Effects of a lighter, smaller football on Acute match injuries in adolescent female football

A pilot cluster-randomized controlled trial

Mette K. Zebis*, Kristian Thorborg, Lars L. Andersen, Merete Møller, Karl B. Christensen, Mikkel B. Clausen, Per Hölmich, Niels Wedderkopp, Thomas B. Andersen, Peter Krustrup

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

BACKGROUND: The high injury incidence during match-play in female adolescent football is a major concern. In football, males and females play matches with the same football size. No studies have investigated the effect of football size on injury incidence in female adolescent football. Thus, the aim of the present study was to investigate the effects of introducing a lighter, smaller football on the injury pattern in female adolescent football. METHODS We conducted a pilot cluster randomized controlled trial including 26 football teams representing 346 adolescent female football players (age 15-18 years). The teams were randomized to a new lighter, smaller football (INT, N.=12 teams) or a traditional FIFA size 5 football (CON, N.=14 teams) during a full match-season. Acute time-loss injuries and football-exposure during match-play were reported weekly by text-message questions and verified subsequently by telephone interview. RESULTS: In total, 46 acute time-loss injuries were registered (5 severe injuries), yielding an incidence rate of 15.2 injuries per 1000 hours of match-play (95% Cl: 8.5-27.2) in INT and 18.6 injuries per 1000 hours of match-play (95% Cl: 14.0-24.8) in CON. The estimated 22% greater injury incidence rate risk (IRR: 1.22 [95% Cl: 0.64-2.35]) in the CON group was not significant. With an IRR of 1.22, a future RCT main study would need to observe 793 acute time-loss injuries during match-play, in order to have a power of 80%. CONCLUSIONS: A large-scaled RCT is required to definitively test for beneficial or harmful effects of a lighter, smaller football in adolescent female football.

OriginalsprogEngelsk
TidsskriftJournal of Sports Medicine and Physical Fitness
Vol/bind58
Udgave nummer5
Sider (fra-til)644-650
ISSN0022-4707
DOI
StatusUdgivet - maj 2018

Fingeraftryk

Football
Randomized Controlled Trials
Wounds and Injuries
Incidence
Text Messaging

Citer dette

Zebis, Mette K. ; Thorborg, Kristian ; Andersen, Lars L. ; Møller, Merete ; Christensen, Karl B. ; Clausen, Mikkel B. ; Hölmich, Per ; Wedderkopp, Niels ; Andersen, Thomas B. ; Krustrup, Peter. / Effects of a lighter, smaller football on Acute match injuries in adolescent female football : A pilot cluster-randomized controlled trial. I: Journal of Sports Medicine and Physical Fitness. 2018 ; Bind 58, Nr. 5. s. 644-650.
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abstract = "BACKGROUND: The high injury incidence during match-play in female adolescent football is a major concern. In football, males and females play matches with the same football size. No studies have investigated the effect of football size on injury incidence in female adolescent football. Thus, the aim of the present study was to investigate the effects of introducing a lighter, smaller football on the injury pattern in female adolescent football. METHODS We conducted a pilot cluster randomized controlled trial including 26 football teams representing 346 adolescent female football players (age 15-18 years). The teams were randomized to a new lighter, smaller football (INT, N.=12 teams) or a traditional FIFA size 5 football (CON, N.=14 teams) during a full match-season. Acute time-loss injuries and football-exposure during match-play were reported weekly by text-message questions and verified subsequently by telephone interview. RESULTS: In total, 46 acute time-loss injuries were registered (5 severe injuries), yielding an incidence rate of 15.2 injuries per 1000 hours of match-play (95{\%} Cl: 8.5-27.2) in INT and 18.6 injuries per 1000 hours of match-play (95{\%} Cl: 14.0-24.8) in CON. The estimated 22{\%} greater injury incidence rate risk (IRR: 1.22 [95{\%} Cl: 0.64-2.35]) in the CON group was not significant. With an IRR of 1.22, a future RCT main study would need to observe 793 acute time-loss injuries during match-play, in order to have a power of 80{\%}. CONCLUSIONS: A large-scaled RCT is required to definitively test for beneficial or harmful effects of a lighter, smaller football in adolescent female football.",
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author = "Zebis, {Mette K.} and Kristian Thorborg and Andersen, {Lars L.} and Merete M{\o}ller and Christensen, {Karl B.} and Clausen, {Mikkel B.} and Per H{\"o}lmich and Niels Wedderkopp and Andersen, {Thomas B.} and Peter Krustrup",
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Effects of a lighter, smaller football on Acute match injuries in adolescent female football : A pilot cluster-randomized controlled trial. / Zebis, Mette K.; Thorborg, Kristian; Andersen, Lars L.; Møller, Merete; Christensen, Karl B.; Clausen, Mikkel B.; Hölmich, Per; Wedderkopp, Niels; Andersen, Thomas B.; Krustrup, Peter.

