Trial reportSports medicine (Auckland, N.Z.)2022
The Effect of the FIFA 11 + with Added Neck Exercises on Maximal Isometric Neck Strength and Peak Head Impact Magnitude During Heading: A Pilot Study.
Trial report in Sports medicine (Auckland, N.Z.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
18 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Prevention strategies and modifiable risk factors for concussion: a systematic review and meta-analysis for the Female, woman and girl/or Athlete Injury pRevention (FAIR) consensus.British journal of sports medicine · 2025Pooled it
- Sport-related Concussion Can be Prevented by Injury Prevention Program: A Systematic Review and Meta-analysis of Prospective, Controlled Studies.Sports medicine - open · 2025Pooled it
- What Factors Influence Head Acceleration During a Purposeful Header in Soccer Players? A Systematic Review.Sports medicine (Auckland, N.Z.) · 2025Pooled it
- Efficacy of exercise interventions on prevention of sport-related concussion and related outcomes: a systematic review and meta-analysis.British journal of sports medicine · 2024Pooled it
- A Systematic Review of Head Impacts and Acceleration Associated with Soccer.International journal of environmental research and public health · 2022Pooled it
- Mapping the existence and content of heading coaching documents across FIFA members associations.JSAMS plus · 2026Article
- A Systematic Review of Peer-Reviewed Studies on Preventing Sport-Related Concussion (SRC) in Adult Football (Soccer): Mapping Sparce Evidence of Rule Changes and Head-Neck Training.Healthcare (Basel, Switzerland) · 2026Review
- Neck Strength Is Not a Protective Factor for Lower Repetitive Head Impact Exposure in Law Enforcement Cadets.Military medicine · 2025Observational
- Sex Differences in Head Acceleration Events in Law Enforcement Corrections Cadets.Annals of biomedical engineering · 2025Article
- Potential Effects of Soccer Ball Characteristics on Ball-to-Head Contact: A Systematic Review.Journal of functional morphology and kinesiology · 2024Review
- Reliability of a Musculoskeletal Assessment for the Examination of Cervical Spine Pain and Injuries in Special Forces Combat Soldiers.Sports (Basel, Switzerland) · 2024Article
- Between-Session Reliability of Field-Based Assessments of Isometric Neck Strength.Sensors (Basel, Switzerland) · 2024Article
- Article
- Neck strength alone does not mitigate adverse associations of soccer heading with cognitive performance in adult amateur players.PloS one · 2024Article
- Sub-concussive head impacts from heading footballs do not acutely alter brain excitability as compared to a control group.PloS one · 2024Article
- Sport-related concussion in soccer -a scoping review of available guidelines and a call for action to FIFA & soccer governing bodies.Brain & spine · 2024Article
- Where are We Headed? Evidence to Inform Future Football Heading Guidelines.Sports medicine (Auckland, N.Z.) · 2023Review
- Injury-Reduction Programs Containing Neuromuscular Neck Exercises and the Incidence of Soccer-Related Head and Neck Injuries.Journal of athletic training · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigher neck strength has been postulated to reduce head impact magnitude during purposeful heading in football.
objectivesThis pilot trial explored the effect of a neck exercise programme on (1) neck strength and (2) head impact magnitude during heading in male and female adolescent football players.
methodsBoys and girls (aged 12-17 years) were randomised by team to the intervention (5 weeks of supervised neuromuscular neck exercises integrated into part 2 of the FIFA 11 + , completed three times per week) or the control group (usual part 2 of the FIFA 11 + , no neck exercises). Outcomes included isometric neck strength and head impact magnitude (peak linear acceleration and peak angular velocity) during standardised heading from a throw-in (at baseline and 6 weeks) plus completion of an evaluation survey by intervention players and coaches.
resultsIn total, 52 players (n = 31 intervention; n = 21 control) completed the study. Mixed-model analysis of variance (ANOVA) revealed significant differences in neck strength variables (p < 0.001), peak linear acceleration (p = 0.04) and peak angular velocity (p = 0.04) between the intervention and control groups over time. Intervention players demonstrated increases in mean composite neck strength (53.8% intervention vs 15.6% control) as well as decreases in mean peak linear head acceleration during heading (- 11.8% vs - 5.0%) from baseline to follow-up. Reduction in peak angular velocity was more pronounced in girls (- 27.7%) than boys (- 11.5%) in the intervention group. The addition of neck exercises into part 2 of the FIFA 11 + was feasible and accepted by players and coaches.
conclusionOn average, players who completed neck exercises demonstrated an increase in isometric neck strength and a decrease in head impact magnitude during heading. These exercises were easily incorporated into usual training. Australian New Zealand Clinical Trials Registry (no: ACTRN12619001375145).
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