The FIFA 11+ Injury Prevention Program Still not Implemented by the Majority of Professional and Semi-professional Soccer Players and Coaches Globally

Background: The Fédération International de Football Association (FIFA) has promoted and deployed the FIFA 11+ injury prevention program worldwide. Developed by the FIFA Medical Assessment and Research Centre (F-MARC), the program relied on the results of an international randomized controlled trial that aimed to reduce sport-related injuries and healthcare costs. Objective: The objective of this study was to assess the awareness level, implementation rate, and opinions about the effectiveness of the FIFA 11+ Injury Prevention Program among professional and semi-professional soccer players and coaches worldwide. Methods: In all, 2000 professional and semi-professional soccer players and coaches were invited to complete a self-administered questionnaire. Several authors, who are experts in sports medicine and injury prevention, participated in developing the questionnaire. The primary outcomes were awareness level, implementation rate, and opinion on the FIFA 11+ Program’s effectiveness in reducing injuries. Results: A total of 1690 professional and semi-professional soccer players and coaches completed the survey (response rate: 84.5%). A total of 824 professional and semi-professional soccer players and coaches (48.8%) were aware of the FIFA 11+ Program, and 680 (83.8%) reported implementing the program in their practice. The participants who implemented the program reported a positive attitude toward the program’s efficacy, with a score of 8.20 ± 1.10 out of 10. Conclusion: More than half of professional and semi-professional soccer players and coaches from different continents are not aware of the FIFA 11+ Injury Prevention Program. Therefore, educating players and coaches is necessary for increased implementation and injury reduction.