FA and WSL launch major research project into ACL injuries

The Football Association and WSL Football have launched a major research project aimed at understanding the causes behind anterior cruciate ligament (ACL) injuries in the women's game. The initiative seeks to identify specific risk factors and develop evidence-based strategies to reduce the incidence of these serious injuries.

Funded by the FA, the PhD study will be conducted in partnership with Imperial College London. Leading researcher Hanna Lehtovirta will head the project, working alongside sports knee surgeon Simon Ball. The study will involve players, coaching staff, and medical teams from across both the Women's Super League and WSL2.

ACL injuries have become a significant concern in women's football, with data suggesting female players are two to six times more likely to suffer the injury compared to their male counterparts. High-profile players including Vivianne Miedema, Beth Mead, Leah Williamson, and Sam Kerr have all faced lengthy absences due to ACL tears in recent years.

The research is structured in two distinct phases. The first will utilize player surveys to gather comprehensive data on injury history, training loads, and various physiological factors such as hormonal, nutritional, and psychological health. Researchers will compare data from players who have sustained ACL injuries since the 2018-19 season against those who have remained injury-free.

The second phase will focus on qualitative data, involving interviews with players and staff to explore current perceptions of injury prevention and training methodologies. By combining scientific rigor with the day-to-day experiences of elite professionals, the project aims to establish new welfare and rehabilitation standards for the sport. This initiative complements broader efforts, such as FIFA's 2025-funded study into the role of menstrual cycles in injury prevalence.