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Open AccessArticle

A Fraction of Recommended Practices: Implementation of the FIFA 11+ in NCAA Soccer Programs

School of Kinesiology, Ball State University, Muncie, IN 47306, USA
School of Education, Baylor University, Waco, TX 76798, USA
Department of Physical Therapy, Western Michigan University, Kalamazoo, MI 49008, USA
School of Kinesiology, University of North Carolina at Charlotte, Charlotte, NC 28223, USA
Author to whom correspondence should be addressed.
Medicina 2020, 56(9), 417;
Received: 29 June 2020 / Revised: 29 July 2020 / Accepted: 16 August 2020 / Published: 19 August 2020
(This article belongs to the Special Issue Advances in Sports Science)
Background and Objectives: National Collegiate Athletic Association (NCAA) soccer coaches implement numerous warm-up and flexibility strategies to prepare athletes for training and competition. The Fédération Internationale de Football Association (FIFA) developed the 11+ injury prevention program to reduce non-contact injuries. This study aimed to analyze the level of familiarity with and implementation of the evidence-based FIFA 11+ amongst NCAA Division I (DI) and Division III (DIII) men’s and women’s soccer coaches. Materials and Methods: NCAA soccer coaches in the United States received an Institutional Review Board—approved survey hyperlink. A total of 240 coaches completed the survey. The respondents represented 47.5% men’s and 52.5% women’s teams distributed within DI and DIII programs. Descriptive statistics are reported as frequency counts and mean ± standard deviation where applicable. Pearson’s chi-square tests were performed to assess potential differences with a significance level set at α < 0.05. Results: The results indicated that approximately 62% of the respondents reported being familiar with the FIFA 11+ program. Of those coaches familiar with the program, 15.0% reported full implementation, 57.5% reported partial implementation, and 27.5% reported no implementation. Chi-square analyses revealed significant differences in FIFA 11+ implementation based upon division level (χ2 = 4.56, p = 0.033) and coaching certification levels (χ2 = 13.11, p = 0.011). Conclusions: This study indicates that there is a gap between FIFA 11+ knowledge and actual implementation. To reduce the risk of non-contact injury, there is a need to educate coaches and athletic trainers on the purpose of the FIFA 11+ program and how to perform the exercises correctly. View Full-Text
Keywords: athletic performance; cool-down; non-contact injury; training theory; warm-up athletic performance; cool-down; non-contact injury; training theory; warm-up
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Judge, L.W.; Petersen, J.C.; Hoover, D.L.; Craig, B.W.; Nordmann, N.; Schoeff, M.A.; Fox, B.D.; Dickin, D.C.; Bellar, D.M. A Fraction of Recommended Practices: Implementation of the FIFA 11+ in NCAA Soccer Programs. Medicina 2020, 56, 417.

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