Journal of Human Sport and Exercise

Incidence and prevalence of injuries in futsal: A systematic review of the literature

Javier Gene-Morales, Angel Saez-Berlanga, Manuel Bermudez, Jorge Flández, Nicole Fritz, Juan C. Colado



Futsal athletes are exposed to a high number of injures. Purpose: This study aimed to gather data on the injures produced in futsal, attending to the prevalence, part of the body injured, type of injury and mechanism, and severity. Also, to evaluate the influence that sociodemographic factors and the position on the pitch may have on the injuries. Finally, we pursued to summarize the prevention strategies proposed by the expert literature. Design: Different search strategies were entered in PubMed, Scopus, Web of Science, and Sport Discuss databases. Results: 36 articles were selected to be reviewed. Futsal is situated among the sports with the highest injury incidence, being the main body part injured the lower limb, specifically the knees and ankles. Regarding the type of injury and the mechanism causing the injury, bone injuries are usually related to contact with rivals and muscle, tendon, and ligament injuries related to non-contact mechanisms. In this concern, non-contact injuries are frequently more severe than impact injuries. There is not a clear consensus on if more injuries occur in training or games, and on the severity of the major part of the injuries that occur in futsal. Concerning sex, male players seem to present a higher prevalence of ankle injuries while woman players present more incidence of knee sprains. The age was reported to be correlated with the incidence of injuries during futsal practice. No influence of the position on the field of play on the prevalence of injuries was observed in the literature. Some recommendations are gathered concerning the prevention of injuries. These recommendations are focused on player equipment, playing facilities, rules, physical assessment, and appropriate strength and conditioning preparation. Conclusion: The results presented in this study may help coaches and practitioners to understand crucial factors on the common injuries that occur in futsal. This may allow them to prevent potential injuries and maintain the athlete’s performance.


Indoor soccer; Sprains; Ankle; Knee


Ahmad-Shushami, A. H., & Abdul-Karim, S. (2020). Incidence of football and futsal injuries among youth in Malaysian games 2018. Malaysian Orthopaedic Journal, 14(1), 28.

Aminiaghdam, S. (2012). Epidemiological analysis of lower extremity injuries during the Iranian universities futsal championship. Medicina dello Sport, 65(4), 527-535.

Anderson, S. J., Griesemer, B. A., Johnson, M. D., Martin, T. J., McLain, L. G., Rowland, T. W., & Small, E. (2000). Injuries in youth soccer: a subject review. Pediatrics, 105(3), 659-661.

Aranda, F. (2006). Written presentation of bibliographic reviews [Presentación por escrito de la revisión bibliográfica]. Secretaría de Ciencia y Técnica, Universidad Adventista del Plata.

Arena, S. S., & Carazzato, J. G. (2007). Relationship between medical guidance and injuries incidence in Young athlethes from Sao Paulo [A relação entre o acompanhamento médico ea incidência de lesões esportivas em atletas jovens de São Paulo]. Revista Brasileira de Medicina do Esporte, 13(4), 217-221.

Ayala, F., & de Baranda, P. S. (2011). Intersession repeatability of finger-plant and finger-ground distance tests to estimate isquisoural flecxibility in adult futsal players of the first division [Reproducibilidad inter-sesión de las pruebas distancia dedos planta y distancia dedos suelo para estimar la flexibilidad isquiosural en jugadores adultos de fútbol sala de primera división]. Revista Andaluza de Medicina del Deporte, 4(2), 47-51.

Ayala, F., Sainz, D. B. P., & De Ste, C. M. (2010). Effect of active stretch on hip flexion range of motion in female professional futsal players. The Journal of Sports Medicine and Physical Fitness, 50(4), 428-435.

Ayala, F., Sainz, D. B. P., De Ste, C. M. & Santonja, F. (2012). Absolute reliability of five clinical tests for assessing hamstring flexibility in professional futsal players. Journal of Science and Medicine in Sport, 15(2), 142-147.

Bahr, R., Lian, O., & Bahr, I. A. (1997). A twofold reduction in the incidence of acute ankle sprains in volleyball after the introduction of an injury prevention program: a prospective cohort study. Scandinavian Journal of Medicine & Science in Sports, 7(3), 172-177.

Bahr, R. (2007). Sport injuries: Diagnose, treatment and rehabilitation [Lesiones deportivas: Diagnóstico, tratamiento y rehabilitación]. España: Ed. Médica Panamericana.

Baroni, B., Generosi, R., & Junior, E. C. P. L. (2008). Incidence and factors related to ankle sprain in athletes of futsal national teams. Physical Therapy in Movement, 21, 79-88.

