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Abstract
Abstract: Background: Soccer is associated with a high risk of injuries, mainly affecting
the lower limbs, leading to significant consequences for player performance and career
longevity. Neuromuscular training (NMT) has been proposed as an effective preventive
strategy, but its impact varies across different populations and implementation strategies.
Methods: A systematic review was conducted following PRISMA guidelines. A comprehensive
search of PubMed, MEDLINE, and SPORTDiscus identified randomized controlled
trials, cohort studies, and systematic reviews examining the effects of NMT on lower limb
injury prevention in soccer players. Study quality was assessed using the Downs and Black
tool, and injury incidence rate ratios were analyzed. Results: Eleven studies, encompassing
over 10,000 soccer players, were included. NMT interventions, particularly FIFA 11+, significantly
reduced injury rates compared to standard warm-ups. Higher adherence and coach
education enhanced program effectiveness. Female players benefited more, particularly in
ACL injury prevention. No significant differences were observed between shorter (10 min)
and standard (20 min) NMT protocols. Conclusions: NMT effectively reduces lower limb
injuries in soccer, with adherence and proper coaching being key determinants of success.
Future research should optimize program design and long-term adherence strategies to
maximize benefits across all player demographics.