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Interdependent Effect of Intrinsic Risk Factors on Non-Contact Lower Limb Injuries in Male Football Players: A

Nikolaos I Liveris1, Charis Tsarbou1, George Papageorgiou2

  • 1Department of Physiotherapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Rio, Greece.

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Summary

Football players

Keywords:
functional assessmentinjury risk factors interrelationshipslower limb injuriesprevention strategiessports injury

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Area of Science:

  • Sports Medicine
  • Biomechanics
  • Injury Prevention

Background:

  • Lower limb injuries are common in football.
  • Understanding risk factors is crucial for prevention.

Purpose of the Study:

  • Investigate direct, indirect, and mediating effects of neuromuscular and psychological factors on non-contact lower limb injuries in football players.
  • Examine the interplay of these factors.

Main Methods:

  • Assessed 97 male football players preseason.
  • Collected data on demographics, injury history, burnout, flexibility, strength, endurance, and hop tests.
  • Used Partial Least Squares Structural Equation Modeling (PLS-SEM) to analyze risk factors and injury incidence.

Main Results:

  • Lower limb strength asymmetries and previous injuries were significant direct predictors of new injuries.
  • Age moderated the effect of strength asymmetries on injury risk.
  • Previous injuries influenced neuromuscular characteristics and burnout; endurance indirectly affected injuries via strength asymmetries.

Conclusions:

  • Prioritize improving core and hamstring endurance and reducing strength asymmetries, especially in older players.
  • Implement individualized prevention for athletes with prior injuries.