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UEFA Elite Club Injury Study

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UEFA Elite Club Injury Study Report 2018/19

UEFA Elite Club Injury Study

2018/19 Season report


Team X
UEFA Elite Club Injury Study Report 2018/19

The UEFA Elite Club Injury Study ( E C I S ) was initiated by and is funded and
supported by UEFA.

This report has been produced on behalf of the UEFA Medical Committee by:
Professor Jan Ekstrand, MD, PhD, Linkoping University
Former first vice-chairman of the UEFA Medical Committee

Correspondence should be addressed to:

Injury Study Group


Professor Jan Ekstrand
Hertig Karlsgatan 2
582 21 Linköping
Sweden
jan.ekstrand@telia.com

Håkan Bengtsson Anna Hallén


info.frg@telia.com info.frg@telia.com

UEFA
Marc Vouillamoz
Head of Medical and Anti-Doping Unit
marc.vouillamoz@uefa.ch

Niki Papadimitriou
UEFA Medical Assistant
niki.papadimitriou@uefa.com

Route de Genève 46
1260 Nyon 2
Switzerland
+41 848 00 27 27
+41 22 707 27 34 (fax)

1
UEFA Elite Club Injury Study Report 2018/19

Table of Contents
1 Participating clubs ............................................................................................................................................................ 3
2 Presentation ...................................................................................................................................................................... 3
3 Interpretation of results ..................................................................................................................................................... 4
4 Exposure ........................................................................................................................................................................... 5
5 General injuries................................................................................................................................................................. 8
5.1 General injury patterns ............................................................................................................................................ 8
6 Training injuries .............................................................................................................................................................. 12
6.1 Training injury rate ............................................................................................................................................... 12
6.2 Days’ absence for training injuries........................................................................................................................ 14
6.3 Burden of training injuries .................................................................................................................................... 14
7 Match injuries ................................................................................................................................................................. 16
7.1 Match injury rate ................................................................................................................................................... 16
7.2 Days’ absence for match injuries .......................................................................................................................... 18
7.3 Burden of match injuries ....................................................................................................................................... 18
8 Severe injuries ................................................................................................................................................................ 20
8.1 Severe injury patterns............................................................................................................................................ 20
8.2 Severe injury rate .................................................................................................................................................. 21
9 Muscle injuries ................................................................................................................................................................ 23
9.1 Muscle injury patterns ........................................................................................................................................... 23
9.2 Muscle injury rate ................................................................................................................................................. 24
9.3 Days’ absence for muscle injurie .......................................................................................................................... 26
9.4 Burden of muscle injuries ..................................................................................................................................... 27
10 Ligament injuries ....................................................................................................................................................... 29
10.1 Ligament injury patterns ....................................................................................................................................... 29
10.2 Ligament injury rate .............................................................................................................................................. 30
10.3 Days’ absence for ligament injuries ...................................................................................................................... 32
10.4 Burden of ligament injuries ................................................................................................................................... 33
11 Re-injuries .................................................................................................................................................................. 35
11.1 Re-injury patterns.................................................................................................................................................. 35
11.2 Re-injury proportion ............................................................................................................................................. 36
12 Squad attendance/availability and absence ................................................................................................................ 38
12.1 Squad attendance/availability................................................................................................................................ 38
12.2 Squad absence ....................................................................................................................................................... 42
12.2.1 Absence due to injury .................................................................................................................................. 43
12.3 Number of training sessions/matches missed because of injury ............................................................................ 46

2
UEFA Elite Club Injury Study Report 2018/19

1 Participating clubs
This season report contains fictional results from July to May of the 2018/19 season for 25
Example Teams.

2 Presentation
The report is divided into nine sections, with data on exposure, general injuries, training
injuries, match injuries, severe injuries, muscle injuries, ligament injuries, re-injuries, and,
squad attendance/availability and absence. These sections contain data of the 2018/19
season from your club in comparison with other participating clubs described as means of
the whole season as well as specifically for each month (July-May). Each section also contains
historic data which gives you the opportunity to compare the current season with data from
your club and other participating clubs in previous seasons. The injury sections are generally
split into four sub-sections:

• Injury patterns: the relative distribution of injuries of this kind, looking at injury location,
type, overuse/trauma, contact/non-contact, severity and re-injury rate.

