ClinicalTrials.gg
CompletedNCT07713004Updated Jul 20, 2026

FIFA 11+ Warm-Up and Injury Risk Classification in Youth Amateur Soccer Players

An interventional study of FIFA 11+ Neuromuscular Warm-Up Program and Routine Warm-Up in Athletic Injuries, Soccer Injury and Lower Extremity Injury, sponsored by Pamukkale University. Completed at 1 site in Turkey (Türkiye). Open to male participants aged 15 Years to 18 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-20.

Sponsored by Pamukkale University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 10 months after the study started (first participant enrolled Aug 2024, registered Jul 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
15 Years to 18 Years
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 52 studies in Athletic Injuries with a site in Turkey — 10 open to participants now, 12 under way, none of them phase 3. Athletic Injuries · Turkey.

Enrollment
15th of 31
44 · median 44
Started
2024
with 16 others
No phase
31 of 52
6 open now
Registered
46th of 52
by date
Lead sponsor
2 of 52
Pamukkale University

Among the 52 studies in Athletic Injuries with a site in Turkey, this one is the 15th largest by enrollment of the 31 interventional ones that give a count, is one of 17 that started in 2024, is one of 31 with no phase, and was the 46th registered.

Athletic Injuries

258 studies on the registry are indexed under Athletic Injuries; 45 are open to participants now.

Browse Athletic Injuries studies →

Open to participants now

10 of the 52 studies in Athletic Injuries with a site in Turkey are open now. Recruiting first, the newest first:

5 more — sign in →

All 10 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 21 Athletic Injuries studies recruiting now, 2 (10%) set no upper age limit and 18 (86%) stop at 75 or younger; 11 take children under 18; 8 take healthy volunteers.

This study: 15 Years to 18 Years · male · healthy volunteers too.

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02

Study summary

This randomized controlled trial evaluated whether an eight-week, supervised FIFA 11+ neuromuscular warm-up program improves multifactorial injury risk classification, functional performance, and time-loss injury incidence in youth amateur male soccer players aged 15 to 18 years.

Forty-four players from a regional amateur league were randomly allocated to either the FIFA 11+ group or a control group that continued its routine pre-training warm-up. Injury risk was classified using the Move2Perform algorithm, which integrates demographic data, injury history, the Functional Movement Screen (FMS), and the Lower Quarter Y-Balance Test (YBT-LQ). Jump performance and isometric lower extremity strength were also assessed at baseline and after eight weeks. Time-loss injuries were recorded prospectively throughout the intervention period.

This study was registered retrospectively.

Read the detailed description

Background. Lower extremity injuries are a major burden in youth soccer. Isolated screening tools such as the Functional Movement Screen (FMS) and the Lower Quarter Y-Balance Test (YBT-LQ) have shown limited standalone predictive accuracy, whereas multifactorial classification frameworks may better identify at-risk athletes. The FIFA 11+ program is an established neuromuscular warm-up shown to reduce injury incidence, but its combined application with multifactorial risk classification has been studied mainly in collegiate and elite cohorts, leaving youth amateur players underrepresented.

Design. Parallel-group, single-blinded randomized controlled trial. Outcome assessments were performed at baseline and after eight weeks. All testing took place on the natural grass field where the athletes regularly trained, under standard training conditions. The study was conducted in accordance with the principles of the Declaration of Helsinki.

Randomization and blinding. After baseline assessment, participants were allocated 1:1 using computer-generated block randomization with a block size of four. The allocation sequence was prepared by an independent researcher not involved in data collection or analysis, and assignments were concealed from the recruiting investigator until after baseline testing. Investigators administering the FMS, YBT-LQ, jump tests, and strength assessments at both time points were blinded to group allocation. Participants and the supervising physiotherapist could not be blinded due to the nature of the intervention. Data were de-identified prior to statistical analysis.

Intervention. The experimental group performed the complete FIFA 11+ program three times per week for eight weeks before regular training, each session lasting approximately 20 minutes, supervised throughout by a certified physiotherapist who monitored technical execution, progressed exercise difficulty when criteria were met, and provided real-time correction to ensure intervention fidelity. The control group continued its routine pre-training warm-up over the same period.

