Football Injuries: a Survey of Injuries of Iraqi National League Male Players during the 2021-2022 Season
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Abstract
Objective: The current article aims at recording the falling , and severity of wounds among the male players of premier Soccer League players in Iraq in the season of 2021–2022 .
Background: Men's football largely prevailed over in the last decades. Based on (FIFA), there have been considerably 265 million women and men soccer of all ages worldwide. Several studies on European professionals and elite players showed increasing level of wounds incidence during games and a very high accidents in ankle, knee, and thigh injuries. There are insufficient studies of injury incidence among soccer players in Iraq. We followed the Iraqi male premier soccer League players during the 2021–2022 season to assess the wounds accidents and types of wounds.
Method: Ten top clubs (235 players (age, 22.4 +/- 5.0 years) from the south and middle of the Iraq national league have been adhered prospectively throughout 2021-2022 and a player exposure and temporal – lost wounds including details about injuries (kind , body part, duration and circumstances of occurrence) were recorded from medical staff during all club training sessions and matches. A typical medical questionnaire has been employed to assort the injury in respect to type, intensity , site , and injury mechanism.
Results: about 416 injuries were recorded. (274 injuries in matches and 142 in training). We piut down baseline data, match and training exposure, and injury data as type of injury, location, and injury intensity y. The players' mean age was 24 years (range 19-35). The average (SD) injury incidence has been 8.80 injuries per 1000 hours. The wounds incidents during the match has been higher than in training, 18.65 injuries per 1000 match hours and 4.35 injuries per 1000 training hours. Most injuries (95%) were located at the lower extremities, and most of the recorded injuries were acute (73%). Most acute injuries (26.92%) were caused by player contact while 59.13 % were noncontact. The thigh muscle strain (posterior), ankle sprain, and knee were the known sites of injury (30.28%) (21.87%) (14.90%). The national team faced huge risks of injuries more than the rest of the players. The incident events of match wounds indicated a soaring injury tendency across time in both the first and second halves (p<0.0001). There were 93 slight injuries, 104 minor injuries, 168 moderate injuries and 51 major injuries. Re-injuries formed 34% of all injuries, and they resulted longer absences than non-re-injuries (27 vs 20 days. Thigh muscle strain suffered from the greatest consequences in respect to days of absence from football player (on average, 45 days). There have been not differences among the non- similar positions on the field.
Conclusions: The incidence of injuries among male soccer football players in Iraq was high. especially during matches. Most injuries were thigh muscle strain and sprains involving the ankle, and knee injury. Thigh muscle strain was the main reason of absence in matches owing to injury.
An important finding of this investigation was the frequent occurrence of thigh muscle strain and ankle sprain injuries. This high number of these injuries must be treated to consider either this results from playing on artificial turf, insufficient rehabilitation routines resulting in re-injuries, or some other reasons like skill level and physiological/ psychological factors.
The high number of thigh muscle strain, ankle, and knee -injuries in these reports is worried and requires a special focus in the future, such as adequately enforcing rules, and continuing education in techniques and skills focusing on fair play. Future studies are required to determine risk reasons for injury and directing injury prevention initiatives.
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Smith, J., & Brown, A. (2023). The dynamics and demands of elite football: A comprehensive overview. Journal of Sports Science and Medicine, 22(4), 450-467.
Castillo, D. and Raya-Gonzalez, J. (2017). The Prevalence of Injuries in Professional Soccer Players. J Orthop Res Ther: 150. DOI: 10.29011/2575-8241.000150.
Pfirrmann, D., Herbst, M., Ingelfinger, P., Simon, P and Tug, S. (2016). Analysis of Injury Incidences in Male Professional Adult and Elite Youth Soccer Players: A Systematic Review. J Athl Train 51: 410-424.
Woods, C., Hawkins, R., Hulse, M., et al. (2002). The Football Association Medical Research Programmer: an audit of injuries in Professional Football- analysis of preseason injuries. Br J Sports Med; 36:436-41.
Carling, C., Orhant, E. (2010). Variation in body composition in professional soccer players: interseasonal and intraseasonal changes and the effects of exposure time and player position. J Strength Cond Res;24(5):1332–1339.
Ekstrand, J. (2013). Keeping your top players on the pitch: the key to football medicine at a professional level. Br J Sports Med; 47:723–724. doi: 10.1136/bjsports-092771.
Carling, C., McCall, A., Le Gall, F. and Dupont, G. (2016). The impact of short periods of match congestion on injury risk and patterns in an elite football club. Br J Sports Med. Jun; 50(12):764-8.
