Workload and non-contact injury incidence in elite football players competing in European leagues

Purpose: The aim of this study was to analyse the relationship between absolute and acute:chronic workload ratios and non-contact injury incidence in professional football players and to assess their predictive ability. Methods: Elite football players (n?=?130) from five teams competing in European domestic and confederation level competitions were followed during one full competitive season. Non-contact injuries were recorded and using session rate of perceived exertion (s-RPE) internal absolute workload and acute:chronic (A:C) workload ratios (4-weeks, 3-weeks, 2-weeks and week-to-week) were calculated using a rolling days method. Results: The relative risk (RR) of non-contact injury was increased (RR?=?1.59, CI95%: 1.18–2.15) when a cumulative 4-week absolute workload was greater than 10629 arbitrary units (AU) in comparison with a workload between 3745 and 10628?AU. When the 3-week absolute workload was more than 8319?AU versus between 2822 and 8318?AU injury risk was also increased (RR=?1.46, CI95% 1.08–1.98). Injury incidence was higher when the 4-week A:C ratio was <0.85 versus >0.85 (RR?=?1.31, CI95%: 1.02–1.70) and with a 3-week A:C ratio >1.30 versus <1.30 (RR?=?1.37, CI95%: 1.05–1.77). Importantly, none of the A:C workload combinations showed high sensitivity or specificity. Conclusions: In elite European footballers, using internal workload (sRPE) revealed that cumulative workloads over 3 and 4 weeks were associated with injury incidence. Additionally, A:C workloads, using combinations of 2, 3 and 4 weeks as the C workloads were also associated with increased injury risk. No A:C workload combination was appropriate to predict injury.     

Psychological characteristics of developing excellence in elite youth football players in English professional academies

ABSTRACT

This mixed-longitudinal prospective study examined the development of psychological characteristics of developing excellence in relation to the career progression of elite youth football players. In a 20-month period, 111 academy football players aged 11–16 completed the Psychological Characteristics of Developing Excellence Questionnaire (PCDEQ) on 1–5 occasions. This combination of single and repeated assessments resulted in a mixed-longitudinal sample of 226 completed PCDEQs. Players were then prospectively tracked, and their scholarship status assessed at follow-up, at age U17. Multilevel modelling revealed that coping with performance and developmental pressures scores increased with age, and that Category 1–2 academy scholars (4.35 ± 0.61) scored higher than Category 3–4 academy scholars (3.99 ± 0.67) and non-scholars (4.02 ± 0.78) (p < .05). Evaluating performances and working on weaknesses scores increased with age for Category 1–2 academy scholars (U12-U14 vs. U15-U16 = 5.16 ± 0.48 vs. 5.38 ± 0.45), compared to non-scholars (U12-U14 vs. U15-U16 = 5.11 ± 0.59 vs. 5.03 ± 0.71) (p < .05). Imagery use during practice and competition scores decreased with age (U12-U14 vs. U15-U16 = 4.45 ± 0.66 vs. 4.29 ± 0.70) (p < .05). A blend of PCDEs may facilitate optimal career progression. Football academies should develop players’ PCDEs, with a particular focus on developing their coping skills and their ability to realistically evaluate performances and work on weaknesses.     

The relative age effect in a professional football club setting

Abstract

The relative age effect is an uneven distribution of birth date favouring subjects born in the initial months of a selection year. This study compared the birth-date distributions between several subgroups of Basque football players to identify whether the relative age effect is influenced by age and/or skill level. The study comprised 13,519 players including 114 senior professionals from the Spanish league's AC Bilbao over 21 seasons; over the season 2005–2006, it comprised elite youth (n = 189) from the same club's academy; regional youth (n = 4382) U11–U14 locally federated players; school youth (n = 8834) U10–U11 locally registered school district players. Differences between the observed and expected birth-date distributions were tested based on data from the general Basque male population. Significant chi-square values were followed up by calculating odds ratios and 95% confidence intervals (CI) for the quartile and half-year distributions to examine subgroup differences in the relative age effect. Birth-date distributions of all groups of players showed a significant bias towards early birth in the selection year compared with the reference population (senior, χ² ₃ = 24.4, P < 0.001; elite youth, χ² ₃ = 59.1, P < 0.001; regional youth, χ² ₃ = 41.4, P < 0.001; school youth, χ² ₃ = 40.9, P < 0.001). Between-group comparison revealed that the relative age effect incidence progressively increased with a higher level of involvement in youth football. This bias represents a significant loss of potential youth football talent.     

