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Prevention of severe knee injuries in men’s elite football by implementing specific training modules
Purpose Injury prevention of knee injuries by means of training and warm-up exercises has been investigated in several studies in amateur football. However, the number of investigations in elite football is limited despite the currently higher injury incidence of severe knee injuries. Therefore, the...
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| Published in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2020-02, Vol.28 (2), p.519-527 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Krutsch, Werner Lehmann, Jennifer Jansen, Petra Angele, Peter Fellner, Birgit Achenbach, Leonard Krutsch, Volker Nerlich, Michael Alt, Volker Loose, Oliver |
| description | Purpose
Injury prevention of knee injuries by means of training and warm-up exercises has been investigated in several studies in amateur football. However, the number of investigations in elite football is limited despite the currently higher injury incidence of severe knee injuries. Therefore, the purpose of this study was to investigate whether specifically adapted preventive training modules may reduce severe knee injuries in elite football.
Methods
In a prospective controlled cohort study of elite football players in Germany, an injury prevention programme with 5 modules was implemented in the season of 2015–2016. The training modules were specifically adapted to this skill level and based on scientific evidence, team coach preferences, and the specific environment of this playing level. Of the 62 teams taking part in this study, 26 used the new trainings modules and 36 continued their standard programme as a control group. Success of the programme was documented by means of an injury report over one season. The primary outcome was reduction in severe knee injuries.
Results
A pre-seasonal investigation had identified five modules to be implemented in the training routine. Postural stability, mobilisation of lower extremity joints, leg and trunk stabilisation, jumping, and landing exercises as well as agility movements were incorporated into the programme to prevent severe knee injuries in elite football. Over the season, the study group (529 players) with the adapted training modules had sustained 52 severe knee injuries (incidence: 0.38 per 1000 h football exposure; prevalence: 9.8%) compared to 108 severe knee injuries in the control group (601 players) using the standard programme (incidence: 0.68 per 1000 h football exposure; prevalence: 18.0%;
p
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| doi_str_mv | 10.1007/s00167-019-05706-w |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2336991544</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2294260786</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-464a27bc1b1ec50ab7826c5d137ba67eb513fff19142157eec947b72a62d420a3</originalsourceid><addsrcrecordid>eNp9kb9OHDEQxq0oKHdAXiAFspQmzYL_rc2WEUpCJCQooLZs3_jkY9c-7N2c6HgNXo8nwccRIqWg8tjzm2888yH0hZJjSog6KYRQqRpCu4a0ishm8wHNqeC8UVyoj2hOOsEaRlo5Q_ulrAipoeg-oRmnraCsY3PkrzL8gTiGFHHyuNRLBnwbAXCIqykHKDXAA8Snh8eCoQ8jYJ_SaE3fY3uPw7DuYdgqxCUua3DBB4fHbELcvgxpMfVQDtGeN32Bz6_nAbr5-eP67Ly5uPz1--z7ReO4asdGSGGYso5aCq4lxqpTJl27oFxZIxXYlnLvPe2oYLRVAK4TyipmJFsIRgw_QN92uuuc7iYoox5CcdD3JkKaimacy66r04uKfv0PXaUpx_o7zVhdnCTqVFaK7SiXUykZvF7nMJh8rynRWxf0zgVdXdAvLuhNLTp6lZ7sAIu3kr9rrwDfAaWm4hLyv97vyD4DT22UmQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2294260786</pqid></control><display><type>article</type><title>Prevention of severe knee injuries in men’s elite football by implementing specific training modules</title><source>Wiley</source><source>Springer Nature</source><source>SPORTDiscus</source><creator>Krutsch, Werner ; Lehmann, Jennifer ; Jansen, Petra ; Angele, Peter ; Fellner, Birgit ; Achenbach, Leonard ; Krutsch, Volker ; Nerlich, Michael ; Alt, Volker ; Loose, Oliver</creator><creatorcontrib>Krutsch, Werner ; Lehmann, Jennifer ; Jansen, Petra ; Angele, Peter ; Fellner, Birgit ; Achenbach, Leonard ; Krutsch, Volker ; Nerlich, Michael ; Alt, Volker ; Loose, Oliver</creatorcontrib><description>Purpose
Injury prevention of knee injuries by means of training and warm-up exercises has been investigated in several studies in amateur football. However, the number of investigations in elite football is limited despite the currently higher injury incidence of severe knee injuries. Therefore, the purpose of this study was to investigate whether specifically adapted preventive training modules may reduce severe knee injuries in elite football.
Methods
In a prospective controlled cohort study of elite football players in Germany, an injury prevention programme with 5 modules was implemented in the season of 2015–2016. The training modules were specifically adapted to this skill level and based on scientific evidence, team coach preferences, and the specific environment of this playing level. Of the 62 teams taking part in this study, 26 used the new trainings modules and 36 continued their standard programme as a control group. Success of the programme was documented by means of an injury report over one season. The primary outcome was reduction in severe knee injuries.