Baroni, B. M., & Leal Junior, E. C. P. (2010). Aerobic capacity of male professional futsal players. Journal of Sports Medicine and Physical Fitness, 50(4), 395.

Berdejo-del-Fresno, D., Zagalaz, J. C., Martínez-López, E. J., Sánchez, A. L., & Diéguez, S. L. (2013). Footprint alterations depending the physical activity performed [Alteraciones de la huella plantar en función de la actividad física realizada]. Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte, 13(49), 19-39.

Bertolla, F., Baroni, B. M., Junior, L., Pinto, E. C., & Oltramari, J. D. (2007). Effects of a training program using the Pilates method in the flexibility of sub-20 indoor soccer athletes. Revista Brasileira de Medicina do Esporte, 13(4), 222-226.

Cain, L. E., Nicholson, L. L., Adams, R. D., & Burns, J. (2007). Foot morphology and foot/ankle injury in indoor football. Journal of Science and Medicine in Sport, 10(5), 311-319.

Calatayud, J., Borreani, S., Colado, J. C., Flandez, J., Page, P., & Andersen, L. L. (2014). Exercise and ankle sprain injuries: a comprehensive review. The Physician and Sports Medicine, 42(1), 88-93.

Cherati, A. S., Dousti, M., & Younespour, S. (2016). Association between foot posture index and ankle sprain in indoor football players. Global Journal of Health Science, 8(10), 51426-51426.

Clará, J. D. R., Soriano, C., Ruth, A., Contreras, C., & Yuvicza, G. (2010). Ankle and foot musculoskeletal injuries in futsal and related factors in Universidad El Salvador team January-February 2010 [Factores relacionados con lesiones músculo esqueléticas de tobillo y pie en jugadores de fútbol sala de la Selección de la Universidad de El Salvador enero-febrero 2010]. Tesis Doctoral, Universidad de El Salvador, El Salvador.

Collares, K., Correa, M. B., Silva, I. C. M. D., Hallal, P. C., & Demarco, F. F. (2014). Effect of wearing mouthguards on the physical performance of soccer and futsal players: a randomized cross‐over study. Dental Traumatology, 30(1), 55-59.

Dantas, J. A., & Silva, M. R. (2007). Lower limb injuries frequency in profesional futsal [Frequência das lesoes nos membros inferiores no futsal profissional]. Revista da Faculdade de Ciências da Saúde, (4).

de Moura, N. R., Cury-Boaventura, M. F., Santos, V. C., Levada-Pires, A. C., Bortolon, J., Fiamoncini, J., ... & Hatanaka, E. (2012). Inflammatory response and neutrophil functions in players after a futsal match. The Journal of Strength & Conditioning Research, 26(9), 2507-2514.

de Moura, N. R., Borges, L. S., Santos, V. C., Joel, G. B., Bortolon, J. R., Hirabara, S. M., ... & Hatanaka, E. (2013). Muscle lesions and inflammation in futsal players according to their tactical positions. The Journal of Strength & Conditioning Research, 27(9), 2612-2618.

Dick, R., Putukian, M., Agel, J., Evans, T. A., & Marshall, S. W. (2007). Descriptive epidemiology of collegiate women's soccer injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2002-2003. Journal of Athletic Training, 42(2).

Emery, C. A., & Meeuwisse, W. H. (2006). Risk factors for injury in indoor compared with outdoor adolescent soccer. The American Journal of Sports Medicine, 34(10), 1636-1642.

Emery, C. A., & Meeuwisse, W. H. (2010). The effectiveness of a neuromuscular prevention strategy to reduce injuries in youth soccer: a cluster-randomised controlled trial. British Journal of Sports Medicine, 44(8), 555-562.

Engström, B. K., & Renström, P. A. (1998). How can injuries be prevented in the World Cup soccer athlete? Clinics in Sports Medicine, 17(4), 755-768.

Faquin, A. O. (2012). Sport shoes for futsal practice: mechanic, biomechanic and perception assessments [Calçado esportivo destinado à prática de futsal: avaliações mecânicas, biomecânicas e de percepção]. Doctoral Thesis, Universidad de São Paulo, São Paulo.

Faquin, A., Avila, A. V., & Serrão, J. C. (2013). Plantar pressure distribution in indoor soccer shoes. Footwear Science, 5(sup1), S29-S30.

