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Starting with the junior categories, we did not observe any significant change of the knee laxity measurements over time. In professional athletes, this might be due to the more intense training heavy loads.21,22 Prompted by the NAPSI position stand from the IOC, FIFA, the International Wheelchair and Amputee Football Association (IWAS) announced their policy statements related to physical activity of female youth footballers.24 They concluded that youth representative football should be included as an obligatory part of the family, school, club, and community sports programs.25 Although this conclusion articulates that we should allow female athletes to play football at the youth level, it does not provide a definite answer about the position of female footballers.25
One advantage of the current study is that we focussed on the youth female population, which has not been adequately evaluated to date. Youth is an important time in life for female athletes as it may prepare girls for future activities, such as entering into competitions and might also influence the development of musculoskeletal conditions. For example, female athletes who had been playing sports at a young age are more likely to suffer from shoulder and neck pain, possibly due to sport-related changes in the body posture.
Since 2012 the inclusion criteria for the Dutch female junior, under-19, under-17 football championships have been > 10 years old.25 Because these players rarely play in the adult professional leagues, the average age has increased over time. d2c66b5586