The appropriateness of training exposures for match-play preparation in adolescent schoolboy and academy rugby union players

The aim of this study was to compare the physical and movement demands between training and match-play in schoolboy and academy adolescent rugby union (RU) players. Sixty-one adolescent male RU players (mean ± SD; age 17.0 ± 0.7 years) were recruited from four teams representing school and regional academy standards. Players were categorised into four groups based on playing standard and position: schoolboy forwards (n = 15), schoolboy backs (n = 15), academy forwards (n = 16) and academy backs (n = 15). Global positioning system and accelerometry measures were obtained from training and match-play to assess within-group differences between conditions. Maximum data were analysed from 79 match files across 8 matches (1.3 ± 0.5 matches per participant) and 152 training files across 15 training sessions (2.5 ± 0.5 training sessions per participant). Schoolboy forwards were underprepared for low-intensity activities experienced during match-play, with schoolboy backs underprepared for all movement demands. Academy forwards were exposed to similar physical demands in training to matches, with academy backs similar to or exceeding values for all measured variables. Schoolboy players were underprepared for many key, position-specific aspects of match-play, which could place them at greater risk of injury and hinder performance, unlike academy players who were better prepared.     

A three-season comparison of match performances among selected and unselected elite youth rugby league players

Abstract

This study compared technical actions, movements, heart rates and perceptual responses of selected and unselected youth rugby league players during matches (under-15 to under-17 age groups). The players’ movements and heart rates were assessed using 5 Hz Global Positioning Systems (GPSs), while their technical actions were analysed using video analysis. The maturity of each player was predicted before each season for statistical control. There were no differences (P > 0.05) between selected and unselected players in the under-15 or the under-17 age group for any variables. However, in the under-16 age group, the selected players (57.1 ± 11.9 min) played for longer than the unselected players (44.1 ± 12.3 min; P = 0.017; ES = 1.08 ± CI = 0.87), and covered more distance (5181.0 ± 1063.5 m cf. 3942.6 ± 1108.6 m, respectively; P = 0.012; ES = 1.14 ± CI = 0.88) and high-intensity distance (1808.8 ± 369.3 m cf. 1380.5 ± 367.7 m, respectively; P = 0.011; ES = 1.16 ± CI = 0.88). Although successful carries per minute was higher in the selected under-15 age group, there were no other differences (P > 0.05) in match performance relative to playing minutes between groups. Controlling for maturity, the less mature, unselected players from the under-16 age group performed more high-intensity running (P < 0.05). Our findings question the use of match-related measurements in differentiating between selected and unselected players, showing that later maturing players were unselected, even when performing greater high-intensity running during matches.     

Effects of pitch spatial references on players’ positioning and physical performances during football small-sided games

The aim of this study was to identify the effects of adding spatial references during football small-sided games in youth players’ tactical and physical performance. Twelve under-15 players performed a Gk+ 6v6+ Gk game under two playing conditions: (i) without spatial references (CONTROL condition); (ii) with spatial references, by dividing equally the pitch into three corridors and three sectors (experimental situation, LINES). Players’ positional data was used to compute time-motion and tactical-related variables. The results revealed that performance under LINES situation increased the regularity in the zones occupied (~14%, Cohen’s d: 0.5; ±0.3; p = 0.003) and in the distance between teammates’ dyads (~19%, 0.9; ±0.2; p < 0.001). Oppositely, LINES condition decreased the longitudinal synchronization of players’ displacements (0.4; ±0.2; p = 0.002), players’ average speed (0.5; ±0.3; p = 0.002) and distance covered at lower (0.9; ±0.3; p < 0.001) and moderate speed (0.5; ±0.3; p < 0.001). Adding spatial references seems to promote a more structured pattern of play and increase positional regularity. However, coaches should be aware that this constraint may decrease the synchronization between players. Overall, these findings may be generalized to most invasion team sports.     

