Coaches’ perspectives of injury prevention in youth sports. A qualitative study

Purpose: Many adolescents participating in organized handball and football are subject to injuries and subsequent repercussions. Injury prevention strategies have been shown to be effective in reducing injury rates, but implementation and compliance are inconsistent. The aim of this study is to use coaches’ experiences to enhance the knowledge of how physiotherapists can contribute to injury prevention in youth sports. Method: Two in-depth interviews of coaches were conducted using a semi-structured interview guide. The interviews were recorded, transcribed and analysed. Results: The results are presented in two categories: “Utilizing knowledge in voluntary service” and “The physiotherapist – a valuable, but arbitrary resource”. Analysis of the interviews shows that coaches have differing levels of knowledge of injury prevention. Their responsibilities for injury prevention are unclear, and common prevention strategies are not implemented. Physiotherapists are perceived as valuable collaborators, but more reliable access is desired. Conclusion: The study adds insights to the field of injury prevention in youth sports. Coaches would like physiotherapists to be included in injury prevention strategies, but responsibilities are not specified. Public health and injury prevention strategies are prioritized in health and sport policies, but implementation of this in organized youth sport remains unclear