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Petals and Stems Group

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Amateur Men Big Posterior.

A 25-year-old man, who said he had been an amateur soccer player since age 14, presented with complaints of pain and swelling over the right lateral malleolus. He said he had been experiencing these symptoms since age 16. He said the pain and swelling were not constant but would arise after increased activity or playing soccer for many hours. The patient also reported that the pain was aggravated by kicking and plantar flexion motion. There was no history of any significant injury; clinical examination revealed mild swelling with tenderness on the posterolateral aspect of the ankle.

Amateur men big posterior.


Teams from two high-level amateur soccer competitions were randomly assigned to an intervention (n=11 teams, 223 players) or control group (n=12 teams, 233 players). The intervention group was instructed to perform The11 in each practice session during one soccer season. The11 focuses on core stability, eccentric training of thigh muscles, proprioceptive training, dynamic stabilisation and plyometrics with straight leg alignment. All participants of the control group continued their practice sessions as usual.

This study did not find significant differences in the overall injury incidence or injury severity between the intervention and control group of adult male soccer players. More research is recommended, focusing on injury aetiology and risk factors in adult male amateur soccer players.

The preventive effect of The11 has not been studied in male adult soccer players, who represent the largest group of active participants in soccer worldwide with high injury incidence rates.2 19 Therefore, our research on injury prevention focuses specifically on male adult soccer players. As proposed by van Mechelen et al,20 our study addressed steps three and four of the prevention sequence model: introducing preventive activities to reduce future risk and/or severity of sports injuries, and assessing their effectiveness. The aim of the present study was therefore to investigate the effectiveness of The11 in this high-risk population of adult male amateur soccer players. We hypothesized that these exercises, when integrated in the warm-up of each practice session, would have a preventive effect on injury incidence and/or injury severity compared to usual practice sessions without The11.

Whereas we found no preventive effect of The11 in our study population, consisting of adult men playing at a high amateur level, Junge et al17 found preventive effects of the programme among male youth soccer players. It is conceivable that an exercise programme have greater physical effects in younger players, since they have not yet established their basic movement patterns.27 This may explain why an effect was found in junior soccer players, but not in senior soccer players playing at the highest amateur levels.

Having found no positive effect of the prevention programme among male adult amateur soccer players, we need to return to step two of the model by van Mechelen.20 This means at least that a better understanding is needed of the aetiological factors and injury mechanisms as risk factors for soccer injuries in male adult soccer players.


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