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Trial registered on ANZCTR
Registration number
ACTRN12615001206516
Ethics application status
Approved
Date submitted
2/11/2015
Date registered
5/11/2015
Date last updated
10/11/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of adding a post-training FIFA 11+ exercise program to the pre-training FIFA11+ injury prevention program in reducing injury rates among amateur Australian soccer players
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Scientific title
The effect of adding a post-training FIFA 11+ exercise program to the pre-training FIFA11+ injury prevention program in reducing injury rates among amateur Australian soccer players: A cluster randomized controlled trial.
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Secondary ID [1]
287759
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Sports related injuries
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Soccer injuries
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The incidence of initial and recurrent injury and injury severity.
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Condition category
Condition code
Physical Medicine / Rehabilitation
296871
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0
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Physiotherapy
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Injuries and Accidents
296888
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention group will be instructed to perform the ‘11+’ as a warm up for 20 minutes before the training sessions and for 10 minutes warm down after the training sessions 3 times per week, during one season (6 months)
FIFA 11 + program manuals and videos: available to anyone through the 11+ website (http://f-marc.com/11plus/ ).
The FIFA 11+ program, including a total of 15 exercises. It incorporates three main components of exercise regime that include an initial running and active stretching session, followed by a core and leg strength exercise session after which a high speed planting and cutting exercise session is performed. These exercises mainly focus on strengthening the core and leg muscles to improve static, dynamic and reactive neuromuscular control, coordination, balance and agility.
Part 1
Running Exercises - 8 Minutes
1. Running – Straight Ahead
2. Running – Hip Out
3. Running – Hip In
4. Running – Circling Partner
5. Running – Jumping with Shoulder Contact
6. Running – Quick forwards & backwards
Part 2
Strength Plyometric Balance 10 Minutes
7.1. The Bench – Static
7.2. The Bench – Alternate Legs
7.3. The Bench – One Leg Lift & Hold
8.1. Sideways Bench – Static
8.2. Sideways Bench – Raise & Lower Hip
8.3. Sideways Bench – With Leg Lift
9.1. Nordic Hamstring – Beginner
9.2. Nordic Hamstring – Intermediate
9.3. Nordic Hamstring – Advanced
10.1. Single-Leg Stance – Hold the Ball
10.2. Single-Leg Stance – Throwing Ball
10.3. Single-Leg Stance – Test Your Partner
11.1. Squats – With Toe Rise
11.2. Squats – Walking Lunges
11.3. Squats – One-Leg Squats
12.1. Jumping – Vertical Jumps
12.2. Jumping – Lateral Jumps
12.3. Jumping – Box Jumps
Part 3
Running Exercises 2 Minutes
13. Running – Across The Pitch
14. Running – Bounding
15. Running – Plant & Cut
The designated coach for each team will run these sessions.
Record participation of the players in training sessions and matches on weekly basis.
Reporting any injury during training and matches by filling in forms once per week, and send the information on-line by using Sports Injury Tracker, an online sports injury surveillance system developed by Sports Medicine Australia to collect information on the injured players.
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Intervention code [1]
293157
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Prevention
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Comparator / control treatment
The control group will practice their usual ‘11+’ warm up.
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Control group
Active
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Outcomes
Primary outcome [1]
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Incidence of initial injury. Injury can be recorded if it causes the player to be not able to completely participate in the following match or training session.
Assessed on the number of injuries per 1000 player-hours using Sports Injury Tracker, an online sports injury surveillance system.
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Assessment method [1]
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Timepoint [1]
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At the end of the intervention soccer season after randomization.
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Primary outcome [2]
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Incidence of recurrent injury.
Assessed on the number of recurrent injuries per 1000 player-hours using Sports Injury Tracker, an online sports injury surveillance system.
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Assessment method [2]
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Timepoint [2]
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At the end of the intervention soccer season.
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Primary outcome [3]
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Injury severity.
Assessed on the number of recurrent injuries per 1000 player-hours using Sports Injury Tracker, an online sports injury surveillance system.
Term Definition
Minimal injury Absence from training and matches for 1–3 days.
Mild injury Absence from training and matches for 4–7 days.
