Overall injury rates remain high in elite football despite the significant research on injury prevention.1 One of the reasons is the players’ low adherence to injury prevention programmes due to their expe-rience of muscle soreness and ‘heavy legs during the match’.2 Additionally, preven-tion training compliance may be reduced due to the ‘desire to perform as much training as possible with the team’.2 This may be the reality in high-level football, but can we do better? This editorial aims to present evidence-based approaches for improving injury prevention implementa-tion in real-world settings.

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