2015 ISAKOS Biennial Congress Paper #134

Efficacy of The FIFA 11+ Program in Male Collegiate Football (Soccer)

Holly Silvers, MPT, Los Angeles, CA UNITED STATES
Bert R. Mandelbaum, MD, DHL(Hon), Santa Monica, CA UNITED STATES
Ola Adeniji, MS, Santa Monica, CA UNITED STATES
Stephanie Insler, BS, Santa Monica, CA UNITED STATES
Mario Bizzini, PT, PhD, Zurich, CH SWITZERLAND
Jiri Dvorak, MD, Prof., Zurich SWITZERLAND

Santa Monica Sports Medicine Foundation & University of Delaware, Santa Monica & Newark, Delaware, CA - California, USA

FDA Status Not Applicable

Summary: Utilization and efficacy of the FIFA 11+ program in competitive male collegiate football (soccer) players in the USA.




The FIFA 11+ injury prevention program can reduce injury and time loss in competitive football (soccer)


Examine the effectiveness of the FIFA 11+ program in reducing the frequency and severity of injury in male collegiate football (soccer) players.

Prospective randomized controlled trial conducted in NCAA collegiate soccer. Every institution with a men’s soccer program (N=411) was contacted via a formal letter, email with an instructional vimeo clip and phone call. Human ethics approval was acquired through Quorum IRB, Seattle, WA, USA. The intervention group received an instructional DVD, manual and placards describing the FIFA 11+ intervention. An injury surveillance database was utilized (HealtheAthleteTM, Overland Park, Kansas). Every athletic exposure, injury incurred, utilization of the 11+ program and compliance data was entered weekly.

Division I and II institutions playing competitive football (soccer) in the USA

34 control institutions (N=850 athletes) and 27 intervention (N=675 athletes) institutions consented to participate and completed the study:

The FIFA 11+ program. The warm-up was utilized three times per week for the duration of the competitive season.

Specific injuries, exposures and time loss due to injury were recorded


In the intervention Group (IG), 285 Injuries were reported (mean=10.56 injuries/team+/-3.64) compared to 665 Injuries (mean=20.15 injuries +/- 11.01) in the control group (CG). The number of athletic exposures was 35,226 (Games: 10,935 AE, Practice: 24,291 AE) for the IG and 44,212 (Games: 13,624 AE, Practice: 30,588 AE) in the CG). The incidence rate (IR) was 8.09/1,000 AE (95% CI) in the IG compared to 15.04/1000 AE (CI=95%) in the CG (p=0.00117). Total days missed due to injury was 2824 (mean=9.94) in the IG compared to 8776 days (mean =13.20) in the CG.


The FIFA 11+ significantly reduced injury rates and time loss in the competitive male collegiate soccer player.