• Injury rate: the number of injuries of this kind relative to exposure time, allowing the
individual injury rate to be evaluated. Injury rate is expressed as the number of
injuries/1,000 hours of exposure.

• Days’ absence: the mean number of days lost because of injuries of this kind.

• Injury burden: a combined measure of the frequency (injury rate) and severity (days´
absence) of injuries of this kind giving the burden of injury for the player and the
consequences for the team. Injury burden is expressed as the number of days of
absence/1,000 hours of exposure. Example: Team A with 10 injuries in 5,000 hours, each
resulting in an absence of 10 days on average, has an injury burden of 20 days/1,000
hours. Team B with 20 injuries in 5,000 hours, each resulting in an absence of 5 days on
average, also has an injury burden of 20 days/1,000 hours.

3
UEFA Elite Club Injury Study Report 2018/19

3 Interpretation of results
When comparing your club’s results with those of other participating clubs, please bear the
following in mind:

• Because of the limited amounts of data collected over one season, the injury rates
presented are sometimes based on just a few actual injuries. This means that some results
should be interpreted with caution.

• The overall number of injuries varies between clubs, mainly because of the number of
minor injuries. It is therefore important to look not only at the overall injury rate, but also
at the data on severe injuries and squad availability, as these variables may have a greater
impact on the club.

• In the case of players who were still injured at the end of the season, we have used either
the club’s estimated return date or an approximation of severity based on the mean
absence for this particular injury. Some data on the number of days’ absence and injury
risk presented in the report could therefore be based on approximate values/estimates.

We hope that you will find this report useful in your daily work treating and preventing
injuries at your club. Please do not hesitate to contact FRG if you have any questions about
how to interpret the results.

4
UEFA Elite Club Injury Study Report 2018/19

4 Exposure
In total, 180 000 hours of exposure were recorded during the season in the 25 Example
Teams, with approximately 150 000 training hours (83%) and 30 000 match hours (17%).
Team x reported 8 000 hours of total exposure, with 7 000 training hours (88%) and 1 000
match hours (12%).

On average, teams reported 230 training sessions and 60 matches over the review period.
Since the reporting period differed between teams, we have also calculated a monthly
training and match load. On average, teams had 21 training sessions and 4.9 matches each
month, giving an average training-to-match exposure ratio of 6.0 hours of training for each
hour of match play.

Figure 1. Number of training sessions per month

30
26 26
25 25 25
25 24 24
23
Training sessions per month

22
21 21 21 21 21
20 20
20 18 18 18
17 17 17 17 17 17 17

15

10

0
x x x x x x x x x x x x x x x x x x x x x x ET x x ALL

5
UEFA Elite Club Injury Study Report 2018/19

Figure 2. Number of matches per month

9 8.5

8 7.7
7.2 7.3
7 6.7
6.3
6.0
Matches per month

6 5.6 5.6

4.7 4.9
5 4.4
4.2 4.2
4.0 4.1 4.1
3.8 3.9
4 3.5 3.6 3.6
3.3 3.4
3.1 3.1
3

0
x x x x x x x x x x ET x x x x x x x x x x x x x x ALL

Figure 3. Number of training sessions (blue bars) and matches (red bars) for Team X over
the season

25
22
21
20 20
20 19
Training sessions/matches

17 17
16 16 16
15
15

10
8
7
6 6

5 4 4 4 4 4 4
2

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Training sessions Matches

6
UEFA Elite Club Injury Study Report 2018/19

Figure 4. Ratio of training hours to match hours

10 9.3 9.5
9 8.6
8.1 8.2 8.2
8 7.5
7.0
6.6 6.8
Training/Match Ratio

7
6.1 6.1 6.0
6 5.6 5.8
5.3 5.4 5.5
5 4.7 4.8
3.9 3.9
4 3.4 3.5
3.0 3.2
3
2
1
0
x x x x x x x x x x x x x x x x x x x ET x x x x x ALL