Sample size. An a priori power analysis (G*Power 3.1; F-test, repeated measures within-between interaction) indicated a minimum total sample of 34 participants to detect a moderate effect (f = 0.25) for the Group x Time interaction with alpha = 0.05 and power = 0.80. Forty-four participants were enrolled.

Statistical analysis. A mixed-design (2x2) ANOVA assessed Group x Time interactions. Within-group changes were examined with paired t-tests following confirmation of normality using the Shapiro-Wilk test. Effect sizes were reported as Cohen's d and partial eta-squared. Bonferroni correction was applied to post hoc comparisons. Between-group injury incidence was compared using Fisher's exact test, with relative risk and 95% confidence intervals reported. Significance was set at p \< 0.05.

Registration note. This trial was registered retrospectively.

03

Conditions studied

  • Athletic Injuries
  • Soccer Injury
  • Lower Extremity Injury
  • Sprains and Strains

Keywords

  • FIFA 11+
  • Neuromuscular warm-up
  • Injury prevention
  • Move2Perform
  • Functional Movement Screen
  • Y-Balance Test
  • Youth soccer
  • Randomized controlled trial
04

Who can participate

Ages eligible
15 Years to 18 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male, aged 15 to 18 years
  • Minimum of one year of competitive experience in an amateur soccer league
  • Actively competing in the Mugla Regional Amateur League at the time of enrolment
  • No diagnosed systemic disease
  • Written from a parent or legal guardian and written assent from the participant

Exclusion criteria

Exclusion Criteria:

  • Pain reported at the time of baseline assessment
  • Injury sustained within the six months preceding the study
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
44 participants (actual)

Study arms

  • Experimental
    FIFA 11+ Group

    Participants performed the complete FIFA 11+ neuromuscular warm-up program three times per week for eight weeks prior to regular training, each session lasting approximately 20 minutes, under the supervision of a certified physiotherapist.

    Other: FIFA 11+ Neuromuscular Warm-Up Program

  • Active comparator
    Control Group

    Participants continued their routine pre-training warm-up over the same eight-week period, with no additional structured neuromuscular component.

    Other: Routine Warm-Up

Interventions

  • OtherFIFA 11+ Neuromuscular Warm-Up Program

    The FIFA 11+ program comprises three sequential parts performed as a complete warm-up: (1) an initial running-based warm-up; (2) a central section of strength, plyometric, and balance exercises targeting neuromuscular control and core stability, progressed across three levels of difficulty; and (3) a final part of higher-speed running drills incorporating planting and cutting movements. Performed three times weekly for eight weeks, approximately 20 minutes per session, before regular training. All sessions were supervised by a certified physiotherapist who monitored technical execution, progressed exercise difficulty when criteria were met, and provided real-time correction to ensure intervention fidelity.

  • OtherRoutine Warm-Up

    The team's usual pre-training warm-up routine, continued unchanged for eight weeks with no additional structured neuromuscular component.

06

What researchers measure

Primary outcomes

  1. Change in Move2Perform Injury Risk Category

    Injury risk is assessed using the Move2Perform injury risk classification system (Move2Perform LLC, Evansville, IN, USA). Each participant is assigned to one of four ordinal risk categories: Slight Risk, Moderate Risk, Substantial Risk, or High Risk. The outcome is the change in the assigned risk category from baseline to week 8. A shift toward a lower-risk category indicates improvement. The unit of measure is the ordinal risk category.

    Time frame: Baseline and immediately after completion of the 8-week intervention

  2. Number of Time-Loss Injuries

    The total number of time-loss injury events sustained during training or match play is recorded prospectively. A time-loss injury is defined as any physical complaint that prevents the participant from taking full part in a subsequent training session or match for at least 24 hours. The unit of measure is the number of injuries. Fewer injuries indicate a better outcome.

