The Effect of the Eight-Week FIFA 11+ Injury Prevention Program on Adolescent Footballers' Functional Movement Screen Scores


1 Department of Sport Sciences, Faculty of Humanities, Shahrekord University, Shahrekord, Iran

2 Department of Sport Sciences, Faculty of Literature and Humanities, Shahrekord University, Shahrekord, Iran


Sports carry the highest risks of injury and adolescents are more injury-prone than other age groups in this respect. The FIFA 11+ has been thus introduced as an injury prevention program and the Functional Movement Screen (FMS) can be used as a tool to predict injuries. Therefore, this study, with a quasi-experimental research design and experimental/control groups using pretest/posttest, aimed to assess the effect of the eight-week FIFA 11+ injury prevention program on adolescent footballers' FMS scores. For this purpose, 50 adolescent male football players were randomized into experimental or control groups. The experimental group accordingly received the FIFA 11+ training for eight weeks, three sessions per week and 20 min each session, but the control group only performed routine exercises. Before and after the injury prevention program, all the participants completed the FMS tests. The results revealed that the FMS score was lower than 14 for each group at the pretest stage, but this value significantly elevated to over 14 for both groups after implementing the eight weeks of traditional and FIFA 11+ programs (p<0.05). However, there was a significant growth in the scores of the group receiving FIFA 11+ as compared with the controls performing the traditional training (p<0.05). These results demonstrated that both traditional and FIFA 11+ training programs could reduce the risks of injuries in adolescent footballers, but FIFA 11+ had more effects on injury prevention, which could be explained by stabilization, muscle strength, and proprioceptive and postural alignment during the FIFA 11+ program, making it a better exercise to prevent injury.