Figure 5. Ratio of training hours to match hours for Team X over the season in comparison
to previous seasons

12

10
Training/Match Ratio

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

7
UEFA Elite Club Injury Study Report 2018/19

5 General injuries
5.1 General injury patterns
The figures below show the relative distribution (%) of different injuries. In total the 20 UEFA
Champions League teams reported 868 injuries, with 410 training injuries (47%) and 458
match injuries (53%). There were 177 severe injuries (20%), 437 muscle injuries (50%) and 126
ligament injuries (15%).

Team x reported xx injuries (xx training injuries; xx match injuries) during the season,
including xx severe injuries, xx muscle injuries and xx ligament injuries.

Figure 6. Distribution of injury locations

100%
90%
80% 37% 41%
43% 44%
70%
60% 5%
50% 12% 10% 14%

40% 30%

30% 28%
34% 32%
20%
28%
10% 18%
11% 13%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Hip/groin Thigh Knee Other

8
UEFA Elite Club Injury Study Report 2018/19

Figure 7. Distribution of injury types

100%
90%
80% 36% 36% 38% 35%

70%
60%
50% 12% 14%
21% 19%
40%
30%
20% 42% 40%
33% 34%
10%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Muscle injuries Ligament injuries Contusions Other

Figure 8. Distribution of overuse/traumatic injuries

100%
90%
80%
70% 65%
71% 66% 68%
60%
50%
40%
30%
20% 35%
29% 34% 32%
10%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Overuse injuries Traumatic injuries

9
UEFA Elite Club Injury Study Report 2018/19

Figure 9. Distribution of contact/non-contact injuries

100%
90%
80%
70%
70% 68% 70% 69%
60%
50%
40%
30%
20%
30% 32% 30% 31%
10%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Contact injuries Non-contact injuries

Figure 10. Distribution of injury severities

100%
90% 21% 16% 18% 17%
80%
70%
60% 42% 43% 40%
42%
50%
40%
30% 23% 24%
23% 22%
20%
10% 19% 16% 18%
14%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Minimal (1-3 days) Mild (4-7 days) Moderate (8-28 days) Severe (>28 days)

10
UEFA Elite Club Injury Study Report 2018/19

Figure 11. Distribution of re-injuries

100%
12% 9% 11% 10%
90%
80%
70%
60%
50%
88% 91% 89% 90%
40%
30%
20%
10%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Non re-injuries Re-injuries

11
UEFA Elite Club Injury Study Report 2018/19

6 Training injuries
6.1 Training injury rate
The mean training injury rate for all teams was 1.7 injuries for every 1 000 training hours, with
individual rates ranging from 0.1 to 4.9 at the various clubs.

Figure 12. Training injury rate

4.9
5
4.1
4
3.5 3.6
3.2 3.3
Injury rate

3 2.8

2.2 2.3
1.9 2.0
2 1.7
1.5 1.5 1.6

1 0.7 0.7 0.8


0.5 0.5 0.5 0.6 0.6
0.1 0.1 0.2
0
x x x ET x x x x x x x x x x x x x x x x x x x x x ALL

Figure 13. Training injury rates in previous seasons

7.0

6.0

5.0
Injury rate

4.0

3.0

2.0

1.0

0.0

Team X All Teams

12
UEFA Elite Club Injury Study Report 2018/19

Figure 14. Training injury rates for Team X over the season in comparison to previous
seasons

6
Injury rate

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

13
UEFA Elite Club Injury Study Report 2018/19

6.2 Days’ absence for training injuries


The average absence for training injuries among the teams was 18 days, ranging from 8 to 31
days at the various clubs.