Ferreira, A. P., Gomes, S. A., Ferreira, C. E. S., Arruda, M. D., & França, N. M. D. (2010). Evaluate of dominant and nondominant knee extensors and flexors isokinetic performance in futsal athletes. Revista Brasileira de Ciências do Esporte, 32(1), 229-243.

Federación Internacional Futbol Asociación (FIFA) (2013). Futsal rules [Reglas de Juego del Futsal].

Filipe, J. A.C., Barros, H., & Castro-Correia, J. (1997). Sports-related ocular injuries: a three-year follow-up study. Ophthalmology, 104(2), 313-318.

Filipe, J. A. C., Fernandes, V. L., Barros, H., Falcao-Reis, F., & Castro-Correia, J. (2003). Soccer-related ocular injuries. Archives of Ophthalmology, 121(5), 687-694.

Fuller, C. W., Ekstrand, J., Junge, A., Andersen, T. E., Bahr, R., Dvorak, J., ... & Meeuwisse, W. H. (2006). Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Scandinavian Journal of Medicine & Science in Sports, 16(2), 83-92.

García Jiménez, J. V., Yuste Lucas, J. L., & García Pellicer, J. J. (2010). Liquid ingestion and dehidration in profesional futsal players depending their field position [Ingesta de líquidos y deshidratación en jugadores profesionales de fútbol sala en función de la posición ocupada en el terreno de juego]. Apunts. Medicina de l'Esport, 45(166), 69-74.

García-Tamez, S. E., Echegoyen-Monroy, S., Ybarra-Barrera, P., & Rodríguez, M. C. (2011). Epidemiology of injuries in a male college indoor soccer team. Acta Ortopedica Mexicana, 26(4), 219-223.

Gayardo, A., Matana, S. B., & Silva, M. R. D. (2012). Prevalence of injuries in female athletes of Brazilian futsal: a retrospective study. Revista Brasileira de Medicina do Esporte, 18(3), 186-189.

Hutton, B., Salanti, G., Caldwell, D. M., Chaimani, A., Schmid, C. H., Cameron, C., Ioannidis, J. P. A., Straus, S., Thorlund, K., Jansen, J. P., Mulrow, C., Catalá-López, F., Gøtzsche, P. C., Dickersin, K., Boutron, I., Altman, D. G., & Moher, D. (2015). The PRISMA Extension Statement for reporting of systematic reviews incorporating Network Meta-analyses of health care interventions: Checklist and explanations. Annals of Internal Medicine, 162(11), 777-784.

Junge, A., & Dvorak, J. (2000). Influence of definition and data collection on the incidence of injuries in football. The American Journal of Sports Medicine, 28(suppl 5), S-40.

Junge, A., & Dvorak, J. (2004). Soccer injuries. Sports Medicine, 34(13), 929-938.

Junge, A., Dvorak, J., Graf-Baumann, T., & Peterson, L. (2004). Football injuries during FIFA tournaments and the Olympic Games, 1998-2001 Development and Implementation of an Injury-Reporting System. The American Journal of Sports Medicine, 32(1 suppl), 80S-89S.

Junge, A., & Dvorak, J. (2010). Injury risk of playing football in Futsal World Cups. British Journal of Sports Medicine, 44(15), 1089-1092.

Kent, J. S., Eidsness, R. B., Colleaux, K. M., & Romanchuk, K. G. (2007). Indoor soccer-related eye injuries: should eye protection be mandatory? Canadian Journal of Ophthalmology/Journal Canadien d'Ophtalmologie, 42(4), 605-608.

Knowles, S. B., Marshall, S. W., & Guskiewicz, K. M. (2006). Issues in estimating risks and rates in sports injury research. Journal of Athletic Training, 41(2), 207.

Kurata, D. M., Martins Junior, J., & Nowotny, J. P. (2007). Injuries incidence in futsal athletes [Incidência de lesões em atletas praticantes de Futsal]. Iniciação Cientifica CESUMAR, 9(1), 45-51.

Ladeira, C. E. (1999). Injury incidence in soccer: a prospective study with adult Canadian male athletes [Incidência de lesões no futebol: um estudo prospectivo com jogadores masculinos adultos amadores canadenses]. Revista Brasileira de Fisioterapia, 4(1), 39-47.

Lago-Fuentes, C., Jiménez-Loaisa, A., Padrón-Cabo, A., Calvo, M. M., García-Pinillos, F., & Rey, E. (2020). Epidemiology of injuries in elite female futsal players: a prospective cohort study. International Journal of Sports Medicine, 41(12), 885-890.