Main Subjects

  1. Kirkendall DT, Junge A, Dvorak J. Prevention of football injuries. Asian journal of sports medicine. 2010;1(2):81.
  2. Barengo NC, Meneses-Echávez JF, Ramírez-Vélez R, Cohen DD, Tovar G, Bautista JEC. The impact of the FIFA 11+ training program on injury prevention in football players: a systematic review. International journal of environmental research and public health. 2014;11(11):11986-2000.
  3. Madadi-Shad M, Jafarnezhadgero A, Zago M, Granacher U. Effects of varus knee alignment on gait biomechanics and lower limb muscle activity in boys: A cross sectional study. Gait & posture. 2019;72:69-75.
  4. Junge A, Dvorak J. Soccer injuries. Sports medicine. 2004;34(13):929-38.
  5. Jafarnezhadgero A, Majlesi M, Madadi-Shad M. The effects of low arched feet on lower limb joints moment asymmetry during gait in children: A cross sectional study. The Foot. 2018;34:63-8.
  6. Lloyd RS, Oliver JL, Radnor JM, Rhodes BC, Faigenbaum AD, Myer GD. Relationships between functional movement screen scores, maturation and physical performance in young soccer players. Journal of sports sciences. 2015;33(1):11-9.
  7. Lloyd RS, Oliver JL. The youth physical development model: A new approach to long-term athletic development. Strength & Conditioning Journal. 2012;34(3):61-72.
  8. Valovich McLeod TC, Decoster LC, Loud KJ, Micheli LJ, Parker JT, Sandrey MA, et al. National Athletic Trainers' Association position statement: prevention of pediatric overuse injuries. Journal of athletic training. 2011;46(2):206-20.
  9. Jafarnezhadgero AA, Sorkhe E, Oliveira AS. Motion-control shoes help maintaining low loading rate levels during fatiguing running in pronated female runners. Gait & posture. 2019;73:65-70.
  10. Shah Hosseini M, Rajabi R, Minoonejad H, Hossein Barati A. Effect of Eight Weeks of FIFA 11+ Training on the Agility and Explosive Power of Male College Volleyball Players. Annals of Military and Health Sciences Research. 2019;17(3).
  11. Pomares-Noguera C, Ayala F, Robles-Palazón FJ, Alomoto-Burneo JF, López-Valenciano A, Elvira JL, et al. Training effects of the FIFA 11+ kids on physical performance in youth football players: a randomized control trial. Frontiers in pediatrics. 2018;6:40.
  12. Akbari H, Sahebozamani M, Daneshjoo A, Amiri-Khorasani M. Effect of the FIFA 11+ programme on vertical jump performance in elite male youth soccer players. Montenegrin Journal of Sports Science and Medicine. 2018;7(2):17.
  13. Silvers-Granelli H, Mandelbaum B, Adeniji O, Insler S, Bizzini M, Pohlig R, et al. Efficacy of the FIFA 11+ injury prevention program in the collegiate male soccer player. The American journal of sports medicine. 2015;43(11):2628-37.
  14. Bizzini M, Junge A, Dvorak J. Implementation of the FIFA 11+ football warm up program: how to approach and convince the Football associations to invest in prevention. British journal of sports medicine. 2013;47(12):803-6.
  15. Mohammadi V, Hilfiker R, Jafarnezhadgero AA, Jamialahmadi S, Karimizadeh Ardakani M, Granacher U. Relationship between training-induced changes in the Star Excursion Balance Test and the Y balance test in young male athletes. Annals of Applied Sport Science. 2017;5(3):31-8.
  16. Lee C-L, Hsu M-C, Chang W-D, Wang S-C, Chen C-Y, Chou P-H, et al. Functional movement screen comparison between the preparative period and competitive period in high school baseball players. Journal of Exercise Science & Fitness. 2018;16(2):68-72.
  17. Alfonso-Mora ML, López Rodríguez L, Rodríguez Velasco C, Romero Mazuera J. Reproducibilidad del test Functional Movement Screen en futbolistas aficionados. Revista Andaluza de Medicina del Deporte. 2017;10(2):74-8.
  18. Shojaedin SS, Letafatkar A, Hadadnezhad M, Dehkhoda MR. Relationship between functional movement screening score and history of injury and identifying the predictive value of the FMS for injury. International journal of injury control and safety promotion. 2014;21(4):355-60.
  19. Frost DM, Beach TA, Campbell TL, Callaghan JP, McGill SM. An appraisal of the Functional Movement Screen™ grading criteria–Is the composite score sensitive to risky movement behavior? Physical therapy in sport. 2015;16(4):324-30.
  20. Sprague PA, Mokha GM, Gatens DR. Changes in functional movement screen scores over a season in collegiate soccer and volleyball athletes. The Journal of Strength & Conditioning Research. 2014;28(11):3155-63.
  21. Krumrei K, Flanagan M, Bruner J, Durall C. The accuracy of the functional movement screen to identify individuals with an elevated risk of musculoskeletal injury. Journal of sport rehabilitation. 2014;23(4):360-4.
  22. Jafarnezhadgero A, Sorkhe E, Meamarbashi A. Efficacy of motion control shoes for reducing the frequency response of ground reaction forces in fatigued runners. Journal of Advanced Sport Technology. 2019;3(1):8-21.
  23. Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. 2007;39(2):175-91.
  24. Ghasemi-paeendehi V, Shojaeddin SS, Brahimi-Tekamejani E, Letafatkar A, Eslami M. Effect of 8 Weeks of FIFA 11+ Training on Ground Reaction Force Variables During Single Leg Drop Landing in Young Male Soccer Players. Studies in Sport Medicine. 2017;8(20):107-24.
  25. Minoonejad H, Kheiroddin F, Alizadeh MH, Panahibakhsh M, Zareeii M. Comparison of the effects of modified FIFA 11+ Program and FIFA 11+ on the prevention of lower extremity injuries in young male soccer players. Journal for Research in Sport Rehabilitation. 2014;2(3):1-9.
  26. Chorba RS, Chorba DJ, Bouillon LE, Overmyer CA, Landis JA. Use of a functional movement screening tool to determine injury risk in female collegiate athletes. North American journal of sports physical therapy: NAJSPT. 2010;5(2):47.
  27. Kiesel K, Plisky PJ, Voight ML. Can serious injury in professional football be predicted by a preseason functional movement screen? North American journal of sports physical therapy: NAJSPT. 2007;2(3):147.
  28. Zandi S, Mirzarah Kooshki MH, Montazeri Taleghani H. Injury Prediction in Recreational Sports Using Functional Movement Screening Test. Journal of Exercise Science and Medicine. 2018;9(2):259-68.
  29. Ghasempoor K, Rahnama N, Bagherian-Dehkordi S. Functional movement screening of students of Shahrekord technical institute, Iran, for sports injuries prevention. Journal of Research in Rehabilitation Sciences. 2016;11(4):263-72.
  30. Zarei M, Asady Samani Z, Reisi J. Can functional movement screening predict injuries in Iranian soldiers. Journal of Military Medicine. 2015;17(2):107-14.
  31. Hannon J, Garrison JC, Conway J. Lower extremity balance is improved at time of return to throwing in baseball players after an ulnar collateral ligament reconstruction when compared to pre‐operative measurements. International journal of sports physical therapy. 2014;9(3):356.
  32. Zarei M, Alizadeh MH, Alizadeh S. The Effect of FIFA Comprehensive Warm Up Program “11+” for the Prevention of Ankle Injuries in Soccer Players: A Prospective Randomized Controlled Trial. Journal of Research in Rehabilitation Sciences. 2015;1(2):146-54.
  33. Kheiroddin F, Minoo Nejad H, Alizadeh M. The Effects of the Modified 11+ Warm up Program on Lower Extremity Injury Prevention in Young Male Footballers. Sport Medicine Studies. 2017;9(21):29-42.
  34. Steffen K, Myklebust G, Olsen OE, Holme I, Bahr R. Preventing injuries in female youth football–a cluster‐randomized controlled trial. Scandinavian journal of medicine & science in sports. 2008;18(5):605-14.
  35. Hammes D. Aus der Funten. K, Kaiser, S, Frisen, E, Bizzini, M & Meyer.873-81.
  36. Zazulak BT, Hewett TE, Reeves NP, Goldberg B, Cholewicki J. Deficits in neuromuscular control of the trunk predict knee injury risk: prospective biomechanical-epidemiologic study. The American journal of sports medicine. 2007;35(7):1123-30.
  37. Gilchrist J, Mandelbaum BR, Melancon H, Ryan GW, Silvers HJ, Griffin LY, et al. A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. The American journal of sports medicine. 2008;36(8):1476-83.
  38. Wingfield K. Neuromuscular training to prevent knee injuries in adolescent female soccer players. Clinical journal of sport medicine. 2013;23(5):407-8.
  39. Kiani A, Hellquist E, Ahlqvist K, Gedeborg R, Byberg L. Prevention of soccer-related knee injuries in teenaged girls. Archives of internal medicine. 2010;170(1):43-9.