Reply to HBO Real Sports: Youth Sports Injuries

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]What they left out is how much of this relates to boys versus girls.  My understanding is that girls have as much as a 10x greater risk of an ACL injury because of the way their bodies develop.  [/quote]

I haven't read a number that high, but I think a lot of it comes back to us not doing enough prevention.  There is a lot that can be done to reduce the risk such as strength training (which doesn't just mean have them run suicides) and in the proper way to warm up a team. [/quote]

Yes, that plays a part, but the geometry of the knee joint as defined by hip width plays a big role.[/quote]

You're missing the point.  What I'm saying is that there is a ton of research to say the incidence of ACL tears

However, I would also say that the research into what causes females to tear their aCLs more isn't in agreement it's over hip alignment, although that may contribute.  There is a lot of research it's more about females being quadriceps dominant and having delayed hamstring activation.  With improved hamstring activation for knee stabilization, the risk goes down.  But I don't want to sidetrack the discussion to the why.

What's important is that it is not inevitable.  Physical movement classes should be considered part of the sport, to teach children to land safely and in control. Also, specific strength training programs can address landing as well as foot movements, and female athletes can be trained starting from when they are young to improve neuromuscular control to improve hamstring activation.  Finally, the FIFA 11+ has been shown to reduce injuries by as much as 45%.  These are all things we can and should insist on to protect them.     [/quote]

The FIFA 11+ is only effective if done correctly, with a proper warmup BEFORE the "warmup".  That's the piece that a lot of soccer-only coaches miss.  No Olympic track athlete would go do bounding drills or sprints 10 minutes into a warmup -- they would have done easy overall warmup first.  Many teams do the FIFA 11 and players are into ballistic movement almost immediately.  It's a great process but can't be done with cold muscles.  Just food for thought.[/quote]

Are you sure?

https://www.fifamedicalnetwork.com/lessons/prevention-fifa-11/

https://www.yrsa.ca/fifa-11.html

I'd like to know the right way, so if you can post anything, that would help.  Everything I read makes it sound like you do it directly.

Here's a systematic review showing the scientific research supporting the FIFA 11+:  https://bmcsportsscimedrehabil.biomedcentral.com/articles/10.1186/s13102-017-0083-z

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