ArticleBMJ open sport & exercise medicine2023
Changes in head staff members in male elite-level football teams are associated with increased hamstring injury burden for that season: the UEFA Elite Club Injury Study.
Article in BMJ open sport & exercise medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Long-Term Injury Patterns and Trends in Elite Professional Football: A Nine-Season Retrospective Analysis of Prospectively Recorded Data.Life (Basel, Switzerland) · 2026Article
- Proximal Hamstring-Related Sciatic Nerve Entrapment Presenting as Recurrent Hamstring Strain in a Professional Footballer: A Case Report.Journal of orthopaedic case reports · 2026Article
- Applying the principles of risk management in male professional football: a feasibility study, introducing the Aspetar sports injury and illness risk management tool.British journal of sports medicine · 2026Article
- Shoulder dislocations in professional male football (soccer) do not negatively affect long-term quantitative and qualitative performance parameters: A retrospective analysis of 30 in-match injuries of the German Bundesliga.Journal of experimental orthopaedics · 2025Article
- 'Good communication and good team building, it's half of the work in managing a player': how team doctors perceive communication in the European professional men's football context.BMJ open sport & exercise medicine · 2025Article
- Higher level of communication between the medical staff and the performance staff is associated with a lower hamstring injury burden: a substudy on 14 teams from the UEFA Elite Club Injury Study.BMJ open sport & exercise medicine · 2025Article
- The training and development process for a world-class female handball player: a longitudinal and retrospective case study.Frontiers in sports and active living · 2025Article
- [Injury prevention in football : A challenge for team doctors and coaching team].Orthopadie (Heidelberg, Germany) · 2024Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To evaluate whether a change of head coach or other head staff before or during a season is correlated to hamstring injury (HI) burden in male elite-level football (soccer) in Europe. Methods: The survey was conducted using a questionnaire reporting any staff change within the team. Data about the head staff changes and hamstring injury burdens were collected from 14 teams participating in the Elite Club Injury Study (ECIS) during the 2019/2020, 2020/2021 and 2021/2022 seasons. Results: On average, replacing the head coach before or during a season happens in every second season. All changes, except for the change of the head coach during a season, indicate an association with an increase in HI burden (ranging from 10% to 81%). However, only changes in the fitness coach and team doctor roles reached statistical significance. The HI burden seems to be influenced by adding new staff members, such as the head of fitness/performance coach in 36% of the teams and the team doctor in 17%. New head coaches starting the season with their own, for the team new, fitness/performance coach was highly associated with increased HI burden (p<0.001). Conclusions: Bringing their own fitness/performance coaches is common for managers entering a new elite male football club. However, this paper has highlighted that this trend seems to lead to a three times increase in HI burden. Similarly, replacing the team doctor was also associated with increased HI burden. Instability among head staff members in male elite-level football teams seems associated with increased HI burden during the season.
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