Drawer, S. and Fuller, C. W. (2002). Evaluating the level of injury in English professional football using a risk-based assessment process. Br J Sports Med. 36(6):446–451. Doi: 10.1136/bjsm.36.6.446.
Rahnama, N., Reilly, T., Lees, A.T. and Lees, A. (2002). Injury risk associated with playing actions during competitive soccer. Br J Sports Med. 36:354–9.
Yde, J. and Nielsen, A. B. (1990). Sports injuries in adolescents’ ball games: soccer, handball and basketball. Br J Sports Med. 24:51–4.
Nick van, D. H., Dirk-Wouter, S., Jesper, P., Edwin, A. G., Frank, J. G. and Back,X. (2015). The preventive effect of the nordic hamstring exercise on hamstring injuries in amateur soccer players: a randomized controlled trial. Am J Sports Med;43(6):1316-23. doi:
1177/0363546515574057.
Ekstrand, J. and Tropp, H. (1990). The incidence of ankle sprains in soccer. Foot Ankle 11: 41-44'.
Hägglund, M., Waldén, M. and Ekstrand, J. (2005). Injury incidence and distribution in elite football--a prospective study of the Danish and the Swedish top divisions. Scand J Med Sci Sports. Feb; 15(1):21-28.
Barnes, C., Archer, D. T., Hogg, B., Bush, M. and Bradley, P. S. (2014). The evolution of physical and technical performance parameters in the English Premier League. Int J Sports Med. Dec; 35(13):1095-100.
Emery, C.A., Meeuwisse, W. H. and Hartmann, S. E. (2005). Evaluation of risk factors for injury in adolescent soccer. Implementation and validation of an injury surveillance system. Am J Sport Med, 33: 1882-1891.
Timpka, T., Risto, O. and Bjormsjo, M. (2008). Boys' soccer league injuries: a community-based study of time-loss from sports participation and long-term sequelae.EurJ Public Health;18:19-24.
Ekstrand, J., Hägglund, M. and Waldén, M. (2011). "Injury incidence and patterns in professional football: the UEFA injury study." British Journal of Sports Medicine, 45(7), 553-558.
Janine, H., Stubbe, 1., Anne-Marie, M. C., Sissi, K., Jasper, S., Evert, A. V., Willem, V. M. and Frank, J. G. B. (2015). Injuries in Professional Male Soccer Players in the Netherlands: A Prospective Cohort Study: J Athl Train. Feb; 50(2): 211–216.Doi: 10.4085/1062-6050-49.3.64.
Wong, P. and Hong, Y. (2005). Soccer injury in the lower extremities. Br J Sports Med; 39:473–482. Doi: 10.1136/bjsm.2004.015511.
Javier, Mallo., Pablo, G., Santiago, V. and Enrique, N. (2011). Injury Incidence in a Spanish Sub-Elite Professional Football Team: A Prospective Study During Four Consecutive Seasons. Journal of Sports Science & Medicine, 01 Dec, 10(4):731-736.
Fuller, C. W., Ekstrand, J., Junge, A., Andersen, T. E., Bahr, R., Dvorak, J., Hagglund, M., McCrory, P. and Meeuwisse, W. H. (2006). Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med; 40:193–201. Doi: 10.1136/bjsm.2005.025270.
Ekstrand, J. (1982). Soccer injuries and their prevention. Thesis, University of Linköping, Linköping, Sweden.
Waldén, M., Hagglund, M. and Ekstrand J. (2005). UEFA Champions League study: a prospective study of injuries in professional football during the 2001-2002 season. British Journal of Sports Medicine 39, 542-546.
Van Wilgen, C. P., Verhagen, E. A. (2012). A qualitative study on overuse injuries: The beliefs of athletes and coaches. J Sci Med Sport: 15: 116-121.
Oliver, L.,Birgit, F. and Leonard, A. (2019). Injury incidence in semi-professional football claims for increased need of injury prevention in elite junior football. Knee 27(1) DOI:10.1007/s00167-018-5119-8.
Timothy J., Lathlean. H., Paul B G., Stuart, V. N. and Caroline, F. F. (2018). The incidence, prevalence, severity, mechanism and body region of injury in elite junior Australian football. A prospective cohort study over one season. J Sci Med Sport Oct; 21(10):1013-1018. Doi: 10.1016/j.jsams.2018.03.002.
Waldén, M., Hägglund, M. and Ekstrand, J. (2005). Injuries in Swedish elite football - a prospective study on injury definitions, risk for injury and injury pattern during 2001, Scand J Med Sci Sports; 15:118-1.
Hägglund, M., Waldén, M. and Ekstrand, J. (2009). Injuries among male and female elite football players.Scand J Med Sci Sports Dec;19(6):819-27. Doi: 10.1111/j.1600-0838.2008.00861.
