Soccer Injury Prevention Exercises

Jelle Koridon|April 14, 2026|8 min read

There is a warm-up protocol backed by over 15 years of research that reduces soccer injuries by 30-50%. FIFA developed it. Published it for free. And most high school and club players in the United States have never heard of it.

It is called the FIFA 11+. It takes 20 minutes. It requires zero equipment. And the data behind it is not even close to debatable.

The Problem Nobody Talks About

Injury is the single biggest threat to a competitive youth soccer player's development. Not bad coaching. Not playing time. Not talent gaps. A torn ACL at 16 costs 9-12 months of development and fundamentally alters a player's movement patterns for years afterward.

The numbers are stark. ACL injuries in youth soccer players have increased by 2.3% per year over the past two decades (Shea et al., 2004, American Journal of Sports Medicine). Female players are 2-8 times more likely to suffer an ACL tear than males in the same sport (Hewett et al., 2005, American Journal of Sports Medicine).

Hamstring strains are the most common injury in soccer at every level - accounting for 12-16% of all injuries in professional leagues (Ekstrand et al., 2011, British Journal of Sports Medicine). They have a re-injury rate of 12-33% within the first season of return.

These are not freak accidents. They are predictable failures in movement patterns that can be addressed with targeted training.

What the FIFA 11+ Actually Is

The FIFA 11+ is a structured warm-up program developed by FIFA's Medical Assessment and Research Centre (F-MARC) in collaboration with the Oslo Sports Trauma Research Centre. It replaces the traditional jog-and-stretch warm-up with three progressive levels of exercises targeting the most common injury mechanisms in soccer.

Level 1: Running exercises - straight runs, hip circles, partner contact Level 2: Strength, plyometrics, and balance - the core of the program Level 3: Running exercises with cutting and deceleration

The entire protocol takes 15-20 minutes and is designed to be performed before every training session and match.

30-50%

injury reduction with the FIFA 11+ protocol. Takes 20 minutes.

The evidence base is massive. A landmark 2008 randomized controlled trial in BMJ involving 1,892 female soccer players found that teams using the FIFA 11+ had 30-50% fewer injuries overall and a 39% reduction in ACL injuries specifically (Soligard et al., 2008). A 2015 meta-analysis in the British Journal of Sports Medicine confirmed these findings across 15 studies and over 20,000 athletes (Thorborg et al., 2015).

That is not a marginal improvement. That is removing a third to half of all injuries with a 20-minute warm-up.

The 5 Exercises That Matter Most

The full FIFA 11+ includes 15 exercises across three levels. But research has identified the 5 that provide the most injury-protective benefit for soccer players. These target the four primary injury sites: hamstrings, ACL, ankles, and hips.

1. Nordic Hamstring Curl

The single most effective exercise for preventing hamstring injuries in soccer - and the one almost nobody does.

You kneel on the ground with a partner holding your ankles. Lower your body forward as slowly as possible using only your hamstrings to control the descent. Catch yourself with your hands at the bottom. Push back up and repeat.

Why it works: The Nordic curl trains your hamstrings eccentrically - loading them while they lengthen. This is exactly what happens when you sprint: your hamstrings decelerate your lower leg at high speed. A 2017 systematic review in the British Journal of Sports Medicine found that Nordic curl programs reduced hamstring injuries by 51% (Al Attar et al., 2017).

Protocol: 3 sets of 5 reps, 2-3 times per week. Build to 3 sets of 8-10 over 6 weeks.

2. Single-Leg Romanian Deadlift

This targets the entire posterior chain - hamstrings, glutes, lower back - while challenging single-leg balance and hip stability simultaneously.

Stand on one foot. Hinge forward at the hips while extending the opposite leg behind you. Keep your back flat and reach toward the ground. Return to standing.

Why it works: Soccer is a single-leg sport. You sprint, cut, and kick from one leg. The single-leg RDL builds the hip and knee stability that prevents non-contact ACL injuries and hamstring strains. Research from the American Journal of Sports Medicine shows that single-leg strength asymmetries greater than 15% are associated with significantly higher injury risk (Croisier et al., 2008).

Protocol: 3 sets of 8 reps per leg. Add a dumbbell or kettlebell when bodyweight becomes easy.

