Injuries in female soccer players in major‐level international tournaments

Posted by Hamza Hamza

Soccer is performed all over the world by over 265 million gamers, of whom 26 million are woman players. A study through the Fédération International de Football Affiliation (FIFA) in 2006 documented that there have been in excess of 7 million feminine soccer players from the United states, 1.8 million in Germany, one million in Mexico and 794 000 in Canada (FIFA, “massive rely”, 2007). Inside the Confederation of North, Central American and Caribbean Association Football (CONCACAF), 23% of all soccer gamers were being Females (USA: forty%; Canada: 33%) (FIFA, “large count”, 2007). Girls’s football is constant to mature in reputation—previously a decade the volume of accredited woman football players has enhanced by 210% while in the USA, by one hundred sixty% in Germany, and by in excess of 250% in Switzerland.1 The main Gals’s football Globe Cup was held in China in 1991, and due to the fact 1994 the Olympic Games has integrated a Ladies’s football tournament. Since 2002, FIFA has organised a biennial U‐19/U‐twenty World Championship for Women of all ages.

Regardless of the expanding acceptance of ladies’s soccer along with the escalating variety of feminine players, There was very little exploration on woman football players. Several authors have reported the incidence and traits of accidents skilled by male players (for an evaluation see Dvorak and Junge2, Inklaar3 and Junge and Dvorak4), but only a few have reported epidemiological info on feminine soccer players.5,6,seven,eight,nine,10 Virtually all of these research focused on accidents in elite players over the year, with injuries taking place in tournaments talked about sometimes.11,twelve,thirteen

Five reports have claimed exposure‐connected premiums of personal injury chpremiumpark  in elite female gamers through the period,5,six,seven,10,14 and one other analyze analysed leg injuries.8 A few scientific studies have been carried out amongst Swedish groups: Östenberg and Roos10 (123 senior players with various talent levels), Jacobson and Tegner14 (195 Leading league gamers) and Engström et al5 (forty one players from the Leading league and the next division). Faude et al6 prospectively studied a hundred sixty five gamers from nine teams inside the German Girls’s soccer league around a single time. Giza et al7 claimed the bottom incidence of match accidents in an Investigation of 202 Experienced feminine players from the Ladies’s United Soccer Association (WUSA) through the 2001 and 2002 seasons. They concluded that the speed of harm in WUSA was reduced than within the corresponding male Expert league. The overall incidence of match accidents in that analyze was much like that claimed by Östenberg and Ross10 and Jacobson and Tegner14 but substantially lower than the charges noted by Engström et al5 and Faude et al.6 The incidences of match injuries in The 2 latter scientific tests are just like Individuals reported amongst male Expert gamers from distinctive countries15,16,17 but remain lower compared to the costs in players from the major US male football league.eighteen

Inside of a study of accidents happening through twelve key international football tournaments, Junge et al11 documented which the incidences of injuries in female gamers within the 1999 FIFA Women of all ages’s Planet Cup as well as football Competitors from the 2000 Olympic Online games had been noticeably lower in comparison to the fees in the corresponding tournaments for male players. This difference wasn’t observed in the course of the 2004 Olympic Games.twelve Nevertheless, within an Examination of accidents happening through 10 years of the United states of america Cup youth football Match, Elias13 discovered a reduced level of harm in female in contrast with male U‐19 gamers.From the info available for male gamers, the incidence of harm in tournaments11,19,20,21 is apparently larger than in matches over the common season.fifteen,16,17 Hence, we hypothesised the incidence of injuries and the cause of personal injury rely upon the level of Perform. The current review aimed to analyse the incidence, characteristics and situation of accidents transpiring in major‐level Worldwide Women of all ages’s soccer tournaments.

The injury reporting method Utilized in the existing analyze was produced to document injuries all through soccer tournaments.11 It’s been applied in over 20 Worldwide soccer tournaments,eleven,20,21 along with in 6 handball tournaments22 and 8 workforce Activity competitions during the 2004 Olympic Video games.12

In a pre‐Event tutorial meeting, Medical practitioners of all attending groups were being questioned to report the small print of each injuries that occurred all through a match in an harm report type. They were instructed in the usage of The only‐page type, on which all accidents throughout a presented match or, when relevant, the non‐prevalence of damage, were being detailed in tabular form.11 An damage was defined as any Bodily grievance throughout a match which gained healthcare consideration within the crew medical professional, whatever the penalties with respect to absence from the rest of the match or teaching.23 For all injuries the next facts was documented:


The damage reporting kinds have been available in 4 languages (English, French, Spanish, German). In the primary Match (FIFA Women’s Entire world Cup 1999) an previously Model of the shape was utilized, which did not incorporate the doctor’s judgment about foul Engage in and the results of your injury. For every match, equally the teams’ Medical professionals have been asked to return the finished variety for their group to some medical officer in the FIFA Health-related Evaluation and Investigate Centre (F‐MARC). Confidentiality of all information was ensured.Calculation of your incidence of injuries and statistical InvestigationThe incidence of injuries was expressed as the number of injuries for each match and the number of accidents for every 1000 player several hours. The overall participant publicity several hours was computed as11:


