Efficacy of the FIFA 11+ Warm-Up Programme in Male Youth Football

The FIFA 11+ is a structured warm-up programme designed specifically to prevent injuries among football players from age 14 years and older. However, studies to prove its efficacy are generally few and it still hasn’t been tested in male youth footballers and among African players. The aim of this study was to investigate the efficacy of the FIFA 11+ programme in reducing the risk of injuries among male youth football players of the Lagos Junior League. A cluster randomised controlled trial was conducted. All the 20 teams (414 players aged 14 -19 years) in the Premier League division were block-randomised into either an intervention (INT) or a control (CON) group. The INT group performed the FIFA 11+ exercises as warm-up during training sessions and the CON group performed usual warm-up. Participating teams were prospectively followed through an entire league season of 6 months during which they were visited each week to assess injured players for time-loss injuries in both groups. The primary outcomes were any injury to the players, injuries by type of exposure and injuries specific to the lower extremities. The secondary outcomes were injuries reported by body location, aetiology, mechanism and severity. In total, 130 injuries were recorded affecting 104 (25%) of the 416 players. Team and player compliance with the INT was 60% and 74% respectively. Based on the primary outcome measures of the study, the FIFA 11+ programme significantly decreased the overall rate of injury in the INT group by 41% [RR = 0.59 (95% CI: 0.40 – 0.86; p = 0.006)] and all lower extremity injuries by 48% [RR = 0.52 (95% CI: 0.34 – 0.82; p = 0.004)]. However, the rate of injury reduction based on secondary outcomes mostly didn’t reach the level of statistical significance. The FIFA 11+ programme is effective in reducing the rates of injuries in male youth football players. The FIFA 11+ has only been tested in randomised controlled trials conducted on female youth football players; this study reported its efficacy in male youth football for the first time.

The FIFA 11+ programme significantly decreased the overall rate of injuries and lower extremity injuries in male youth football players. Youth football administrators in Africa and other parts of the world should work towards the implementation of the FIFA 11+ in order to minimize the rate of occurrence of injuries among players.