Results
A pre-seasonal investigation had identified five modules to be implemented in the training routine. Postural stability, mobilisation of lower extremity joints, leg and trunk stabilisation, jumping, and landing exercises as well as agility movements were incorporated into the programme to prevent severe knee injuries in elite football. Over the season, the study group (529 players) with the adapted training modules had sustained 52 severe knee injuries (incidence: 0.38 per 1000 h football exposure; prevalence: 9.8%) compared to 108 severe knee injuries in the control group (601 players) using the standard programme (incidence: 0.68 per 1000 h football exposure; prevalence: 18.0%;
p
< 0.05). The overall injury incidence for any other type of injury was comparable between the two groups (3.3 vs. 3.4 in h 1000 football, n.s.).
Conclusion
Appropriate preventive training modules reduce severe knee injuries in elite football significantly. The key for the sustainability of preventive training measures are programmes specifically adapted to the demands of the playing level and to the preferences of the coaches
Level of evidence
II.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-019-05706-w</identifier><identifier>PMID: 31541292</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Exposure ; Football ; Incidence ; Injuries ; Injury prevention ; Investigations ; Jumping ; Knee ; Medicine ; Medicine & Public Health ; Modules ; Orthopedics ; Players ; Prevention ; Seasons ; Sustainability ; Training</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020-02, Vol.28 (2), p.519-527</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2019</rights><rights>Knee Surgery, Sports Traumatology, Arthroscopy is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-464a27bc1b1ec50ab7826c5d137ba67eb513fff19142157eec947b72a62d420a3</citedby><cites>FETCH-LOGICAL-c375t-464a27bc1b1ec50ab7826c5d137ba67eb513fff19142157eec947b72a62d420a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31541292$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krutsch, Werner</creatorcontrib><creatorcontrib>Lehmann, Jennifer</creatorcontrib><creatorcontrib>Jansen, Petra</creatorcontrib><creatorcontrib>Angele, Peter</creatorcontrib><creatorcontrib>Fellner, Birgit</creatorcontrib><creatorcontrib>Achenbach, Leonard</creatorcontrib><creatorcontrib>Krutsch, Volker</creatorcontrib><creatorcontrib>Nerlich, Michael</creatorcontrib><creatorcontrib>Alt, Volker</creatorcontrib><creatorcontrib>Loose, Oliver</creatorcontrib><title>Prevention of severe knee injuries in men’s elite football by implementing specific training modules</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
Injury prevention of knee injuries by means of training and warm-up exercises has been investigated in several studies in amateur football. However, the number of investigations in elite football is limited despite the currently higher injury incidence of severe knee injuries. Therefore, the purpose of this study was to investigate whether specifically adapted preventive training modules may reduce severe knee injuries in elite football.
Methods
In a prospective controlled cohort study of elite football players in Germany, an injury prevention programme with 5 modules was implemented in the season of 2015–2016. The training modules were specifically adapted to this skill level and based on scientific evidence, team coach preferences, and the specific environment of this playing level. Of the 62 teams taking part in this study, 26 used the new trainings modules and 36 continued their standard programme as a control group. Success of the programme was documented by means of an injury report over one season. The primary outcome was reduction in severe knee injuries.
Results
A pre-seasonal investigation had identified five modules to be implemented in the training routine. Postural stability, mobilisation of lower extremity joints, leg and trunk stabilisation, jumping, and landing exercises as well as agility movements were incorporated into the programme to prevent severe knee injuries in elite football. Over the season, the study group (529 players) with the adapted training modules had sustained 52 severe knee injuries (incidence: 0.38 per 1000 h football exposure; prevalence: 9.8%) compared to 108 severe knee injuries in the control group (601 players) using the standard programme (incidence: 0.68 per 1000 h football exposure; prevalence: 18.0%;
p
< 0.05). The overall injury incidence for any other type of injury was comparable between the two groups (3.3 vs. 3.4 in h 1000 football, n.s.).