I: Journal of Sports Medicine and Physical Fitness, Bind 58, Nr. 5, 05.2018, s. 644-650.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Effects of a lighter, smaller football on Acute match injuries in adolescent female football

T2 - A pilot cluster-randomized controlled trial

AU - Zebis, Mette K.

AU - Thorborg, Kristian

AU - Andersen, Lars L.

AU - Møller, Merete

AU - Christensen, Karl B.

AU - Clausen, Mikkel B.

AU - Hölmich, Per

AU - Wedderkopp, Niels

AU - Andersen, Thomas B.

AU - Krustrup, Peter

PY - 2018/5

Y1 - 2018/5

N2 - BACKGROUND: The high injury incidence during match-play in female adolescent football is a major concern. In football, males and females play matches with the same football size. No studies have investigated the effect of football size on injury incidence in female adolescent football. Thus, the aim of the present study was to investigate the effects of introducing a lighter, smaller football on the injury pattern in female adolescent football. METHODS We conducted a pilot cluster randomized controlled trial including 26 football teams representing 346 adolescent female football players (age 15-18 years). The teams were randomized to a new lighter, smaller football (INT, N.=12 teams) or a traditional FIFA size 5 football (CON, N.=14 teams) during a full match-season. Acute time-loss injuries and football-exposure during match-play were reported weekly by text-message questions and verified subsequently by telephone interview. RESULTS: In total, 46 acute time-loss injuries were registered (5 severe injuries), yielding an incidence rate of 15.2 injuries per 1000 hours of match-play (95% Cl: 8.5-27.2) in INT and 18.6 injuries per 1000 hours of match-play (95% Cl: 14.0-24.8) in CON. The estimated 22% greater injury incidence rate risk (IRR: 1.22 [95% Cl: 0.64-2.35]) in the CON group was not significant. With an IRR of 1.22, a future RCT main study would need to observe 793 acute time-loss injuries during match-play, in order to have a power of 80%. CONCLUSIONS: A large-scaled RCT is required to definitively test for beneficial or harmful effects of a lighter, smaller football in adolescent female football.

AB - BACKGROUND: The high injury incidence during match-play in female adolescent football is a major concern. In football, males and females play matches with the same football size. No studies have investigated the effect of football size on injury incidence in female adolescent football. Thus, the aim of the present study was to investigate the effects of introducing a lighter, smaller football on the injury pattern in female adolescent football. METHODS We conducted a pilot cluster randomized controlled trial including 26 football teams representing 346 adolescent female football players (age 15-18 years). The teams were randomized to a new lighter, smaller football (INT, N.=12 teams) or a traditional FIFA size 5 football (CON, N.=14 teams) during a full match-season. Acute time-loss injuries and football-exposure during match-play were reported weekly by text-message questions and verified subsequently by telephone interview. RESULTS: In total, 46 acute time-loss injuries were registered (5 severe injuries), yielding an incidence rate of 15.2 injuries per 1000 hours of match-play (95% Cl: 8.5-27.2) in INT and 18.6 injuries per 1000 hours of match-play (95% Cl: 14.0-24.8) in CON. The estimated 22% greater injury incidence rate risk (IRR: 1.22 [95% Cl: 0.64-2.35]) in the CON group was not significant. With an IRR of 1.22, a future RCT main study would need to observe 793 acute time-loss injuries during match-play, in order to have a power of 80%. CONCLUSIONS: A large-scaled RCT is required to definitively test for beneficial or harmful effects of a lighter, smaller football in adolescent female football.

KW - Adolescent

KW - Female

KW - Football

KW - Soccer

KW - Sports

KW - Wounds and injuries

KW - Knee Joint/physiology

KW - Humans

KW - Sports Equipment/adverse effects

KW - Sprains and Strains

KW - Athletic Injuries/etiology

KW - Incidence

KW - Pilot Projects

KW - Football/injuries

KW - Athletic Performance/physiology

KW - Knee Injuries

KW - Sex Factors

KW - Denmark

KW - Cluster Analysis

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U2 - 10.23736/S0022-4707.17.07903-8

DO - 10.23736/S0022-4707.17.07903-8

M3 - Journal article

VL - 58

SP - 644

EP - 650

JO - Journal of Sports Medicine and Physical Fitness

JF - Journal of Sports Medicine and Physical Fitness

SN - 0022-4707

IS - 5

ER -