ankle injuries. Therefore, the present study intends to investigate the Effects of the modified 11+ warm-up program on lower extremity injury prevention among the male footballers. One hundred and eleven young male footballers were selected from Tehran league and were divided in two groups: modified 11+ and The Control Group. In general, the results showed significant fewer injuries in intervention group compare with players in control group. Despite 55.88% decrease in incidence of ankle injuries in intervention group, the difference was not significant. According to our results, more research is suggested in order to add wobble board training to +11 warm up programs.

کلیدواژه‌ها [English]

  • Football
  • +11 Warm up Program
  • Wobbles Board
  • Injury prevention
  1. Bizzini M., Junge A., Dvorak J. Sports Injuries and Prevention. 1st ed. Tokyo (Japan): springer; c2015. Chapter 16, FIFA 11+ Injury Prevention in Amateur Football from Development to Worldwide Dissemination; p. 199-208.
  2. Drawer S, Fuller C. Evaluating the level of injury in English professional football using a risk based assessment process. British Journal of Sports Medicine. 2002; 36(6): 446-51.
  3. Ekstrand J, Gillquist J, Liljedahl S O. Prevention of soccer injuries supervision by doctor and physiotherapist. The American Journal of Sports Medicine. 1983; 11(3): 116-20.
  4. Junge A, Rösch D, Peterson L, Graf-Baumann T, Dvorak J. Prevention of soccer injuries: A prospective intervention study in youth amateur players. The American Journal of Sports Medicine. 2002; 30(5): 652-9.
  5. LaBella CR, Huxford MR, Smith TL, Cartland J. Preseason neuromuscular exercise program reduces sports-related knee pain in female adolescent athletes. Clinical pediatrics. 2009;48(3):327-30.
  6. Brito J, Figueiredo P, Fernandes L, Seabra A, Soares J M, Krustrup P, et al. Isokinetic strength effects of FIFA's" the 11+" injury prevention training programme. Isokinetics and Exercise Science. 2010; 18(4): 211-5.
  7. Soligard T, Myklebust G, Steffen K, Holme I, Silvers H, Bizzini M, Junge A, Dvorak J, Bahr R, Andersen TE. Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial. Bmj. 2008; 337: a2469.
  8. Silvers H, Mandelbaum B, Bizzini M, Dvorak J. The efficacy of the FIFA 11+ program in the collegiate male soccer player (USA). British Journal of Sports Medicine. 2014; 48(7): 662.
  9. Zarei M. The effect of FIFA comprehensive warm-up program on injuries incidence rate and performance in Iranian adolescent male soccer players. [PhD theses]. [Tehran]: University of Tehran; 2013. (In Persian).
  10. Longo U G, Loppini M, Berton A, Marinozzi A, Maffulli N, Denaro V. The FIFA 11+ program is effective in preventing injuries in elite male basketball players. A cluster randomized controlled trial. The American Journal of Sports Medicine. 2012; 40(5): 996-1005.
  11. mohammadi F. Comparison of 3 preventive methods to reduce the recurrence of ankle inversion sprains in male soccer players. The American Journal of Sports Medicine. 2007; 35(6): 922-6. (In Persian)
  12. Hupperets MD, Verhagen EA, Van Mechelen W. Effect of unsupervised home based proprioceptive training on recurrences of ankle sprain: randomised controlled trial. Bmj. 2009; 339: b2684
  13. Herman K, Barton C, Malliaras P, Morrissey D. The effectiveness of neuromuscular warm-up strategies, that require no additional equipment, for preventing lower limb injuries during sports participation: A systematic review. BMC Medicine. 2012; 10(1): 75.
  14. Steffen K, Emery CA, Romiti M, Kang J, Bizzini M, Dvorak J, Finch CF, Meeuwisse WH. 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; 3: bjsports-2012.
  15. Herman K, Werner S, Pietila T, Engstrom B, Alfredson H. Balance board training: Prevention of traumatic injuries of the lower extremities in female soccer players?  A prospective randomized intervention study. Knee Surg Sports Traumatol Arthrosc. 2000; 8(6): 356-63.
  16. Rojhani Shirazi M, Shafaee R, Afarandide M‌. Survey on the effects of balance training on proprioception of knee and ankle joints and equilibrium time in single leg in healthy female students. J Rafsanjan Univ Med Sci. 2012; 10(4): 289-98. (In Persian)
  17. Hardy L, Huxel K, Brucker J, Nesser T. Prophylactic ankle braces and star excursion balance measures in healthy volunteers. Journal of Athletic Training. 2008; 43(4): 347.
  18. Gioftsidou A, Malliou P, Pafis G, Beneka A, Tsapralis K, Sofokleous P, Kouli O, Roka S, Godolias G. Balance training programs for soccer injuries prevention. Journal of human sport and exercise. 2012;7(3).
  19. McGuine T A, Keene J S. The effect of a balance training program on the risk of ankle sprains in high school athletes. The American Journal of Sports Medicine. 2006; 34(7): 1103-11.
  20. Verhagen E, Van Der Beek A, Twisk J, Bouter L, Bahr R, Van Mechelen W. The effect of a proprioceptive balance board training program for the prevention of ankle sprains a prospective controlled trial. The American Journal of Sports Medicine. 2004; 32(6): 1385-93.
  21. Grooms D R, Palmer T, Onate J A, Myer G D, Grindstaff T. Soccer-specific warm-up and lower extremity injury rates in collegiate male soccer players. Journal of Athletic Training. 2013; 48(6): 782-9.
  22. Soligard T. Injuries in youth female football: Risk factors, prevention and compliance. [PhD theses]. [Oslo]: oslo sports trauma research center; 2011.
  23. McHugh M P, Tyler T F, Mirabella M R, Mullaney M J, Nicholas S J. The effectiveness of a balance training intervention in reducing the incidence of noncontact ankle sprains in high school football players. The American Journal of Sports Medicine. 2007; 35(8): 1289-94.
  24. Malliou P, Gioftsidou A, Pafis G, Beneka A, Godolias G. Proprioceptive training (balance exercises) reduces lower extremity injuries in young soccer players. Journal of Back and Musculoskeletal Rehabilitation. 2004; 17(3,‌4): 101-4.
  25. Pafis G, Gioftsidou A, Malliou P, Beneka A, Ispirlidis I, Godolias G. Balance Exercises Reduce Lower Extremity Injuries in Young Soccer Players. In Science and Football V: The Proceedings of the Fifth World Congress on Sports Science and Football. 2005;27:323. Routledge.
  26. Samadi H. The effect of neuromuscular training on electromyographic parameters of selective calf muscles in male athletes with functional ankle instability. PhD theses. Tehran: University of Tehran; 2013. (In Persian)