Neurocognitive & Ecological Motor Learning Considerations for the 11+ ACL Injury Prevention Program: A Commentary

The 11+ is a structured warm-up program designed to prevent injuries in soccer players, but has proven efficacy in many populations, settings and sports. It consists of 15 exercises that target the most common injury sites, such as the knee, ankle, and groin. However, the implementation and adherenc...

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Main Authors: Dustin R. Grooms, Mario Bizzini, Holly Silvers-Granelli, Anne Benjaminse
Format: Article
Language:English
Published: North American Sports Medicine Institute 2024-11-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.123956
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author Dustin R. Grooms
Mario Bizzini
Holly Silvers-Granelli
Anne Benjaminse
author_facet Dustin R. Grooms
Mario Bizzini
Holly Silvers-Granelli
Anne Benjaminse
author_sort Dustin R. Grooms
collection DOAJ
description The 11+ is a structured warm-up program designed to prevent injuries in soccer players, but has proven efficacy in many populations, settings and sports. It consists of 15 exercises that target the most common injury sites, such as the knee, ankle, and groin. However, the implementation and adherence of the 11+ remain suboptimal, and recent compelling data indicates underlying mechanisms of injury risk related to neural control of movement may not be adequately targeted. Updates to the 11+ considering practical implications of neurocognitive and ecological motor learning may be warranted for coaches and practitioners. We review the evidence on how an updated 11+ may influence the cognitive and perceptual processes involved in motor control and learning, such as attention, anticipation, decision making, and feedback. How the 11+ can be adapted to the ecological constraints and affordances of the football (soccer) environment is also discussed, including the task, the individual, and the context. By considering these factors, the 11+ can be more effective, engaging, and enjoyable for the players, and thus improve its adoption and compliance. The 11+ has the capability to not only a physical warm-up, but also a neurocognitive and ecological preparation for the game. Therefore, the purpose of this manuscript is to describe the conceptual design of a new ecological neurocognitively enriched 11+, that builds on the strong foundation of the original intervention with considerations for the newly discovered potential neural control of movement risk factors.
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spelling doaj-art-5bc0a305067d48b3942c447df4e1e1502025-02-11T20:27:01ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962024-11-011911Neurocognitive & Ecological Motor Learning Considerations for the 11+ ACL Injury Prevention Program: A CommentaryDustin R. GroomsMario BizziniHolly Silvers-GranelliAnne BenjaminseThe 11+ is a structured warm-up program designed to prevent injuries in soccer players, but has proven efficacy in many populations, settings and sports. It consists of 15 exercises that target the most common injury sites, such as the knee, ankle, and groin. However, the implementation and adherence of the 11+ remain suboptimal, and recent compelling data indicates underlying mechanisms of injury risk related to neural control of movement may not be adequately targeted. Updates to the 11+ considering practical implications of neurocognitive and ecological motor learning may be warranted for coaches and practitioners. We review the evidence on how an updated 11+ may influence the cognitive and perceptual processes involved in motor control and learning, such as attention, anticipation, decision making, and feedback. How the 11+ can be adapted to the ecological constraints and affordances of the football (soccer) environment is also discussed, including the task, the individual, and the context. By considering these factors, the 11+ can be more effective, engaging, and enjoyable for the players, and thus improve its adoption and compliance. The 11+ has the capability to not only a physical warm-up, but also a neurocognitive and ecological preparation for the game. Therefore, the purpose of this manuscript is to describe the conceptual design of a new ecological neurocognitively enriched 11+, that builds on the strong foundation of the original intervention with considerations for the newly discovered potential neural control of movement risk factors.https://doi.org/10.26603/001c.123956
spellingShingle Dustin R. Grooms
Mario Bizzini
Holly Silvers-Granelli
Anne Benjaminse
Neurocognitive & Ecological Motor Learning Considerations for the 11+ ACL Injury Prevention Program: A Commentary
International Journal of Sports Physical Therapy
title Neurocognitive & Ecological Motor Learning Considerations for the 11+ ACL Injury Prevention Program: A Commentary
title_full Neurocognitive & Ecological Motor Learning Considerations for the 11+ ACL Injury Prevention Program: A Commentary
title_fullStr Neurocognitive & Ecological Motor Learning Considerations for the 11+ ACL Injury Prevention Program: A Commentary
title_full_unstemmed Neurocognitive & Ecological Motor Learning Considerations for the 11+ ACL Injury Prevention Program: A Commentary
title_short Neurocognitive & Ecological Motor Learning Considerations for the 11+ ACL Injury Prevention Program: A Commentary
title_sort neurocognitive ecological motor learning considerations for the 11 acl injury prevention program a commentary
url https://doi.org/10.26603/001c.123956
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