Conclusion
Appropriate preventive training modules reduce severe knee injuries in elite football significantly. The key for the sustainability of preventive training measures are programmes specifically adapted to the demands of the playing level and to the preferences of the coaches
Level of evidence
II.</description><subject>Exposure</subject><subject>Football</subject><subject>Incidence</subject><subject>Injuries</subject><subject>Injury prevention</subject><subject>Investigations</subject><subject>Jumping</subject><subject>Knee</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Modules</subject><subject>Orthopedics</subject><subject>Players</subject><subject>Prevention</subject><subject>Seasons</subject><subject>Sustainability</subject><subject>Training</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kb9OHDEQxq0oKHdAXiAFspQmzYL_rc2WEUpCJCQooLZs3_jkY9c-7N2c6HgNXo8nwccRIqWg8tjzm2888yH0hZJjSog6KYRQqRpCu4a0ishm8wHNqeC8UVyoj2hOOsEaRlo5Q_ulrAipoeg-oRmnraCsY3PkrzL8gTiGFHHyuNRLBnwbAXCIqykHKDXAA8Snh8eCoQ8jYJ_SaE3fY3uPw7DuYdgqxCUua3DBB4fHbELcvgxpMfVQDtGeN32Bz6_nAbr5-eP67Ly5uPz1--z7ReO4asdGSGGYso5aCq4lxqpTJl27oFxZIxXYlnLvPe2oYLRVAK4TyipmJFsIRgw_QN92uuuc7iYoox5CcdD3JkKaimacy66r04uKfv0PXaUpx_o7zVhdnCTqVFaK7SiXUykZvF7nMJh8rynRWxf0zgVdXdAvLuhNLTp6lZ7sAIu3kr9rrwDfAaWm4hLyv97vyD4DT22UmQ</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Krutsch, Werner</creator><creator>Lehmann, Jennifer</creator><creator>Jansen, Petra</creator><creator>Angele, Peter</creator><creator>Fellner, Birgit</creator><creator>Achenbach, Leonard</creator><creator>Krutsch, Volker</creator><creator>Nerlich, Michael</creator><creator>Alt, Volker</creator><creator>Loose, Oliver</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20200201</creationdate><title>Prevention of severe knee injuries in men’s elite football by implementing specific training modules</title><author>Krutsch, Werner ; Lehmann, Jennifer ; Jansen, Petra ; Angele, Peter ; Fellner, Birgit ; Achenbach, Leonard ; Krutsch, Volker ; Nerlich, Michael ; Alt, Volker ; Loose, Oliver</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-464a27bc1b1ec50ab7826c5d137ba67eb513fff19142157eec947b72a62d420a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Exposure</topic><topic>Football</topic><topic>Incidence</topic><topic>Injuries</topic><topic>Injury prevention</topic><topic>Investigations</topic><topic>Jumping</topic><topic>Knee</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Modules</topic><topic>Orthopedics</topic><topic>Players</topic><topic>Prevention</topic><topic>Seasons</topic><topic>Sustainability</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krutsch, Werner</creatorcontrib><creatorcontrib>Lehmann, Jennifer</creatorcontrib><creatorcontrib>Jansen, Petra</creatorcontrib><creatorcontrib>Angele, Peter</creatorcontrib><creatorcontrib>Fellner, Birgit</creatorcontrib><creatorcontrib>Achenbach, Leonard</creatorcontrib><creatorcontrib>Krutsch, Volker</creatorcontrib><creatorcontrib>Nerlich, Michael</creatorcontrib><creatorcontrib>Alt, Volker</creatorcontrib><creatorcontrib>Loose, Oliver</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing and Allied Health Source</collection><collection>Physical Education Index</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krutsch, Werner</au><au>Lehmann, Jennifer</au><au>Jansen, Petra</au><au>Angele, Peter</au><au>Fellner, Birgit</au><au>Achenbach, Leonard</au><au>Krutsch, Volker</au><au>Nerlich, Michael</au><au>Alt, Volker</au><au>Loose, Oliver</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevention of severe knee injuries in men’s elite football by implementing specific training modules</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>28</volume><issue>2</issue><spage>519</spage><epage>527</epage><pages>519-527</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
Injury prevention of knee injuries by means of training and warm-up exercises has been investigated in several studies in amateur football. However, the number of investigations in elite football is limited despite the currently higher injury incidence of severe knee injuries. Therefore, the purpose of this study was to investigate whether specifically adapted preventive training modules may reduce severe knee injuries in elite football.
Methods
In a prospective controlled cohort study of elite football players in Germany, an injury prevention programme with 5 modules was implemented in the season of 2015–2016. The training modules were specifically adapted to this skill level and based on scientific evidence, team coach preferences, and the specific environment of this playing level. Of the 62 teams taking part in this study, 26 used the new trainings modules and 36 continued their standard programme as a control group. Success of the programme was documented by means of an injury report over one season. The primary outcome was reduction in severe knee injuries.
Results
A pre-seasonal investigation had identified five modules to be implemented in the training routine. Postural stability, mobilisation of lower extremity joints, leg and trunk stabilisation, jumping, and landing exercises as well as agility movements were incorporated into the programme to prevent severe knee injuries in elite football. Over the season, the study group (529 players) with the adapted training modules had sustained 52 severe knee injuries (incidence: 0.38 per 1000 h football exposure; prevalence: 9.8%) compared to 108 severe knee injuries in the control group (601 players) using the standard programme (incidence: 0.68 per 1000 h football exposure; prevalence: 18.0%;
p
< 0.05). The overall injury incidence for any other type of injury was comparable between the two groups (3.3 vs. 3.4 in h 1000 football, n.s.).
Conclusion
Appropriate preventive training modules reduce severe knee injuries in elite football significantly. The key for the sustainability of preventive training measures are programmes specifically adapted to the demands of the playing level and to the preferences of the coaches
Level of evidence
II.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31541292</pmid><doi>10.1007/s00167-019-05706-w</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020-02, Vol.28 (2), p.519-527 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2336991544 |
| source | Wiley; Springer Nature; SPORTDiscus |
| subjects | Exposure Football Incidence Injuries Injury prevention Investigations Jumping Knee Medicine Medicine & Public Health Modules Orthopedics Players Prevention Seasons Sustainability Training |
| title | Prevention of severe knee injuries in men’s elite football by implementing specific training modules |
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