Figure 15. Days’ absence for training injuries

35
31 31
29
30
27 27
26
24
25 23
22
Days' absence

20
19 19
20 18 18 18
17
15
14 14
15
12
11
10
9 9 9
10 8

0
x x x x x x x x x ET x x x x x x x x x x x x x x x ALL

6.3 Burden of training injuries


The mean injury burden in training was 36 days’ absence/1 000 hours, ranging from 2 to 82
at the various clubs.

Figure 16. Training injury burden

90
82
Days' absence per 1 000 training hours

80

70 64
62 63
60 57 58
55 56
51
50 47

39 40
40 36
33
30 31
30
21 22
18 18 18
20
13
10 11
10 6
2
0
ET x x x x x x x x x x x x x x x x x x x x x x x x ALL

14
UEFA Elite Club Injury Study Report 2018/19

Figure 17. Training injury burden in previous seasons

45
Days' absence per 1 000 training hours

40
35
30
25
20
15
10
5
0

Team X All Teams

Figure 18. Training injury burden for Team X over the season in comparison to previous
seasons

70
Days' absence per 1 000 training hours

60

50

40

30

20

10

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

15
UEFA Elite Club Injury Study Report 2018/19

7 Match injuries
7.1 Match injury rate
The mean match injury rate for all teams was 21 injuries for every 1 000 match hours, with
individual rates ranging from 8 to 31.

Figure 19. Match injury rate

35
31
30 30 30 30
30
27 27
26
24 24
25 23
22
21 21
20
Injury rate

19 19 19
20
17
15
14
15
12
11
10
9
10 8

0
x x x x x x x x ET x x x x x x x x x x x x x x x x ALL

Figure 20. Match injury rates in previous seasons

35

30

25
Injury rate

20

15

10

Team X All Teams

16
UEFA Elite Club Injury Study Report 2018/19

Figure 21. Match injury rate for Team X over the season in comparison to previous seasons

45

40

35

30
Injury rate

25

20

15

10

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

17
UEFA Elite Club Injury Study Report 2018/19

7.2 Days’ absence for match injuries


The average absence for match injuries among the teams was 23 days, ranging from 7 to 44
days at the various clubs.

Figure 22. Days’ absence for match injuries

50
44
45 42

40 37
35
35 33
30
Days' absence

30 27
24 25 26
25 23 23 23
20 21 22
20 18 18 19
16 16
14 14 14 14
15
10 7

5
0
x x x x x x x x x x x x x x x x x x x ET x x x x x ALL

7.3 Burden of match injuries


The mean injury burden in match play was 430 days’ absence/1 000 hours, ranging from 168
to 694 at the various clubs.

Figure 23. Match injury burden

800
685 685 693 694
700 668 672
Days' absence per 1 000 match hours

582
600
535
488
500 446 446
429 430
379 383 388 388 394
400

300 260 271


242 250
220
194
200 168 183

100

0
x x x x x x x x x x x x x x ET x x x x x x x x x x ALL

18
UEFA Elite Club Injury Study Report 2018/19

Figure 24. Match injury burden in previous seasons

500
Days' absence per 1 000 match hours

450
400
350
300
250
200
150
100
50
0

Team X All Teams

Figure 25. Match injury burden for Team X over the season in comparison to previous
seasons

700
Days' absence per 1 000 match hours

600

500

400

300

200

100

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

19
UEFA Elite Club Injury Study Report 2018/19

8 Severe injuries
8.1 Severe injury patterns
Injuries resulting in more than four weeks´ absence are classified as severe injuries.

Figure 26. Distribution of severe injury locations

100%
90%
80% 41% 41% 44% 39%
70%
60%
50%
28% 28% 25% 30%
40%
30%
20% 22% 18% 21% 20%
10%
9% 13% 10% 11%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Hip/groin Thigh Knee Other

Figure 27. Distribution of severe injury types

100%
90% 24%
80% 40% 42% 43%
70%
60%
38%
50%
29% 28% 25%
40%
30%
20% 38%
31% 30% 32%
10%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Muscle injuries Ligament injuries Other

20
UEFA Elite Club Injury Study Report 2018/19

8.2 Severe injury rate


The mean severe injury rate for all teams was 1.4 severe injuries for every 1 000 hours, with
individual rates ranging from 0.1 to 2.9 Please note that since total absences are unknown
where players were still injured at the time of writing, the true figures may differ slightly from
those presented here.