Comparison of 10 vs. 20 min neuromuscular training for the prevention of lower extremity injuries in male youth football: A cluster randomised controlled trial

ABSTRACT

The aim of this study was to compare the effects of 20 min neuromuscular training with a programme of 10 min in youth football players. 342 (15.4 ± 1.7 years) male football players from 18 teams were included, and cluster-randomized by team into two intervention groups. Both groups performed an injury prevention programme twice a week over five months using the same exercises but a different duration. The first intervention group (INT10, n = 175) performed the programme for 10 min, the second intervention group (INT20, n = 167) for 20 min. Primary outcomes were lower extremity (LE) injuries. Secondary outcomes were injury type, severity, mechanism and compliance to the intervention. 13 teams with 185 players were included for final analysis. No significant group difference was found between INT10 (6.37 per 1000 h) and INT20 (7.20 per 1000 h) for the incidence rate ratio of the lower extremities (IRR = 1.03, 95% confidence interval 0.59, 1.79), nor for the distribution of injury location, type, severity or mechanism. The results show that performing preventive exercises for 10 min is no less effective than 20 min in youth football players. Shorter training sessions can, therefore, be effectively used for injury prevention.     

Psychosocial outcomes associated with soccer academy involvement: Longitudinal comparisons against aged matched school pupils

ABSTRACT

Despite literature highlighting numerous risks to the healthy psychosocial development of youth elite academy soccer players, little of this research is based on high-quality research designs. This study employed a prospective longitudinal cohort design to track psychosocial outcomes of academy involvement within male youth elite soccer players (n = 33, U12-U16 age groups) compared to age-matched soccer-active school pupils (n = 44) over 12 months. Participants completed questionnaires assessing the most commonly raised psychosocial concerns at four equally spaced data collection periods (T1–T4). Repeated measures multivariate analysis of variance (MANOVAs) indicated that, over the year, both groups reported a healthy and improving stress and recovery balance, as well as positive and stable needs satisfaction and physical, psychological and social well-being. Academy players reported stable positive school-related quality of life, whereas school pupils reported increases from T3 to T4. Academy players reported consistent significantly higher total athletic identity and exclusivity of identity. Findings suggest that many concerns around negative psychosocial impacts of soccer academy involvement did not materialise in this context. However, heightened athletic identities remained a concern.     

Hill on a mountaintop: A longitudinal and cross-sectional analysis of the relative age effect in competitive youth football

ABSTRACT

The aim of this study was to examine the origin and persistence of the relative age effect (RAE) in competitive youth football. To examine its origin, birthdates of 121 category one Premier League academy players recruited over 6 years were compared with 691 Under 8 (U8) players in one of the regional grassroots leagues from which academy players are selected. To examine the persistence of the RAE we conducted a longitudinal comparison of retention rates in early-birth and late-birth academy players from U9 to U15, and made a cross-sectional comparison of birthdate distributions from U7 to U18 in 10,857 regional league players. The results revealed birthdate asymmetry in both the academy and grassroots players but a much larger RAE in the academy. Longitudinal analysis revealed that the cumulative probability of retention at the academy was higher for early-birth than late-birth players. A small to medium RAE persisted across grassroots football age groups though it declined somewhat from U15 to U18. The implication of these results for academy player recruitment is discussed.     

Acute and chronic effects of foam rolling vs eccentric exercise on ROM and force output of the plantar flexors

Foam rolling and eccentric exercise interventions have been demonstrated to improve range of motion (ROM). However, these two modalities have not been directly compared. Twenty-three academy soccer players (age: 18 ± 1; height: 1.74 ± 0.08 m; body mass: 69.3 ± 7.5 kg) were randomly allocated to either a foam rolling (FR) or eccentric exercise intervention designed to improve dorsiflexion ROM. Participants performed the intervention daily for a duration of four weeks. Measurements of dorsiflexion ROM, isometric plantar flexion torque and drop jump reactive strength index were taken at baseline (pre-intervention) and at three subsequent time-points (30-min post, 24-hours post and 4-weeks post). A significant time x group interaction effect was observed for dorsiflexion (P = 0.036), but not for torque or reactive strength index. For dorsiflexion, there was a significant increase in both acute (30-min; P < 0.001) and chronic (4-week; P < 0.001) ROM for the eccentric group, whilst FR exhibited only an acute improvement (P < 0.001). Eccentric training would appear a more efficacious modality than foam rolling for improving dorsiflexion ROM in elite academy soccer players.     

