Injury Prevention Strategies in Female Football Players: Addressing Sex-Specific Risks

There has been rapid growth in women’s football worldwide; however, research on injury prevention strategies and physiological considerations specific to female athletes remains insufficient. Women’s football has experienced an increase in injury prevalence, despite being underrepresented in sports...

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Main Authors: George John, Ameen AlNadwi, Tiffany Georges Abi Antoun, Ildus I. Ahmetov
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Sports
Subjects:
Online Access:https://www.mdpi.com/2075-4663/13/2/39
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author George John
Ameen AlNadwi
Tiffany Georges Abi Antoun
Ildus I. Ahmetov
author_facet George John
Ameen AlNadwi
Tiffany Georges Abi Antoun
Ildus I. Ahmetov
author_sort George John
collection DOAJ
description There has been rapid growth in women’s football worldwide; however, research on injury prevention strategies and physiological considerations specific to female athletes remains insufficient. Women’s football has experienced an increase in injury prevalence, despite being underrepresented in sports literature, with less than 25% of research focused on this demographic. The incidence of injuries, particularly among young elite female footballers, is notably high, impacting long-term health outcomes such as osteoarthritis and contributing to shorter playing careers. Certain injuries, such as anterior cruciate ligament (ACL) ruptures, occur at significantly higher rates in women compared to men, underscoring sex-specific risk factors that must be addressed in injury prevention programs (IPPs). This narrative review aims to evaluate the effectiveness of IPPs tailored for female football players and to address their heightened susceptibility to injuries compared to males. Research studies and review articles were identified using a literature search of the PubMed, SportDiscus, and Google Scholar databases from 1990 to December 2024. Biological factors, including hormonal influences—such as increased ACL laxity during the menstrual cycle—and musculoskeletal differences, such as muscle strength imbalances, reduced joint stability, and hip weakness, significantly contribute to this increased risk. Despite the existence of injury prevention protocols like FIFA 11+, their consistent application and adaptation to meet the unique needs of female footballers remain limited. In addition to physical injuries, mental health is a critical concern. Female football players exhibit higher rates of depression and anxiety compared to their male counterparts, influenced by factors such as injury-related stress and menstrual cycle variations. In conclusion, the growing participation of women in football highlights the urgent need for research and implementation of injury prevention strategies specifically tailored to female players.
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spelling doaj-art-52d94693c8554b1ea9b4c59df6164ce62025-08-20T03:12:12ZengMDPI AGSports2075-46632025-02-011323910.3390/sports13020039Injury Prevention Strategies in Female Football Players: Addressing Sex-Specific RisksGeorge John0Ameen AlNadwi1Tiffany Georges Abi Antoun2Ildus I. Ahmetov3Transform Specialist Medical Centre, Dubai 119190, United Arab EmiratesTransform Specialist Medical Centre, Dubai 119190, United Arab EmiratesTransform Specialist Medical Centre, Dubai 119190, United Arab EmiratesLaboratory of Genetics of Aging and Longevity, Kazan State Medical University, 420012 Kazan, RussiaThere has been rapid growth in women’s football worldwide; however, research on injury prevention strategies and physiological considerations specific to female athletes remains insufficient. Women’s football has experienced an increase in injury prevalence, despite being underrepresented in sports literature, with less than 25% of research focused on this demographic. The incidence of injuries, particularly among young elite female footballers, is notably high, impacting long-term health outcomes such as osteoarthritis and contributing to shorter playing careers. Certain injuries, such as anterior cruciate ligament (ACL) ruptures, occur at significantly higher rates in women compared to men, underscoring sex-specific risk factors that must be addressed in injury prevention programs (IPPs). This narrative review aims to evaluate the effectiveness of IPPs tailored for female football players and to address their heightened susceptibility to injuries compared to males. Research studies and review articles were identified using a literature search of the PubMed, SportDiscus, and Google Scholar databases from 1990 to December 2024. Biological factors, including hormonal influences—such as increased ACL laxity during the menstrual cycle—and musculoskeletal differences, such as muscle strength imbalances, reduced joint stability, and hip weakness, significantly contribute to this increased risk. Despite the existence of injury prevention protocols like FIFA 11+, their consistent application and adaptation to meet the unique needs of female footballers remain limited. In addition to physical injuries, mental health is a critical concern. Female football players exhibit higher rates of depression and anxiety compared to their male counterparts, influenced by factors such as injury-related stress and menstrual cycle variations. In conclusion, the growing participation of women in football highlights the urgent need for research and implementation of injury prevention strategies specifically tailored to female players.https://www.mdpi.com/2075-4663/13/2/39female athletessoccerFIFA 11+injuriesACLmenstrual cycle
spellingShingle George John
Ameen AlNadwi
Tiffany Georges Abi Antoun
Ildus I. Ahmetov
Injury Prevention Strategies in Female Football Players: Addressing Sex-Specific Risks
Sports
female athletes
soccer
FIFA 11+
injuries
ACL
menstrual cycle
title Injury Prevention Strategies in Female Football Players: Addressing Sex-Specific Risks
title_full Injury Prevention Strategies in Female Football Players: Addressing Sex-Specific Risks
title_fullStr Injury Prevention Strategies in Female Football Players: Addressing Sex-Specific Risks
title_full_unstemmed Injury Prevention Strategies in Female Football Players: Addressing Sex-Specific Risks
title_short Injury Prevention Strategies in Female Football Players: Addressing Sex-Specific Risks
title_sort injury prevention strategies in female football players addressing sex specific risks
topic female athletes
soccer
FIFA 11+
injuries
ACL
menstrual cycle
url https://www.mdpi.com/2075-4663/13/2/39
work_keys_str_mv AT georgejohn injurypreventionstrategiesinfemalefootballplayersaddressingsexspecificrisks
AT ameenalnadwi injurypreventionstrategiesinfemalefootballplayersaddressingsexspecificrisks
AT tiffanygeorgesabiantoun injurypreventionstrategiesinfemalefootballplayersaddressingsexspecificrisks
AT ildusiahmetov injurypreventionstrategiesinfemalefootballplayersaddressingsexspecificrisks