We integrated 7 Intercontinental Ladies’s football tournaments in the present examine: the 1999 and 2003 FIFA Gals’s Earth Cup, the 2002 and 2004 FIFA U‐19 Women’s Earth Championship, the 2006 FIFA U‐twenty Females’s Environment Championship as well as the Ladies’s football competitions inside the 2000 and 2004 Olympic Games. These tournaments comprised 184 matches, equivalent to 6072 participant hours. A complete of 348 injuries report varieties, masking 5742 participant hours, ended up returned to the File‐MARC health care officers. On normal, the reaction level was 95%, ranging from 73% in the first Match to 100% within the later on tournaments (table one​1).

A total of 387 injuries had been documented during the seven tournaments, that’s akin to an incidence of 67.4 accidents/1000 participant hours (ninety five% CI to seventy or 2.2 accidents/match (ninety five% CI two.0 to 2.4).The lessen extremity was most commonly affected (n = 248; sixty five%), followed by The pinnacle and neck (eighteen%), trunk (nine%) and upper extremity (eight%) (table 2​2).). Your body areas wounded most often ended up the ankle (24%) and head (16%), followed by thigh (12%), knee (eleven%) and decrease leg (eleven%). Most injuries were being diagnosed as contusions (n = 166; forty five%), sprains or ligament ruptures (n = ninety six; 26%), and strains or muscle mass fibre ruptures (8%). Twelve injuries have been diagnosed as a concussion, 13 for a ligament rupture, 9 as being a fracture, 8 as being a dislocation and a couple of for a lesion of your meniscus (desk 2​two).). The most typical analysis was an ankle sprain (n = 61; 16%), followed by contusions of the head (n = 35; nine%), thigh (n = 27; 7%) and decrease leg (n = 27; 7%), and by accidents of your knee ligaments (n = 23; 6%).



Information regarding time reduction from sport after injury was accessible for 309 (eighty%) injuries. Of these, 149 injuries (forty eight%) ended up expected to forestall the participant from taking part in match or instruction. The incidence of time‐reduction injuries was 30/1000 participant hrs (ninety five% CI twenty five.two to 34.eight) or one damage/match (ninety five% CI 0.eighty three to 1.fifteen). It had been predicted that seventy eight% (116/149) of some time‐reduction accidents would protect against players from taking part in a match or education for up to at least one week, fifteen accidents for 8–28 days, and 9 injuries for greater than 28 times (4 fractures (ankle, clavicle, wrist, finger n = one Every), 2 ruptures from the anterior cruciate ligament, 1 rupture of the middle cruciate ligament, 1 patella dislocation, one ligament rupture within the decrease leg). The expected period of absence was not specified for nine injuries (five ligament injuries on the knee, one meniscus damage, 1 thigh pressure, 1 fracture with the foot and 1 shoulder dislocation). Accidents with and without the need of time reduction differed drastically with regards to the wounded entire body part (p<0.01) and types of harm (p<0.001) (table 2​two).). Time‐reduction injuries most frequently afflicted the ankle (thirty%) followed by knee (fifteen%), thigh (14%) and head (11%). One of the most widespread diagnoses of time‐loss injuries was ankle sprain (n = 37; twenty five%), sprain or ligament rupture with the knee (n = sixteen; eleven%), contusion from the thigh (n = twelve; 8%) and concussion (n = 10; 7%).

We didn’t uncover any substantial variation while in the proportion of non‐Call injuries that did (twenty%; 29/148) and did not bring about time reduction (15%; 23/one hundred fifty five), but considerably (p<0.01) far more time‐decline injures had been caused by foul Enjoy than accidents which were not anticipated to bring about absence from the match or education (35% v 23%). Even so, fifty% (nine/eighteen) of accidents anticipated to cause absence of in excess of 28 days or a non‐specified length of time‐decline were incurred without the need of connection with A further player, as opposed with only 17% (fifty two/303) of all injuries. On top of that, 5 with the seven knee ligament ruptures were non‐Get hold of injuries, and six of them happened in only two with the tournaments (2002 FIFA U‐19 Gals’s Globe Championship and 2003 FIFA Women of all ages’s Entire world Cup).

On evaluating the incidence of injuries in the different types of tournament, we noticed a craze towards an ever-increasing charge of injuries from the entire world cups (1.5 accidents/match, ninety five% CI one.2 to 1.nine) for the Olympic Games (2.two accidents/match, 95% CI 1.7 to and to the U‐19/U‐twenty entire world championships ( accidents/match, 95% CI 2.three to three.0) for all accidents although not for time‐decline accidents. The attributes and instances of injury did not change drastically Amongst the 3 varieties of Event.

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