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Epidemiology of Injury in Elite and Amateur Soccer Referees: A Systematic Review and Meta-analysis.

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Název: Epidemiology of Injury in Elite and Amateur Soccer Referees: A Systematic Review and Meta-analysis.
Autoři: Alimoradi, Mohammad, Alghosi, Mohammad, Iranmanesh, Mojtaba, Moinuddin, Mohammed, Relph, Nicola
Zdroj: Sports Medicine; Dec2025, Vol. 55 Issue 12, p3111-3128, 18p
Témata: LEG injuries, RISK assessment, WOUNDS & injuries, SPORTS, SOCCER, CINAHL database, META-analysis, INFORMATION storage & retrieval systems, DISEASE prevalence, DESCRIPTIVE statistics, SYSTEMATIC reviews, MEDLINE, ONLINE information services, SPRAINS, ATHLETIC ability, CONFIDENCE intervals, SOCCER injuries, DISEASE incidence, TIME, DISEASE risk factors
Geografický termín: IRAN
Abstrakt: Background: The epidemiology of injury in soccer has traditionally focused on soccer players, rather than match officials. Although injury data on referees exist, no comprehensive review has summarized injury profiles in this population. Objective: To conduct a systematic review and meta-analysis of injury epidemiology in elite and amateur soccer referees, focusing on injury rates, types, locations, severity, and causes. Methods: PubMed (Medline), Web of Science, Scopus, CINAHL, and SPORTDiscus, covering their entire history up to 19 April 2025 were searched. This review included prospective and retrospective studies reporting injury incidence or prevalence among football match officials, with a study period of at least one season. Studies needed to specify injury definitions and include data on injury location, type, mechanism, or severity. Both male and female officials were eligible. Systematic reviews, commentaries, and letters were excluded. Study quality and risk of bias were evaluated using the STROBE-SIIS, in addition to the Newcastle–Ottawa Scale and funnel plots. Injury incidence rates were estimated using a random effects Poisson regression, accounting for heterogeneity and moderators. Heterogeneity was assessed with the I2 statistic. Results: A total of 17 studies were included, encompassing 3621 referees. The most frequent injuries were strains and sprains in the knee and ankle. The overall injury incidence was 2.19 injuries per 1000 h of exposure (95% CI 1.30–3.69). On-field referees experienced an incidence rate of 1.46 injuries per 1000 h of exposure (95% CI 0.76–2.81), while assistant referees had a lower rate of 0.84 per 1 h of exposure (95% CI 0.36–1.97). During matches, the injury incidence was 2.24 per 1000 h of exposure (95% CI 1.38–3.64), compared with 0.67 injuries per 1000 h of exposure during training sessions (95% CI 0.36–1.24). However, despite sensitivity analysis, there were still high levels of heterogeneity across included studies. Conclusions: Findings noted higher injury incidence during matches compared with training, and on-field referees compared with assistants. The variation in injury profiles highlights the importance of implementing targeted preventive strategies tailored to the unique demands of refereeing. However, there is still a lack of research in this population, especially in female referees. PROSPERO Registration Number: CRD42024497970. [ABSTRACT FROM AUTHOR]
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Databáze: Complementary Index
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Abstrakt:Background: The epidemiology of injury in soccer has traditionally focused on soccer players, rather than match officials. Although injury data on referees exist, no comprehensive review has summarized injury profiles in this population. Objective: To conduct a systematic review and meta-analysis of injury epidemiology in elite and amateur soccer referees, focusing on injury rates, types, locations, severity, and causes. Methods: PubMed (Medline), Web of Science, Scopus, CINAHL, and SPORTDiscus, covering their entire history up to 19 April 2025 were searched. This review included prospective and retrospective studies reporting injury incidence or prevalence among football match officials, with a study period of at least one season. Studies needed to specify injury definitions and include data on injury location, type, mechanism, or severity. Both male and female officials were eligible. Systematic reviews, commentaries, and letters were excluded. Study quality and risk of bias were evaluated using the STROBE-SIIS, in addition to the Newcastle–Ottawa Scale and funnel plots. Injury incidence rates were estimated using a random effects Poisson regression, accounting for heterogeneity and moderators. Heterogeneity was assessed with the I<sup>2</sup> statistic. Results: A total of 17 studies were included, encompassing 3621 referees. The most frequent injuries were strains and sprains in the knee and ankle. The overall injury incidence was 2.19 injuries per 1000 h of exposure (95% CI 1.30–3.69). On-field referees experienced an incidence rate of 1.46 injuries per 1000 h of exposure (95% CI 0.76–2.81), while assistant referees had a lower rate of 0.84 per 1 h of exposure (95% CI 0.36–1.97). During matches, the injury incidence was 2.24 per 1000 h of exposure (95% CI 1.38–3.64), compared with 0.67 injuries per 1000 h of exposure during training sessions (95% CI 0.36–1.24). However, despite sensitivity analysis, there were still high levels of heterogeneity across included studies. Conclusions: Findings noted higher injury incidence during matches compared with training, and on-field referees compared with assistants. The variation in injury profiles highlights the importance of implementing targeted preventive strategies tailored to the unique demands of refereeing. However, there is still a lack of research in this population, especially in female referees. PROSPERO Registration Number: CRD42024497970. [ABSTRACT FROM AUTHOR]
ISSN:01121642
DOI:10.1007/s40279-025-02326-y