Moderate injury Absence from training and matches for 8–28 days.
Severe injury Absence from training and matches for more than 28 days.
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Assessment method [3]
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Timepoint [3]
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At the end of the intervention soccer season.
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Secondary outcome [1]
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A secondary outcome measure is the rate of compliance by review of warm up and cool down participation registers.
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Assessment method [1]
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Timepoint [1]
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At the end of the intervention soccer season
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Eligibility
Key inclusion criteria
Teams competing at the same level.
Male amateur soccer players.
Training at least three times per week
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Minimum age
15
Years
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Maximum age
30
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
History of lower extremity injury requiring medical attention in the past 6 months, or systemic diseases, cardiovascular disease, neurological disorders or bone fractures or surgery in the previous year.
Players who joined a participating team after the start of the trial will be excluded.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
central randomisation by phone/fax/computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerised sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
G*Power: Statistical Power Analyses for Windows Version 3.1.9.2 was used to calculate the sample size of 332 participants. which will be sufficient for this study, 166 in the intervention group, and 166 in the control group. To be able to detect 20 % reduction rate, power of 0.8 and a of 0.05 a sample sizes. That was obtained by using the overall FIFA 11+ risk ratio of 0.654 from Al Atter et al. Meta-Analysis.
The quantitative data will be analyzed using SPSS version 23.0. Descriptive statistics (means and standard deviations) will be used to describe baseline characteristics and exposure data. Intention-to-treat analysis will be used for injury incidence analysis.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
31/03/2016
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Actual
31/03/2016
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Date of last participant enrolment
Anticipated
15/05/2016
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Actual
1/05/2016
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Date of last data collection
Anticipated
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Actual
20/10/2016
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Sample size
Target
332
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Accrual to date
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Final
280
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
University
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Name
THE UNIVERSITY OF SYDNEY
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Address
75 East Street, Lidcombe, NSW, 2141
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Ethics - The University of Sydney
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Ethics committee address [1]
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Margaret Telfer Building (K07) University of Sydney NSW 2006
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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03/12/2015
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Approval date [1]
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04/03/2016
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Ethics approval number [1]
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2015/944
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Summary
Brief summary
Background The effects of FIFA 11+ warm-up program for soccer injuries prevention have been evaluated in several studies. However, the importance of a ‘warm down’ using the FIFA 11+ protocol additional to the warm up has not been investigated and yet may be important. Participating in the 11+ in the fatigued state may challenge the athlete and translate directly into real ‘game-like’ conditions. Objective The main objective of the study is to test whether the intensive FIFA 11+ warm-up combined with warm down program has an additional effect on the incidence, severity of injuries and adherence, compared to the FIFA 11+ warm up alone, among amateur soccer players. . The ‘11+’ before and after the training sessions is hypothesized to reduce the incidence of injury among male amateur soccer players. The prevention of such injuries will be beneficial to soccer players, clubs, football associations, health insurance companies and society. Study design Cluster-randomized controlled trial Methods Male amateur soccer players, aged 18–30 years, will be allocated to interventions or control group. Both groups will perform FIFA 11+ 15 exercises for 20 minutes as a warming up with regular soccer training. The intervention group will additionally perform FIFA 11+ 13 exercises for 10 minutes as a warm-down with every training session. Primary outcome measures are the incidence of initial and recurrent injury and injury severity. A secondary outcome measure is the rate of compliance.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Ross H. Sanders
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Address
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Discipline of Exercise and Sport Science, Faculty of Health Sciences, the University of Sydney, Lidcombe, NSW 2141 .
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Country
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Australia
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Phone
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+61-2-9351-9067
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Wesam Saleh A. Al Attar
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Address
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Faculty of Health Sciences, THE UNIVERSITY OF SYDNEY
R016, 75 East Street, Lidcombe, NSW, 2141
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Country
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Australia
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Phone
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+61405043176
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Wesam Saleh A. Al Attar
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Address
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Faculty of Health Sciences, THE UNIVERSITY OF SYDNEY
R016, 75 East Street, Lidcombe, NSW, 2141
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Country
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Australia
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Phone
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+61405043176
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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