Figure 28. Severe injury rate

2.9
3 2.8
2.7
2.6
2.4 2.4
3
2.1
2.0
Injury rate

2 1.8
1.6 1.6
1.5
1.4 1.4 1.4
2 1.3
1.1
0.9
1 0.8
0.6
0.5 0.5
1
0.2
0.1 0.1 0.1
0
x x x x x x x x x x x x x x ET x x x x x x x x x x ALL

Figure 29. Severe injury rates in previous seasons

3.5

3.0

2.5
Injury rate

2.0

1.5

1.0

0.5

0.0

Team X All Teams

21
UEFA Elite Club Injury Study Report 2018/19

Figure 30. Severe injury rates for Team X over the season in comparison to previous seasons

4.5

4.0

3.5

3.0
Injury rate

2.5

2.0

1.5

1.0

0.5

0.0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

22
UEFA Elite Club Injury Study Report 2018/19

9 Muscle injuries
9.1 Muscle injury patterns
Figure 31. Distribution of muscle injury locations

100%
15% 13%
90%
29% 25%
80%
70%
44% 46%
60%
50% 44% 48%
40%
16% 13%
30%
20% 17% 15%
24% 27%
10%
9% 11%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Hip/groin Anterior thigh Posterior thigh Lower leg

Figure 32. Distribution of muscle injury severities

100%
8% 6%
90% 18% 15%

80%
70%
55% 57%
60% 53%
50%
50%
40%
30%
25% 24%
20% 21% 22%
10%
12% 11% 13% 10%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Minimal (1-3 days) Mild (4-7 days) Moderate (8-28 days) Severe (>28 days)

23
UEFA Elite Club Injury Study Report 2018/19

Figure 33. Distribution of re-injuries for muscle injuries

100%
16% 12% 15% 11%
90%
80%
70%
60%
50%
84% 88% 85% 89%
40%
30%
20%
10%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Non re-injuries Re-injuries

9.2 Muscle injury rate


The mean muscle injury rate for all teams was 2.8 injuries for every 1 000 hours, with
individual rates ranging from 0.1 to 5.5.

Figure 34. Muscle injury rate

6
5.5
5.3 5.3

5 4.7
4.5
4.1 4.2
3.9
4
3.3
Injury rate

3.1 3.2 3.2


3 2.8 2.8 2.9 2.8

2.2
2
1.5 1.6 1.6
1.1
1 0.7 0.7 0.7

0.1 0.2
0
x x x x x x x ET x x x x x x x x x x x x x x x x x ALL

24
UEFA Elite Club Injury Study Report 2018/19

Figure 35. Muscle injury rates in previous seasons

4.5
4.0
3.5
Muscle injury rate

3.0
2.5
2.0
1.5
1.0
0.5
0.0

Team X All Teams

Figure 36. Muscle injury rates for Team X over the season in comparison to previous seasons

12

10

8
Injury rate

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

25
UEFA Elite Club Injury Study Report 2018/19

9.3 Days’ absence for muscle injurie


The average absence for muscle injuries among the teams was 18 days, ranging from 10 to
29 days at the various clubs.

Figure 37. Days’ absence for muscle injuries

35

29
30 28
27
25 25
24
25 23 23
Days' absence

20
19 19
20 18
17
16 16 16
15 15
14 14
15 13 13 13
12 12
10
10

0
x x x x x ET x x x x x x x x x x x x x x x x x x x ALL

26
UEFA Elite Club Injury Study Report 2018/19

9.4 Burden of muscle injuries


The mean injury burden for muscle injury was 37 days’ absence/1 000 hours, ranging from 12
to 60 at the various clubs.

