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‘Considering the reality, I am very lucky’: how professional players and staff perceive injury prevention and performance protection in women’s football
  1. Caroline Bolling1,2,
  2. Rita Tomás3,
  3. Evert Verhagen2
  1. 1 Department of Orthopedic Surgery and Sports Medicine, Amsterdam UMC Locatie AMC, Amsterdam, Netherlands
  2. 2 Amsterdam Collaboration for Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam UMC, Location Vrije Universiteit Amsterdam, Amsterdam, Netherlands
  3. 3 Portuguese Football Federation, Cruz Quebrada, Portugal
  1. Correspondence to Caroline Bolling, Department of Orthopedic Surgery and Sports Medicine, Amsterdam UMC Locatie AMC, Amsterdam, Noord-Holland, Netherlands; c.silveirabolling{at}vumc.nl

Abstract

Objective To explore the beliefs and perceptions of professional female footballers and staff regarding injury prevention and performance protection in professional women’s football.

Methods This qualitative study applied semistructured interviews with 18 participants from 3 top-tier teams from 2 countries (Portugal and England) and 4 nationalities, including 2 physiotherapists, 5 players, 3 team doctors, 2 head coaches, 3 strength and conditioning coaches, 2 managers, and 1 head of performance. Data analysis applied constant comparison analysis, using principles of grounded theory. There were no major differences in the perspectives of players and staff, and the findings are presented together.

Results Identifying and reporting injuries and recognising potential injury risk factors were mentioned to influence the prevention of injury. Participants stated that the growth and evolution of women’s football could influence injury risk. Before reaching the professional level, exposure to potential risk factors, such as lack of recovery, limited awareness and opportunities for prevention (eg, preventive exercises and load management strategies), was believed to impact players’ injury risk. Players further described their experiences and the ‘bumpy road’ to becoming a professional player, their current context and potential future improvements for women’s football regarding injury prevention and performance protection.

Conclusion Professional female football players face different injury risks during different moments of their careers. According to elite players and staff, amateur and semiprofessionals have limited resources and lack injury prevention strategies. Professional players and staff perceived the current preventive measures as good and relied on the value of individualised care and a multidisciplinary approach. In the future, more resources and structured injury prevention strategies are needed in youth and non-professional levels of women’s football to reduce injury risk and allow more players to reach their maximal performance.

  • Sports medicine
  • Football
  • Qualitative Research
  • Preventive Medicine
  • Women in sport

Data availability statement

No data are available. Data are not available considering the nature of the study, the relevant data were presented in the manuscript.

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Data availability statement

No data are available. Data are not available considering the nature of the study, the relevant data were presented in the manuscript.

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Footnotes

  • X @cs_bolling, @rtomasmd, @Evertverhagen

  • Contributors CB is the guarantor author and accepts full responsibility for the work and/or the conduct of the study, access to the data and controlled the decision to publish. CB, RT and EV drafted the design of this study. RT led the recruitment, CB performed the interviews. CB, RT and EV performed the analyses and drafted the manuscript. All authors supported interpretation of the data and provided their final approval of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting, or dissemination plans of this research. Refer to the Methods section for further details.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.