Lara Araújo, V., Otoni do Carmo Carvalhais, V., Ribeiro Teles Dos Santos, T., Gomes Pavan Gonçalves, G., Sales Prado, L., & Teixeira Fonseca, S. (2013). Characterization of hip passive stiffness of volleyball, basketball and futsal young athletes. Physical Therapy in Sport, 14(4), 227-231.

Leonardi, A. B. D. A., Martinelli, M. O., & Duarte Junior, A. (2012). Are there differences in strength tests using isokinetic dynamometry between field and indoor professional soccer players? Revista Brasileira de Ortopedia, 47(3), 368-374.

Lindenfeld, T. N., Schmitt, D. J., Hendy, M. P., Mangine, R. E., & Noyes, F. R. (1994). Incidence of injury in indoor soccer. The American Journal of Sports Medicine, 22(3), 364-371.

Lopes, M., Simões, D., Costa, R., Oliveira, J., & Ribeiro, F. (2020). Effects of the FIFA 11+ on injury prevention in amateur futsal players. Scandinavian Journal of Medicine & Science in Sports, 30(8), 1434-1441.

López-Segovia, M., & Fernández, V. (2019). Preseason Injury Characteristics in Spanish Professional Futsal Players: The LNFS Project. The Journal of Strength and Conditioning Research.

Luciano, A. D. P., & Lara, L. C. R. (2012). Epidemiological study of foot and ankle injuries in recreational sports. Acta Ortopedica Brasileira, 20(6), 339-342.

Medina, J. A., Marqueta, P. M., & Salillas, L. G. (2009). Incidence of injuries and effects in the training programs in futsal [Incidencia lesional y su repercusión en la planificación del entrenamiento en fútbol sala]. Archivos de Medicina del Deporte: Revista de la Federación Española de Medicina del Deporte y de la Confederación Iberoamericana de Medicina del Deporte, (132), 261-272.

Morato, M. P., Bilzon, J. L., & Duarte, E. (2013). Sports injuries in Brazilian blind footballers. International Journal of Sports Medicine, 34(3), 239-243.

Olkoski, M. M., Fuke, K., Matheus, S. C., Soares, F. A. A., Portella, R., da Rosa, E. J. F., ... & Bottaro, M. (2013). Biochemical and physical responses to water and land training in futsal athletes [Respostas bioquímicas e físicas ao treinamento realizado dentro e fora da água em atletas de futsal]. Journal of Physical Education, 19(2), 432-440.

Olmedilla, A., García-Alarcón, M., & Ortega, E. (2018). Relationships between sports injuries and stress in female football and indoor football. Journal of Sport and Health Research, 10(3), 339-348.

Orr, B., Brown, C., Hemsing, J., McCormick, T., Pound, S., Otto, D., ... & Beaupre, L. A. (2011). Female soccer knee injury: Observed knowledge gaps in injury prevention among players/parents/coaches and current evidence (the KNOW study). Scandinavian Journal of Medicine & Science in Sports, 23(3), 271-280.

Panchuk, T., & Glab, G. (2015). Indoor soccer injuries: problems and prospects for solving them. Physical Activity, Health and Sport, 1(19), 47-57.

Pares, J., Taboada, C., Temporal, D., & Carré, C. (2016). Physium in risk reduction of injuries in elite indoor football players: a pilot study. Journal of Sport and Health Research, 8(3), 223-230.

Patel, D. R., Stier, B., & Luckstead, E. F. (2002). Major international sport profiles. Pediatric Clinics of North America, 49(4), 769-792.

Paterson, A. (2009). Soccer injuries in children. Pediatric Radiology, 39(12), 1286-1298.

Peterson, L., Junge, A., Chomiak, J., Graf-Baumann, T., & Dvorak, J. (2000). Incidence of football injuries and complaints in different age groups and skill-level groups. The American Journal of Sports Medicine, 28(suppl 5), S-51.

Prodromos, C. C., Han, Y., Rogowski, J., Joyce, B., & Shi, K. (2007). A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 23(12), 1320-1325.

Quemelo, P. R. V., Coelho, A. R., Bachur, J. A., Morraye, M. D. A., Zaia, J. E., & Gadotti, I. (2012). Prevalence of sport injuries during the 53th Regional Games in Franca (SP), Brazil. Fisioterapia e Pesquisa, 19(3), 256-260.

Reis, I., Rebelo, A., Krustrup, P., & Brito, J. (2013). Performance enhancement effects of Federation Internationale de Football Association's "The 11+" Injury Prevention Training Program in Youth Futsal Players. Clinical Journal of Sports Medicine, 23(4), 318-320.

