Hidden risks for young female soccer players highlighted during World Cup

THE WOODLANDS, TX -- As excitement about the World Cup inspires a new generation of athletes to lace up their cleats, doctors are reminding families that the fast-paced sport can come with real injury risks – especially for young girls.

A new study from Houston Methodist is taking a closer look at why. Researchers focused on girls ages 8-11, as this group has been underrepresented in previous studies, even though their bodies move and develop differently from boys.

Published in the Journal of the American Academy of Orthopaedic Surgeons, the study suggested that injury prevention programs designed around male athletes may not fully address the needs of female players. By focusing on neuromuscular training (how the brain communicates with the muscles) earlier in development, programs like FIFA 11+ Kids may help target risk factors before injuries occur.

The study also found that dynamic balance, the ability to maintain balance in an active stance or in between movements typically on one leg, may not naturally improve with age, indicating that specific training is needed to build these protective skills.

Researchers said that larger, longer-term studies are needed to determine whether these improvements translate to reduced injury rates over time, but the findings highlight the importance of addressing sex-specific risks in youth sports training.

“Girl soccer athletes are especially vulnerable to knee injuries like ACL tears because of the quick, multidirectional movements the game demands,” said Dr. Alysia Robichau, sports medicine physician at Houston Methodist The Woodlands Hospital. “We’re also seeing a significant number of ankle sprains and overuse injuries, particularly in athletes who are playing year-round without adequate recovery time.”

Research also showed female players faced a distinct injury profile, with a higher likelihood of ligament injuries and a significant share of injuries occurring in the lower body.

According to Robichau, factors like muscle imbalances, fatigue and improper training techniques can further increase risk – especially during growth spurts in younger athletes.

As the fall school soccer season approaches, Robichau encourages parents and coaches to take a proactive approach to injury prevention:

▪ Don’t skip preseason conditioning: Athletes should gradually rebuild strength and endurance before the first game, especially after summer breaks.

▪ Build strength in key areas: Focus on core, hips and legs to help stabilize joints and reduce strain on knees and ankles.

▪ Prioritize proper warmups: Dynamic stretching and soccer-specific drills can help prevent muscle and ligament injuries.

▪ Watch for overuse: Playing on multiple teams or year-round without rest increases injury risk—schedule downtime when possible.

▪ Speak up about pain: Persistent soreness, swelling or limping shouldn’t be ignored— early evaluation can prevent more serious injuries.

▪ Check equipment: Properly fitting cleats and shin guards can help reduce unnecessary strain and protect against contact injuries.

“Parents play a key role in helping young athletes stay healthy,” Robichau said. “Encouraging balance, rest and proper training can go a long way in preventing injuries before the season even starts.”

Annual student physicals are one of the easiest and most effective ways to ensure a student is ready to start the season safely. At Houston Methodist, even the youngest patients receive the same high-quality care and attention as professional athletes, with comprehensive evaluations tailored to their unique needs.

Find a Houston Methodist Sports Medicine physician near you to schedule an appointment.