Figure 38. Muscle injury burden

70
Days' absence per 1 000 exposure hours

60
58
60 56
54 54 54 55
51 52
50
44
41
39 39
40 36 37

30
28 29
30
24
20 20 21 21
18
20
14
12
10

0
x x ET x x x x x x x x x x x x x x x x x x x x x x ALL

Figure 39. Muscle injury burden in previous seasons

45
Days' absence per 1 000 exposure hours

40
35
30
25
20
15
10
5
0

Team X All Teams

27
UEFA Elite Club Injury Study Report 2018/19

Figure 40. Muscle injury burden for Team X over the season in comparison to previous
seasons

80
Days' absence per 1 000 exposure hours

70

60

50

40

30

20

10

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

28
UEFA Elite Club Injury Study Report 2018/19

10 Ligament injuries
10.1 Ligament injury patterns
Figure 41. Distribution of ligament injury locations

100%
11% 8% 11% 10%
90%
80%
33% 36% 29% 35%
70%
60%
50%
40%
30% 56% 56% 60% 55%
20%
10%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Knee Ankle Other

Figure 42. Distribution of ligament injury severities

100%
90% 24% 22%
26% 26%
80%
70%
60% 36% 39%
37% 34%
50%
40%
30% 22%
22% 26% 21%
20%
10% 18% 15% 16%
14%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Minimal (1-3 days) Mild (4-7 days) Moderate (8-28 days) Severe (>28 days)

29
UEFA Elite Club Injury Study Report 2018/19

Figure 43. Distribution of re-injuries for ligament injuries

100% 5% 9% 8% 8%
90%
80%
70%
60%
50% 95% 91% 92% 92%
40%
30%
20%
10%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Non re-injuries Re-injuries

10.2 Ligament injury rate


The mean ligament injury rate for all teams was 1.6 injuries for every 1 000 hours, with
individual rates ranging from 0.1 to 2.9 at the various clubs.

Figure 44. Ligament injury rate

3.5

2.9 2.9
3.0
2.7
2.6 2.6
2.5
2.4
2.5
2.2 2.2 2.2 2.2
Injury rate

2.0 1.8 1.8


1.5 1.6
1.4
1.5

0.9 0.9
1.0 0.8
0.7
0.6
0.5
0.5
0.2 0.2 0.2
0.1
0.0
x x x x x x x x x x x x x x x x x x x x x x ET x x ALL

30
UEFA Elite Club Injury Study Report 2018/19

Figure 45. Ligament injury rates in previous seasons

2.5

2.0
Injury rate

1.5

1.0

0.5

0.0

Team X All Teams

Figure 46. Ligament injury rates for Team X over the season in comparison to previous
seasons

5.0
4.5
4.0
3.5
3.0
Injury rate

2.5
2.0
1.5
1.0
0.5
0.0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

31
UEFA Elite Club Injury Study Report 2018/19

10.3 Days’ absence for ligament injuries


The average absence for ligament injuries among the teams was 23 days, ranging from 11 to
33 days at the various clubs.

Figure 47. Days’ absence for ligament injuries

35 33 33 33
31 31 31 31
30
30
27
26
25
25 24
23 23
22
21 21
Days' absence

20 18
17
16
15 13 13 13 13
12
11
10

0
ET x x x x x x x x x x x x x x x x x x x x x x x x ALL

32
UEFA Elite Club Injury Study Report 2018/19

10.4 Burden of ligament injuries


The mean burden for ligament injury was 35 days’ absence/1 000 hours, ranging from 5 to 60
at the various clubs.