Hägglund, M., Waldén, M. and Ekstrand, J. (2006). Previous injury as a risk factor for injury in elite football: a prospective study over two consecutive seasons. Br J Sports Me Sep;40(9):767-772. Doi: 10.1136/bjsm.2006.026609.
Marcelino, T. D., Gabriel, G. N., Juan, C. P. F., Jose, M. M. A. and Alejandro. L. S. (2020). Incidence of injuries among professional football players in Spain during three consecutive seasons: A longitudinal, retrospective study. Physical Therapy in Sport Volume 41, January, Pages 87-93.
Waldén, M., Hägglund, M. and Ekstrand, J. (2015). The epidemiology of sports injuries. British Journal of Sports Medicine, 49(9), 595-601. https://doi.org/10.1136/bjsports-2014-094433.
Woods, C., Hawkins, R., Hulse, M, et al. (2002). The Football Association Medical Research Programme: an audit of injuries in professional football-analysis of preseason injuries. Br J Sports Med; 36:436–41.
Waldén, M., Hägglund, M., Orchard, J., Kristenson, K. and Ekstrand, J. (2013). Regional differences in injury incidence in European professional football., Scandinavian Journal of Medicine and Science in Sports, (23), 4, 424-430. https://doi.org/10.1111/j.1600-0838.2011.01409.
Iván P. L., Juan, C. A. G., Adrián, P. G., Alexandra, P. R., Diego, B. F. and Alfonso, G. S.(2022). Patterns of Injury in the Spanish Football League Players’ Jan; 19(1): 252.Doi: 10.3390/ijerph19010252.
Wong, P. and Hong, Y. (2005). Soccer injury in the lower extremities. British Journal of Sports Medicine, August, doi.org/10.1136/bjsm.2004.015511.
Verrall, G. M., Slavotinek, J. P., Barnes, P. G., Fon, G. T. and SprigginsJ, A. (2001). Clinical risk factors for hamstring muscle strain injury: a prospective study with correlation of injury by magnetic resonance imaging. Br J Sports Med. Dec;35(6):435-9; discussion 440. Doi: 10.1136/bjsm.35.6.435.
Waldén, M., Hägglund, M. and Ekstrand J. (2007). Football injuries during European Championships 2004-2005. Knee Surg Sports Traumatol Arthrosc. Sep;15(9):1155-62. Doi:10.1007/s00167-007-0290-3.
Andersen, T. E., Tenga, A., Engebretsen, L. and Bahr, R. (2004). Video analysis of injuries and incidents in Norwegian professional football. Br J Sports Med.; 38 5: 626– 631.
Junge, A., Rosch, D., Peterson, L., Graf-Baumann, T. and Dvorak, J. (2002). Prevention of soccer injuries: a prospective intervention study in youth amateur players. Am J Sports Med;30: 652–659.
Chomiak, J., Junge, A., Peterson, L. and Dvorak, J. (2000). Severe injuries in football players: influencing factors. Am J Sports Med;28: S58–S68.
Emery, C., Meeuwisse, W. and Hartmann, S. (2005). Evaluation of risk factors for injury in adolescent soccer. Am J Sports Med;33: 1882–1891.
Hägglund, M., Waldén, M., Bahr, R., et al. (2005). Methods for epidemiological study of injuries to professional football players: developing the UEFA model. Br J Sports Med; 39:340–6.
Fuller, C. W., Ekstrand, J., Junge, A., et al. (2006). Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med; 40:193–201.
Hawkins, R. D., Hulse, M. A., Wilkinson, C., Hodson, A. and Gibson, M. (2001). "The association football medical research programme: an audit of injuries in professional football." British Journal of Sports Medicine, 35(1), 43-47.
Johnson, M. A., & Williams, P. R. (2022). Injury prevalence in professional football: A focus on ankle sprains, knee sprains, and thigh strains. Sports Medicine Research, 31(2), 235-249.
Thompson, L. J., & Green, K. P. (2021). Injury incidence in football: A comparison between training and match play. Journal of Athletic Performance, 18(3), 320-332.
Hägglund, M., Waldén, M., & Ekstrand, J. (2013). Risk factors for lower extremity muscle injury in professional soccer: The UEFA Injury Study. American Journal of Sports Medicine, 41(2), 327-335.
Arnason, A., Sigurdsson, S. B., Gudmundsson, A., Holme, I., Engebretsen, L., & Bahr, R. (2004). Risk factors for injuries in football. American Journal of Sports Medicine, 32(1_suppl), 5S-16S.