Prognostic relevance of motor talent predictors in early adolescence: A group- and individual-based evaluation considering different levels of achievement in youth football

ABSTRACT

In the debate about the usefulness of motor diagnostics in the talent identification process, the prognostic validity for tests conducted in early adolescence is of critical interest. Using a group- and individual-based statistical approach, this prospective cohort study evaluated a nationwide assessment of speed abilities and technical skills regarding its relevance for future achievement levels. The sample consisted of 22,843 U12-players belonging to the top 4% in German football. The U12-results in five tests served as predictors for players’ selection levels in U16-U19 (youth national team, regional association, youth academy, not selected). Group-mean differences proved the prognostic relevance for all predictors. Low individual selection probabilities demonstrated limited predictive values, while excellent test results proved their particular prognostic relevance. Players scoring percentile ranks (PRs) ≥ 99 had a 12 times higher chance to become youth national team players than players scoring PR < 99. Simulating increasing score cut-off values not only enhanced specificity (correctly identified non-talents) but also led to lower sensitivity (loss of talents). Extending the current research, these different approaches revealed the ambiguity of the diagnostics’ prognostic relevance, representing both the usefulness and several pitfalls of nationwide diagnostics. Therefore, the present diagnostics can support but not substitute for coaches’ subjective decisions for talent identification, and multidisciplinary designs are required.     

The effects of football match congestion in an international tournament on hip adductor squeeze strength and pain in elite youth players

The purpose of this study was to investigate the effect of a congested international tournament match schedule on adductor strength and pain in elite youth football players. Twenty-two male players (age: 15.53 ± 0.48 years, height: 174.87 ± 7.59 cm, weight: 67.45 ± 7.40 kg) were included. The 5-second adductor squeeze strength was captured daily using a hand-held dynamometer during a 7-game international tournament. Pain during the squeeze test was recorded using numerical pain ratings (0–10) to quantify groin pain. Sessional rate of perceived exertion (sRPE) was collected during the tournament. Adductor strength changed significantly during the tournament in relation to time (F(14,294.94) = 1.89, p = 0.027) and cumulative sRPE (F(1,314) = 5.59, p = 0.019). Cumulative sRPE displayed a negative relationship with strength (B = ?0.008, SE = 0.0032, 95%CI = ?0.014,-0.002). The results indicate that for every 100 match sRPE arbitrary units the squeeze peak force reduced by 0.8N. Sixteen (72.7%) players demonstrated clinically meaningful strength reductions (>15%) during the tournament. Match congestion impacts on hip adductor squeeze strength in male youth football players. A negative relationship between match sRPE and adductor strength exists. Player monitoring involving the 5-second adductor squeeze test can be captured effectively and is suitable to include as part of secondary injury prevention during or immediately after a congested tournament.     

The role of anthropometric,performance and psychological attributes in predicting selection into an elite development programme in older adolescent rugby league players

This study aimed to identify attributes that discriminate selected from non-selected players and predict selection into a rugby league development programme in older adolescent players. Anthropometric, performance and psychological attributes were measured in under-16 (N = 100) and under-18 (N = 60) rugby league players trialling for selection into a development programme with a professional Australian club. Sprint times (P < 0.001), predicted VO_2max (P = 0.002) and push-ups_1 min (P = 0.004) were superior in selected under-16 players, and sprint times (P ≤ 0.045), push-ups_1 min (P < 0.001) and chin-ups_1 min (P = 0.013) were superior in selected under-18 players. Further, 10-m sprint (β = ?7.706, standard error [SE] = 2.412), VO_2max (β = 0.168, SE = 0.052) and body mass (β = 0.071, SE = 0.023) significantly predicted selection (R² = 0.339) in under-16 players, while push-ups_1 min (β = 0.564, SE = 0.250), 10-m sprint (β = ?68.477, SE = 28.107), body mass (β = 0.360, SE = 0.155) and chronological age (β = ?3.577, SE = 1.720) significantly predicted selection (R² = 0.894) in under-18 players. These findings emphasise the importance of performance attributes in junior rugby league and indicate talent identification test batteries should be age-specific in older adolescent players.     

Observations of youth football training: How do coaches structure training sessions for player development?