3. Ankle Proprioception (Single-Leg Balance Progressions)

Ankle sprains are the most frequent acute injury in soccer. And the strongest predictor of an ankle sprain is having had a previous one - because the first sprain damages proprioceptors that detect joint position.

Stand on one foot for 30 seconds. Eyes open first, then progress to eyes closed. Then progress to standing on an unstable surface - a folded towel, a balance pad, or soft grass.

Why it works: Proprioception training restores the neuromuscular feedback loops that prevent your ankle from rolling past its stable range. A 2004 study in the American Journal of Sports Medicine found that balance training reduced ankle sprain recurrence by 36% in athletes with a previous sprain history (Verhagen et al., 2004).

Protocol: 3 sets of 30 seconds per leg, progressing from firm surface to unstable surface over 4 weeks. Do this daily.

4. Hip Stability (Side-Lying Hip Abduction and Copenhagen Adductor)

The hip is the control center for everything that happens at the knee and ankle. Weak hip abductors (gluteus medius) allow the knee to collapse inward during cutting and landing - the primary mechanism for non-contact ACL tears.

The Copenhagen adductor exercise targets the inner thigh muscles that stabilize the pelvis during lateral movement. Lie on your side with your top foot on a bench and your bottom leg hanging free. Lift your body using your top leg while raising the bottom leg to meet it.

Why it works: A 2019 study in the British Journal of Sports Medicine found that hip strengthening programs reduced groin injuries by 41% in male soccer players (Haroy et al., 2019). Combined hip abductor and adductor training addresses the two most common mechanisms for knee and groin injuries in the sport.

Protocol: Side-lying abduction: 3 sets of 15 per side. Copenhagen adductor: 3 sets of 8-12 per side. Progress difficulty by extending the lever arm.

5. Deceleration Drills (Controlled Landing and Cutting)

Most non-contact injuries happen during deceleration - stopping, landing, or changing direction. The problem is not speed. The problem is the inability to absorb force correctly at high velocity.

Sprint 10 meters, then decelerate to a complete stop in 3 steps. Focus on landing with soft knees, hips back, and weight centered. Progress to 45-degree and 90-degree cuts with controlled deceleration.

Why it works: A 2018 meta-analysis in Sports Medicine found that neuromuscular training programs emphasizing deceleration mechanics reduced ACL injury risk by 67% in female athletes (Webster and Hewett, 2018). Teaching the body to absorb force through the hips and glutes instead of the knee joint is the single most protective movement pattern you can develop.

Protocol: 6-8 reps of deceleration from a sprint. 4-6 reps of controlled cutting at 45 and 90 degrees. Include these in every warm-up.

Why Hamstrings Are the Number One Injury

Hamstring strains dominate soccer injury statistics for a simple mechanical reason: sprinting demands extreme eccentric load on the hamstrings, and most players never train that capacity.

During the late swing phase of sprinting, your hamstrings must decelerate your lower leg at forces exceeding 8 times your bodyweight (Chumanov et al., 2011, Journal of Biomechanics). If your hamstrings cannot handle that load, fibers tear. This is why hamstring injuries typically occur at top speed during open-field sprints - not during tackles or contact.

The fix is eccentric strengthening. The Nordic curl is the gold standard, but single-leg RDLs, hip thrusts, and Romanian deadlifts all contribute. If you do nothing else from this article, add Nordic curls twice per week. The injury reduction data alone justifies it.

The 20-Minute Investment

Here is the reality: a complete FIFA 11+ warm-up takes the same amount of time as the jog-and-stretch routine your team already does before practice. The difference is that one of them reduces injuries by 30-50% and the other does functionally nothing.

The 2008 BMJ study found that teams performing the FIFA 11+ at least twice per week saw the full protective benefit. Teams that did it only once per week saw reduced - but still significant - benefits (Soligard et al., 2008).

Twenty minutes. Twice a week minimum. No equipment. The cost of skipping it is measured in months on the sideline.

Building It Into Your Routine

If your team does not use the FIFA 11+ (most do not), you can run the 5 exercises above as your personal warm-up before training. Arrive 15 minutes early. Do the work. Your teammates can stretch.

For a full injury-prevention system that adapts across pre-season, in-season, and off-season phases - where every training session opens with a structured warm-up targeting these exact patterns - that is what a periodized off-pitch program provides.

The exercises are free. The research is public. The only variable is whether you actually do them.


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