Figure 48. Ligament injury burden

70
Days' absence per 1 000 exposure hours

60 60
60 56
54 54
50
48
50 45
39
40 37 38
35
33 34
31 32
28 29 29
30 26
23
19
20 17
12
10
10 5

0
x x x x x x x x x x x x x x x x x x x x x x x ET x ALL

Figure 49. Ligament injury burden in previous seasons

45
Days' absence per 1 000 exposure hours

40
35
30
25
20
15
10
5
0

Team X All Teams

33
UEFA Elite Club Injury Study Report 2018/19

Figure 50. Ligament injury burden for Team X over the season in comparison to previous
seasons

35
Days' absence per 1 000 exposure hours

30

25

20

15

10

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

34
UEFA Elite Club Injury Study Report 2018/19

11 Re-injuries
11.1 Re-injury patterns
Figure 51. Distribution of re-injury locations

100%
90%
33% 33% 31% 35%
80%
70%
60%
24% 24% 25% 21%
50%
40%
30% 23% 25% 29% 28%
20%
10% 20% 18% 15% 16%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Hip/groin Thigh Knee Other

Figure 52. Distribution of re-injury types

100%
90%
32% 34%
80% 38% 39%
70%
60% 14% 11%
12% 10%
50% 15%
12% 17% 13%
40%
30%
20% 38% 37% 38% 40%
10%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Muscle injuries Ligament injuries Tendon injuries Other

35
UEFA Elite Club Injury Study Report 2018/19

Figure 53. Distribution of re-injury severities

100%
90% 21% 21% 21% 24%
80%
70%
60% 38% 41% 45% 39%
50%
40%
30% 25% 24% 21%
20% 22%

10% 16% 16%


14% 12%
0%
Team X Current season All Teams Current Team X Previous All Teams Previous
Season Seasons Seasons

Minimal (1-3 days) Mild (4-7 days) Moderate (8-28 days) Severe (>28 days)

11.2 Re-injury proportion


On average, 16% of injuries sustained were re-injuries, ranging from 5% to 25% at the various
clubs.

Figure 54. Re-injury proportion

30%

25%
25% 24% 24%
22% 22%
21%
20% 19% 19% 19%
18% 18% 18% 18%
17%
16% 16%

15% 14%
13%
12% 12%
11%
10% 10% 10%
10%
7%
5%
5%

0%
x x x x x x x x x x x x ET x x x x x x x x x x x x ALL

36
UEFA Elite Club Injury Study Report 2018/19

Figure 55. Re-injury proportions in previous seasons

20%
18%
16%
14%
Re-injury rate

12%
10%
8%
6%
4%
2%
0%

Team X All Teams

37
UEFA Elite Club Injury Study Report 2018/19

12 Squad attendance/availability and absence


All data in the charts in this section is in the form of percentages.

12.1 Squad attendance/availability


Squad attendance/availability refers to the average percentage of players who participated in
training sessions or were available for match selection over the review period. An
attendance/availability rate of 100% would mean that no player was absent because of injury,
illness, international duty or any other reason.

Figure 56. Squad attendance rates for training

100%
90%
80%
Training attendance

70%
60%
50%
40%
30%
20%
10%
0%
x x x x x ET x x x x x x x x x x x x x x x x x x x ALL

Training attendance (%) Training absence (%)

38
UEFA Elite Club Injury Study Report 2018/19

Figure 57. Squad attendance rates for training in previous seasons

100%
90%
80%
Training attendance

70%
60%
50%
40%
30%
20%
10%
0%

Team X All Teams

Figure 58. Squad attendance in training for Team X over the season in comparison to
previous seasons

100%
90%
80%
70%
Training attendance

60%
50%
40%
30%
20%
10%
0%
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

39
UEFA Elite Club Injury Study Report 2018/19

Figure 59. Squad availability rates for matches

100%
90%
80%
70%
Match availability

60%
50%
40%
30%
20%
10%
0%
x x x x x x x x x x x x x x x x ET x x x x x x x x ALL

Match availability (%) Match absence (%)

Figure 60. Squad availability rates for matches in previous seasons

100%
90%
80%
70%
Match availability

60%
50%
40%
30%
20%
10%
0%

Team X All Teams

40
UEFA Elite Club Injury Study Report 2018/19

Figure 61. Squad availability for matches for Team X over the season in comparison to
previous seasons

100%
90%
80%
70%
Match availability

60%
50%
40%
30%
20%
10%
0%
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

41
UEFA Elite Club Injury Study Report 2018/19

12.2 Squad absence


The charts below break players’ absences down by reason.

