High Compliance with the 11+ Injury Prevention Program Results in Better Win-Loss Records

# Background The 11+ injury prevention program (IPP) has been shown to decrease injury rates. However, few studies have investigated compliance and its overall relationship to team performance. # Hypothesis/Purpose To examine if level of compliance while implementing the 11+ would impact team per...

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Main Authors: Holly Silvers-Granelli, Mario Bizzini, Bert Mandelbaum, Amelia Arundale, Ryan Pohlig, Lynn Snyder-Mackler
Format: Article
Language:English
Published: North American Sports Medicine Institute 2023-09-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.87502
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author Holly Silvers-Granelli
Mario Bizzini
Bert Mandelbaum
Amelia Arundale
Ryan Pohlig
Lynn Snyder-Mackler
author_facet Holly Silvers-Granelli
Mario Bizzini
Bert Mandelbaum
Amelia Arundale
Ryan Pohlig
Lynn Snyder-Mackler
author_sort Holly Silvers-Granelli
collection DOAJ
description # Background The 11+ injury prevention program (IPP) has been shown to decrease injury rates. However, few studies have investigated compliance and its overall relationship to team performance. # Hypothesis/Purpose To examine if level of compliance while implementing the 11+ would impact team performance outcomes (wins, losses and ties). The authors hypothesized that higher team compliance to the IPP would be consistent with improved overall team performance (more wins and fewer losses). # Study Design Prospective, cluster randomized controlled trial # Methods This study was conducted in NCAA men's soccer teams for one season and examined the efficacy of the 11+ IPP. The outcome variables examined were levels of compliance and team performance record: wins, losses, and ties. Twenty-seven teams (n=675 players) served as the intervention group (IG) and used the 11+ program while 34 teams (n=850 players) served as the control group (CG). Compliance and team performance were recorded. There were three compliance categories that were defined prospectively, low (LC, \< 1 dose/week), moderate (MC, \>1 and \<2 doses/week), and high (HC, \>2 doses/week). Descriptive and inferential tests were used to compare the CG, the IG, and compliance to team performance. Three independent t-tests were used to analyze outcome to group (IG vs. CG). A one way-MANOVA test was used to analyze compliance to win/loss/tie record, followed up by one-way ANOVA tests to analyze how compliance impacted wins, losses and ties, independently. Partial η2 measures were calculated to determine the effect size of level of compliance on outcome. A Tukey post-hoc analysis was used to analyze specific differences between levels of compliance and specific outcome measures. # Results There were significantly more wins (IG: 10.67±2.63 versus CG: 8.15±3.83, CI, 7.95 -- 9.69, p = 0.005) and fewer losses (IG: 5.56±1.97 versus CG: 8.12±3.59, CI, 5.66 to 7.43, p = 0.002) recorded for the teams using the 11+ program. There was a statistically significant difference between levels of compliance (high, moderate or low) on the dependent variables (wins, losses, and ties), F(3, 22) = 3.780, p =0.004; Wilks' Λ = .435; partial η2 = .340. # Conclusion The 11+ has the capacity to improve overall team performance in male collegiate soccer teams. The higher the compliance, the more favorable the team performance. This research may be a vital addition when attempting to persuade coaching staffs to adopt an IPP into their training regimen. # Level of Evidence Level I
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spelling doaj-art-da3bc3fb3a31414cac08171a1a6ef3aa2025-02-11T20:27:24ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962023-09-01185High Compliance with the 11+ Injury Prevention Program Results in Better Win-Loss RecordsHolly Silvers-GranelliMario BizziniBert MandelbaumAmelia ArundaleRyan PohligLynn Snyder-Mackler# Background The 11+ injury prevention program (IPP) has been shown to decrease injury rates. However, few studies have investigated compliance and its overall relationship to team performance. # Hypothesis/Purpose To examine if level of compliance while implementing the 11+ would impact team performance outcomes (wins, losses and ties). The authors hypothesized that higher team compliance to the IPP would be consistent with improved overall team performance (more wins and fewer losses). # Study Design Prospective, cluster randomized controlled trial # Methods This study was conducted in NCAA men's soccer teams for one season and examined the efficacy of the 11+ IPP. The outcome variables examined were levels of compliance and team performance record: wins, losses, and ties. Twenty-seven teams (n=675 players) served as the intervention group (IG) and used the 11+ program while 34 teams (n=850 players) served as the control group (CG). Compliance and team performance were recorded. There were three compliance categories that were defined prospectively, low (LC, \< 1 dose/week), moderate (MC, \>1 and \<2 doses/week), and high (HC, \>2 doses/week). Descriptive and inferential tests were used to compare the CG, the IG, and compliance to team performance. Three independent t-tests were used to analyze outcome to group (IG vs. CG). A one way-MANOVA test was used to analyze compliance to win/loss/tie record, followed up by one-way ANOVA tests to analyze how compliance impacted wins, losses and ties, independently. Partial η2 measures were calculated to determine the effect size of level of compliance on outcome. A Tukey post-hoc analysis was used to analyze specific differences between levels of compliance and specific outcome measures. # Results There were significantly more wins (IG: 10.67±2.63 versus CG: 8.15±3.83, CI, 7.95 -- 9.69, p = 0.005) and fewer losses (IG: 5.56±1.97 versus CG: 8.12±3.59, CI, 5.66 to 7.43, p = 0.002) recorded for the teams using the 11+ program. There was a statistically significant difference between levels of compliance (high, moderate or low) on the dependent variables (wins, losses, and ties), F(3, 22) = 3.780, p =0.004; Wilks' Λ = .435; partial η2 = .340. # Conclusion The 11+ has the capacity to improve overall team performance in male collegiate soccer teams. The higher the compliance, the more favorable the team performance. This research may be a vital addition when attempting to persuade coaching staffs to adopt an IPP into their training regimen. # Level of Evidence Level Ihttps://doi.org/10.26603/001c.87502
spellingShingle Holly Silvers-Granelli
Mario Bizzini
Bert Mandelbaum
Amelia Arundale
Ryan Pohlig
Lynn Snyder-Mackler
High Compliance with the 11+ Injury Prevention Program Results in Better Win-Loss Records
International Journal of Sports Physical Therapy
title High Compliance with the 11+ Injury Prevention Program Results in Better Win-Loss Records
title_full High Compliance with the 11+ Injury Prevention Program Results in Better Win-Loss Records
title_fullStr High Compliance with the 11+ Injury Prevention Program Results in Better Win-Loss Records
title_full_unstemmed High Compliance with the 11+ Injury Prevention Program Results in Better Win-Loss Records
title_short High Compliance with the 11+ Injury Prevention Program Results in Better Win-Loss Records
title_sort high compliance with the 11 injury prevention program results in better win loss records
url https://doi.org/10.26603/001c.87502
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