    Time frame: From the first intervention session through completion of week 8

Secondary outcomes

  1. Change in Lower Quarter Y-Balance Test Composite Score

    Dynamic balance is assessed using the Lower Quarter Y-Balance Test. The composite score is calculated from the maximal anterior, posteromedial, and posterolateral reach distances normalized to limb length and expressed as a percentage. Change is calculated as the week 8 score minus the baseline score. The unit of measure is percentage of limb length (%). Higher positive change values indicate greater improvement in dynamic balance.

    Time frame: Baseline and immediately after completion of the 8-week intervention

  2. Change in Functional Movement Screen Total Score

    Functional movement quality is assessed using the seven-item Functional Movement Screen. Each item is scored from 0 to 3, producing a total score ranging from 0 to 21 points. Change is calculated as the week 8 total score minus the baseline total score. The unit of measure is points. Higher positive change values indicate greater improvement in functional movement quality.

    Time frame: Baseline and immediately after completion of the 8-week intervention

  3. Change in Three-Consecutive Double-Leg Horizontal Jump Distance

    Horizontal jump performance is assessed using three consecutive double-leg horizontal jumps. The total distance covered across the three jumps is recorded in centimeters. Change is calculated as the week 8 distance minus the baseline distance. The unit of measure is centimeters (cm). Higher positive change values indicate greater improvement in jump performance.

    Time frame: Baseline and immediately after completion of the 8-week intervention

  4. Change in Three-Consecutive Right Single-Leg Horizontal Jump Distance

    Right single-leg horizontal jump performance is assessed using three consecutive horizontal jumps performed on the right leg. The total distance covered across the three jumps is recorded in centimeters. Change is calculated as the week 8 distance minus the baseline distance. The unit of measure is centimeters (cm). Higher positive change values indicate greater improvement in right single-leg jump performance.

    Time frame: Baseline and immediately after completion of the 8-week intervention

  5. Change in Three-Consecutive Left Single-Leg Horizontal Jump Distance

    Left single-leg horizontal jump performance is assessed using three consecutive horizontal jumps performed on the left leg. The total distance covered across the three jumps is recorded in centimeters. Change is calculated as the week 8 distance minus the baseline distance. The unit of measure is centimeters (cm). Higher positive change values indicate greater improvement in left single-leg jump performance.

    Time frame: Baseline and immediately after completion of the 8-week intervention

  6. Change in Isometric Quadriceps Strength

    Maximal isometric quadriceps strength is assessed using a Powertrak handheld dynamometer (JTech Medical, Utah, USA). The highest recorded value across the maximal voluntary contraction trials is used for analysis. Change is calculated as the week 8 value minus the baseline value. The unit of measure is newtons (N). Higher positive change values indicate greater improvement in quadriceps strength.

    Time frame: Baseline and immediately after completion of the 8-week intervention

  7. Change in Isometric Hamstring Strength

    Maximal isometric hamstring strength is assessed using a Powertrak handheld dynamometer (JTech Medical, Utah, USA). The highest recorded value across the maximal voluntary contraction trials is used for analysis. Change is calculated as the week 8 value minus the baseline value. The unit of measure is newtons (N). Higher positive change values indicate greater improvement in hamstring strength.

    Time frame: Baseline and immediately after completion of the 8-week intervention

07

Study locations

1 site
  • Pamukkale University, Sports Sciences and Technology Research and Application Center
    Denizli, Pamukkale 20000, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2024 to primary completion in Oct 2024, 2 months.

Of 119 non-industry interventional studies with no phase under Athletic Injuries, half reached primary completion within 5 months of starting (the median), counting those still running; a quarter within 2 and three quarters within 14. This study's 2 months is below that.

Counting every sponsor, half of 121 studies reached it within 5 months; a quarter within 2 and three quarters within 14.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 13, 2026
First posted
Jul 20, 2026
StartActual
Aug 20, 2024
Primary completionActual
Oct 22, 2024
CompletionActual
Oct 22, 2024
Last update
Jul 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07713004
Responsible party
Engin Güneş Atabaş (Researcher, Pamukkale University) — Principal investigator
First posted
Jul 20, 2026
Start date
Aug 20, 2024
Primary completion
Oct 22, 2024
Completion
Oct 22, 2024
Last update
Jul 20, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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