Ribeiro, C. Z. P., Akashi, P. M. H., Sacco, I. D. C. N., & Pedrinelli, A. (2003). Relationship between postural changes and injuries of the locomotor system in indoor soccer athletes. Revista Brasileira de Medicina do Esporte, 9(2), 98-103.

Ribeiro, R. N., & Costa, L. O. P. (2006). Epidemiologic analysis of injuries occurred during the 15th Brazilian Indoor Soccer (Futsal) Sub20 Team Selection Championship. Revista Brasileira de Medicina do Esporte, 12(1), 1-5.

Ruiz-Pérez, I., López-Valenciano, A., Jiménez-Loaisa, A., Elvira, J. L., Croix, M. D. S., & Ayala, F. (2019). Injury incidence, characteristics and burden among female sub-elite futsal players: a prospective study with three-year follow-up. PeerJ, 7, e7989.

Schmikli, S. L., Backx, F. J., Kemler, H. J., & Van Mechelen, W. (2009). National survey on sports injuries in the Netherlands: target populations for sports injury prevention programs. Clinical Journal of Sports Medicine, 19(2), 101-106.

Serrano, J. M., Shahidian, S., Voser, R. D. C., & Leite, N. (2013). Incidence and injury risk factors in Portuguese futsal players. Revista Brasileira de Medicina do Esporte, 19(2), 123-129.

Souza, C. T. D., Medeiros, C. D., Silva, L. A. D., Silveira, T. C., Silveira, P. C., Pinho, C. A. D., ... & Pinho, R. A. (2010). Serum measurement of muscle and oxidative damage in soccer players after a game. Revista Brasileira de Cineantropometria & Desempenho Humano, 12(4), 269-274.

Spinks, A. B., & McClure, R. J. (2007). Quantifying the risk of sports injury: a systematic review of activity-specific rates for children under 16 years of age. British Journal of Sports Medicine, 41(9), 548-557.

Tessitore, A., Meeusen, R., Cortis, C., & Capranica, L. (2007). Effects of different recovery interventions on anaerobic performances following preseason soccer training. The Journal of Strength & Conditioning Research, 21(3), 745-750.

Tessitore, A., Meeusen, R., Pagano, R., Benvenuti, C., Tiberi, M., & Capranica, L. (2008). Effectiveness of active versus passive recovery strategies after futsal games. The Journal of Strength & Conditioning Research, 22(5), 1402-1412.

Thacker, S. B., Stroup, D. F., Branche, C. M., Gilchrist, J., Goodman, R. A., & Weitman, E. A. (1999). The prevention of ankle sprains in sports A systematic review of the literature. The American Journal of Sports Medicine, 27(6), 753-760.

Uluöz, E. (2016). Investigation of sport injury patterns in female futsal players. International Journal of Sports Culture and Science, 4(4), 474-488.

Urrútia, G., & Bonfill, X. (2010). PRISMA Declaration [Declaración PRISMA: Una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis]. Medicina Clínica, 135(11), 507-511.

Van Mechelen, W., Hlobil, H., & Kemper, H. C. (1992). Incidence, severity, aetiology and prevention of sports injuries. Sports Medicine, 14(2), 82-99.

Varkiani, M. E., Alizadeh, M. H., & Pourkazemi, L. (2013). The epidemiology of futsal injuries via Sport Medicine Federation Injury Surveillance System of Iran in 2010. Procedia-Social and Behavioral Sciences, 82, 946-951.

Willick, S. E., Webborn, N., Emery, C., Blauwet, C. A., Pit-Grosheide, P., Stomphorst, J., ... & Schwellnus, M. (2013). The epidemiology of injuries at the London 2012 Paralympic Games. British Journal of Sports Medicine, 47(7), 426-432.

Yaghobi, M. & Goodarzi, B. (2015). Comparative study of sports injuries in football and futsal team. European Academic Research, 3(4), 6662-6673.

Zagalaz, J. C. (2011). Incidence of the new rules of futsal in Spain (2006) in the show [Análisis de la incidencia en el espectáculo deportivo del nuevo reglamento de Fútbol sala (2006) en España]. Apunts. Educación física y deportes, (106), 84.

Zagalaz, J. C., Rodrigo-Conde Salazar, M., Campoy-Aranda, T. J., & Linares-Girela, D. (2012). Futsal and education. Learning a team sport in school [Fútbol sala y educación. Aprendizaje de un deporte colectivo para los escolares]. Journal of Sport and Health Research, 4(3), 145-254.


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