Playing Position and the Injury Incidence Rate in Male Academy Soccer Players

Context: Whether playing position influences injury in male academy soccer players (ASPs) is unclear. Objective: To determine if playing position was associated with injury in ASPs. Design: Descriptive epidemiology study. Setting: English, Spanish, Uruguayan, and Brazilian soccer academies. Patients or Other Participants: A total of 369 ASPs from the under-14 to under-23 age groups, classified as post-peak height velocity using maturity offset, and grouped as goalkeep-ers, lateral defenders, central defenders, lateral midfielders, central midfielders, or forwards. Main Outcome Measure(s): Injuries were recorded pro-spectively over 1 season. Injury prevalence proportion (IPP), days missed, and injury incidence rate (IIR, injuries/1000 training or match hours, n = 116) were analyzed according to playing position. Results: No association with playing position was observed for any injury type or location regarding IPP (P > .089) or days missed (P > .235). The IIR was higher in central defenders than in lateral defenders for general (9.30 versus 4.18 injuries/1000 h, P = .009), soft tissue (5.14 versus 1.95 injuries/1000 h, P = .026), and ligament or tendon injuries (2.69 versus 0.56 injuries/ 1000 h, P = .040). The central versus lateral or forward positions were not associated with IPP (P > .051) or days missed (P > .083), but general IIR was greater in the central position than the lateral or forward positions (8.67 versus 6.12 injuries/1000 h, P= .047). Conclusions: Academy soccer players' playing positions were not associated with IPP or days missed, but the higher general, soft tissue, and ligament or tendon IIRs in central defenders suggest that this position warrants specific attention regarding injury-prevention strategies. These novel findings highlight the importance of considering training or match exposure when investigating the influence of playing position on injury in ASPs.