We used systematic observation tools to explore the structure (i.e., activity and inactivity) and sequencing (i.e., the types of activities used) of football coaching sessions in Australia following the implementation of a new National Curriculum. Youth soccer coaches (n = 34), coaching within the Skill Acquisition (U11–U13 n = 19) and Game Training (U14–U17 n = 15) phases of the Football Federation Australia National Curriculum participated. Participants were filmed during a regular coaching session, with systematic observation of the session undertaken to provide a detailed analysis of the practice activities and coach behaviours. Findings indicated a session comprised of Playing Form activities (40.9%), Training Form activities (22.3%), inactivity (31%), and transitions between activities (5.8%). Coaches prescribed more Training Form activities (e.g., individual (5.4%) and drills (15.1%)) early in the session and progressed to Playing Form activities (i.e., small-sided games (15.3%) then larger games (24.8%)) later in the session. Most inactivity reflected the players listening to the coach – either in a team huddle (9.9%) or frozen on the spot during an activity (16.5%). In addition, coaches generally spent over 3 min communicating to players prior to explaining and introducing an activity regardless of when in the session the activity was scheduled.     

Body composition assessment of English Premier League soccer players: a comparative DXA analysis of first team,U21 and U18 squads

Professional soccer players from the first team (1st team, n = 27), under twenty-one (U21, n = 21) and under eighteen (U18, n = 35) squads of an English Premier League soccer team were assessed for whole body and regional estimates of body composition using dual-energy X-ray absorptiometry (DXA). Per cent body fat was lower in 1st team (10.0 ± 1.6) compared with both U21 (11.6 ± 2.5, P = 0.02) and U18 (11.4 ± 2.6, P = 0.01) players. However, this difference was not due to variations (P = 0.23) in fat mass between squads (7.8 ± 1.6 v 8.8 ± 2.1 v 8.2 ± 2.4 kg, respectively) but rather the presence of more lean mass in 1st team (66.9 ± 7.1 kg, P < 0.01) and U21 (64.6 ± 6.5 kg, P = 0.02) compared with U18 (60.6 ± 6.3 kg) players. Accordingly, fat mass index was not different (P = 0.138) between squads, whereas lean mass index was greater (P < 0.01) in 1st team players (20.0 ± 1.1 kg · m^?2) compared with U18 players (18.8 ± 1.4 kg · m^?2). Differences in lean mass were also reflective of higher lean tissue mass in all regions, for example, upper limbs/lower limbs and trunk. Data suggest that training and nutritional interventions for younger players should therefore be targeted to lean mass growth as opposed to body fat loss.     

Effects of the Nordic Hamstring exercise on sprint capacity in male football players: a randomized controlled trial

This assessor-blinded, randomized controlled superiority trial investigated the efficacy of the 10-week Nordic Hamstring exercise (NHE) protocol on sprint performance in football players.

Thirty-five amateur male players (age: 17–26 years) were randomized to a do-as-usual control group (CG; n = 17) or to 10-weeks of supervised strength training using the NHE in-season (IG; n = 18). A repeated-sprint test, consisting of 4 × 6 10 m sprints, with 15 s recovery period between sprints and 180 s between sets, was conducted to evaluate total sprint time as the primary outcome. Secondary outcomes were best 10 m sprint time (10mST) and sprint time during the last sprint (L10mST). Additionally, peak eccentric hamstring strength (ECC-P_HS) and eccentric hamstring strength capacity (ECC-CAP_HS) were measured during the NHE.

Ten players were lost to follow-up, thus 25 players were analyzed (CG n = 14; IG n = 11). Between-group differences in mean changes were observed in favor of the IG for sprint performance outcomes; TST (?0.649 s, p = 0.056, d = 0.38), 10mST (?0.047 s, p = 0.005, d = 0.64) and L10mST (?0.052 s, p = 0.094, d = 0.59), and for strength outcomes; ECC-P_HS (62.3 N, p = 0.006, d = 0.92), and ECC-CAP_HS (951 N, p = 0.005, d = 0.95).

In conclusion, the NHE showed small-to-medium improvements in sprint performance and large increases in peak eccentric hamstring strength and capacity.

Trial Registration Number: NCT02674919     

Injury prediction in veteran football players using the Functional Movement Screen™

ABSTRACT

The Functional Movement Screen? (FMS?) is aimed at assessing fundamental movements and is often used to identify players’ injury risk. The purpose of this study was to determine whether the FMS? can be used to predict injuries in veteran footballers (aged > 32 years). Eighteen veteran football teams (n = 238) were recruited and prospectively followed for 9 months. The players (44 ± 7 years; 178 ± 7 cm, 84 ± 11 kg) performed the FMS? at the start of the study period. Players’ exposure hours and injuries were recorded. The difference of FMS? overall score between injured and uninjured players was not significant (11.7 ± 2.9 vs 12.2 ± 2.8 points; Mann-Whitney U-test P = 0.17). Players scoring <10 (score < 1 standard deviation [SD]) below the mean) had a significantly higher injury incidence (z-statistics P < 0.05) compared to an intermediate reference group (mean ± 1 SD; scores of 10–14). No lower injury incidence for players with scores of >14 (score > 1 SD above the mean) was found. Further analyses of potential risk factors suggest higher age, lower body mass and a longer football career to be risk factors for injuries. The findings of this study suggest that the suitability of the FMS? for injury prediction in veteran footballers is limited.     

