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Effect of poor cooperation between coaching and medical staff on muscle re-injury in professional football over 15 seasons

Authors Ghrairi M, Loney T, Pruna R, Malliaropoulos N, Valle X

Received 29 June 2019

Accepted for publication 19 July 2019

Published 5 August 2019 Volume 2019:10 Pages 107—113

DOI https://doi.org/10.2147/OAJSM.S221292

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Cristina Weinberg

Peer reviewer comments 2

Editor who approved publication: Prof. Dr. Andreas Imhoff


Mourad Ghrairi,1–3 Tom Loney,1 Ricard Pruna,2,4 Nikos Malliaropoulos,2,5 Xavier Valle2,4

1College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai 505055, United Arab Emirates; 2European College of Sports and Exercise Physicians, Thessaloniki 54250, Greece; 3FIFA Medical Centre of Excellence Dubai, Dubai, 36868, United Arab Emirates; 4FIFA Medical Centre of Excellence FC Barcelona, Barcelona, Spain; 5The William Harvey Research Institute, Barts and the London, Centre for Sport and Exercise Medicine, Queen’s University London, London, UK

Background: Muscle injury is the most common type of injury in football. Previous research has focused on traditional risk factors (eg, age, injury history, muscle imbalance/inflexibility) contributing to muscle re-injury. The effect of poor cooperation between the coaching and medical teams on the risk of re-injury remains unexplored in the sports medicine football literature.
Purpose: Examine the effect of poor cooperation between coaching and medical teams on muscle re-injury in professional football.
Methods: Retrospective review of the medical files of 97 footballers of a professional team in Dubai over 15 consecutive seasons (2002–2017). Medical team recorded all injuries in each player’s file. Data on the perceived level of cooperation between coaching and medical teams were available in the daily meeting notes from the head of the medical team. The level of perceived cooperation was ranked on a three-point Likert scale by the head of the medical team and depended on whether the coaching team accepted the player injury (excellent cooperation), brought some suggestion after discussion with the medical team (normal cooperation) or rejected it (poor cooperation).
Results: In total, 338 indirect muscle injuries (21 re-injuries) were recorded during 15 consecutive seasons., There was a significant increase in the mean number of total injuries (mean ± SE, 95% CI; 16±2, 12–21; P<0.0001), mean number of indirect muscle injuries (12±1, 95% CI 10–14; P<0.0001), and indirect muscle re-injuries (4±1, 95% CI 3–5; P<0.0001) during seasons with a poor perceived level of cooperation compared to seasons with a normal/excellent perceived level of cooperation.
Conclusion: Findings suggest that poor cooperation between coaching and medical teams may increase the risk of muscle re-injury in professional football. Future studies conducted in different clubs, leagues, countries, and even sports are required to further explore the effect of cooperation between coaching and medical teams on the risk of re-injury.

Keywords: football, muscle re-injury, interpersonal relations, return to sports, United Arab Emirates


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