Figure 62. Reasons for absence from training sessions

100%
Reasons for absence from training sessions

90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
x x ET x x x x x x x x x x x x x x x x x x x x x x ALL

Injury (%) Illness (%) Other reason (%) National team (%)

Figure 63. Reasons for absence from matches

100%
90%
Reasons for absence from matches

80%
70%
60%
50%
40%
30%
20%
10%
0%
x x x x x x x x x x x x x x x x x x x x ET x x x x ALL

Injury (%) Illness (%) Other reason (%) National team (%)

42
UEFA Elite Club Injury Study Report 2018/19

12.2.1 Absence due to injury

Figure 64. Absence from training sessions due to injury

25%
Absence from trainings due to injury

20%
20% 19%
17% 17%
16% 16% 16%
15% 15% 15%
15%
12% 12% 12% 12%
11%
10% 10%
10% 9%
8%
7% 7%
6% 6%
5% 5% 5%
5%

0%
x x x x ET x x x x x x x x x x x x x x x x x x x x ALL

Figure 65. Absence from training sessions due to injury in previous seasons

16%
Absence from trainings due to injury

14%

12%

10%

8%

6%

4%

2%

0%

Team X All Teams

43
UEFA Elite Club Injury Study Report 2018/19

Figure 66. Absence from training sessions due to injury for Team X over the season in
comparison to previous seasons

25%
Absence from trainings due to injury

20%

15%

10%

5%

0%
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

Figure 67. Absence from matches due to injury

16% 15% 15% 15% 15%


14% 14% 14%
14%
Absence from matches due to injury

13% 13%
12% 12%
12% 11% 11%
10% 10% 10%
10%
8%
8% 7% 7% 7%
6%
6% 5%
4% 4%
4%
2% 2%
2%

0%
x x x x x x ET x x x x x x x x x x x x x x x x x x ALL

44
UEFA Elite Club Injury Study Report 2018/19

Figure 68. Absence from matches due to injury in previous seasons

16%
Absence from matches due to injury

14%

12%
10%

8%

6%

4%

2%

0%

Team X All Teams

Figure 69. Absence from matches due to injury for Team X over the season in comparison to
previous seasons

25%
Absence from matches due to injury

20%

15%

10%

5%

0%
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Team X Current Season Team X Previous Seasons All Teams Previous Seasons

45
UEFA Elite Club Injury Study Report 2018/19

12.3 Number of training sessions/matches missed because of injury


The consequences of injuries have also been assessed in terms of the number of training
sessions and matches that players missed during the review period. On average, across all
clubs, each player missed 1.7 training sessions and 0.4 matches each month because of
injury. Data specific to each club is presented below.

Figure 70. Number of training sessions missed per player per month owing to injury

4.0 3.8 3.8


Missed trainings per player per month

3.5 3.2 3.2


3.1
2.9
3.0 2.7 2.7
2.6 2.6
2.5 2.3
2.1
2.0
1.7

1.5 1.2
1.1
1.0 0.8 0.8 0.8
0.6 0.6
0.4
0.5 0.2
0.3
0.1 0.1 0.1
0.0
x x x x x x x x x x x ET x x x x x x x x x x x x x ALL

Figure 71. Number of matches missed per player per month owing to injury

1.0
0.9 0.9
0.9
Missed matches per player per month

0.8 0.8
0.8
0.7
0.6 0.6 0.6
0.6
0.5
0.5
0.4 0.4 0.4
0.4
0.3 0.3 0.3 0.3 0.3 0.3
0.3
0.2 0.2 0.2 0.2 0.2
0.2
0.1 0.1 0.1 0.1
0.1
0.0
x x x x ET x x x x x x x x x x x x x x x x x x x x ALL

46

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