Comparison of athletic movement between elite junior and senior Australian football players

This study compared the athletic movement skill between elite Under-18 (U18) Australian football (AF) and senior Australian Football League (AFL) players. The U18 sample (n = 13; 17.7 ± 0.6 years) were representatives of an elite talent development programme. The AFL players were classified accordingly; Group 1 (1–4 AFL seasons; n = 20; 21.2 ± 1.9 years) and Group 2 (>5 AFL seasons; n = 14; 26.3 ± 2.6 years). Participants performed an athletic movement skill assessment, inclusive of five foundational movements. Each movement was scored across three assessment points using a three-point scale. Total score for each movement (maximum of nine) and overall score (maximum of 63) were used as criteria. Multivariate analysis of variance (MANOVA) was used to test the effect of developmental group (three levels) on the criteria. Receiver operating curves were built to examine the discriminant capability of the overall score. A significant effect of developmental group was noted, with the U18 sample having a lower mean total score for four of the five movements. Overall scores of 49/63 and 50/63 discriminated the elite U18 sample from Group 1 and Group 2, respectively. U18 players may have less developed athletic movement skills when compared to their senior AFL counterparts.     

Physical profiles of elite,sub-elite,regional and age-group netballers

Physical profile data from elite, sub-elite, regional, under 21s (U21), under 19s (U19) and under 17s (U17) (n = 845) players from a state netball association in Australia were analysed. Within season changes were examined for the elite and sub-elite players. Longitudinal changes were examined for the elite across four consecutive netball seasons.

Elite were significantly older (24.3 ± 3.4years), taller (182.4 ± 7.2cm) and heavier (73.42 ± 6.95kg) than other playing levels (p < 0.001, ES 0.49–3.26) and had higher vertical jump (VJ) data compared to all groups (p < 0.001, ES 0.47–0.93). U17’s were significantly faster than elite, sub-elite and U19 players over 5m (p < 0.05, ES 0.36–0.58) while elite were faster over 20m compared to all groups (p < 0.01, ES 0.45–0.72). Elite achieved a greater distance (1350.8m; p < 0.05, ES 0.32–0.50) in the Yo-YoIRT1 compared to the sub-elite, regional, U19 and U17. VJ height significantly increased from the 2014 (51.6 ± 4.8cm) to the 2017 season (59.6 ± 6.3cm) for the elite players (p < 0.01, ES 1.18). Yo-YoIRT1 test scores increased significantly between the pre-season and in-season phases (p < 0.05, ES 0.17).     

Long-term effects of the 11+ warm-up injury prevention programme on physical performance in adolescent male football players: a cluster-randomised controlled trial

This study examined the long-term effects of the 11+ on physical performance in adolescent male football (soccer) players. Eighty-two 14- to 16-year-old male football players (11+ = 42 players, control = 40 players) participated. Teams were randomised to control (CON) and intervention (INT) groups. INT applied the 11+ injury prevention programme for 30 weeks at least twice a week as a warm-up. CON performed their standard warm-up. Motor performance tests were conducted 1 week prior and 1 week after the competition season. We used magnitude-based inferences and linear mixed-effects models to analyse performance test results. INT showed superior results compared to CON in the vertical jump height 7.5% (95%-CI 4.4%, 10.7%), the Bosco 15-s-jump test 7.2% (95%-CI 2.2%, 12.4%), and the Illinois agility test ?2.6% (95%-CI ?4.1%, ?1.1%). Possibly beneficial effects in favour of INT were found in the 9.1 m sprint test ?3.1% (95%-CI ?6.1%, 0.1%). Possibly harmful effects (i.e. in favour of CON) were observed in the dribbling test 2.8% (95%-CI ?0.8%, 6.4%). The 11+ warm-up programme can improve different performance measures in football players. Coaches might implement additional dribbling drills next to the 11+ to achieve improvements observed in dribbling ability when using a regular warm-up programme.