Dr Alex Culvin

Abstract

Women's football has grown in popularity, competitiveness and professionalism, increasing the demands placed on players and their injury risk. This study aimed to identify differences in the match workload and international travel between injured and non‐injured professional women's footballers. The study was conducted as an observational, retrospective, case‐control study over two football seasons (2021/2022 and 2022/2023) in four top‐tier European women's football leagues. Fifty‐eight professional women football players (81 injuries) formed the injury group and were matched with 81 elite women football players (162 non‐injuries), from the same league, to form the control group. For each injury, cumulative match workload (minutes played, appearances, days between matches, rest) and international travel (distances, time, time zones crossed) were calculated over a 28‐day period preceding the injury, for both the injured players and matched controls. The injured group had a higher number of instances of less than 5 days between matches compared to the controls (p = 0.03, effect size = 0.3, small). The anterior cruciate ligament injury group made more appearances (p = 0.09, effect size = 0.8, moderate), had more instances of less than 5 days between matches (p = 0.09, effect size = 0.8, moderate) and had less rest time (p = 0.12, effect size = 0.8, moderate) than the control group. No meaningful differences were observed between the hamstring injury group and the control group. These findings underscore the importance of careful consideration when developing match fixture schedules in elite women's football, particularly concerning the number of matches scheduled in a short period. Strategies to increase rest and recovery are recommended to safeguard players against injuries.

We draw from 102 interviews with American and English adults who attended the 2019 Women’s World Cup to examine how fans perceive women footballers as ‘role models’, with attention to the operations of gender ideology. Despite the recent professionalization and commercialization of women’s football, there is a dearth of research on fan perspectives of players as role models. Our findings show that most fans perceive role modelling as women’s accessibility and authenticity in interaction. Fans naturalize women’s often uncompensated labor as role models through a supposed love for their sport and desire to see its future growth, endorsing a gender essentialist view of women as notably caring and giving in comparison to men. However, a minority of fans embrace a more critical view by identifying role modelling as an expectation placed disproportionately on women within an already unequal resource environment. We conclude that role modelling is a gendered expectation for elite women footballers and that fans can be a source of pressure towards its enactment.

SYNOPSIS: This Viewpoint explores the “professionalization mismatch” in women’s football (soccer)—the disparity between rising demands and insufficient resources despite increasing demands on professional athletes. Anterior cruciate ligament (ACL) injury incidence has remained steady over the past 2 decades. ACL injuries are severe injuries for players, often leading to short-term deficits in performance and long-term health issues. Our attempt to conduct a systematic review on ACL injury risk reduction strategies in professional women’s football revealed a significant knowledge gap, highlighting the challenges of conducting rigorous research in this context. We propose steps to address these gaps, including evaluating current practices, conducting qualitative research, adopting open science practices, and facilitating interdisciplinary collaboration injury risk reduction programs to the growing demands of professional women football players. Collaborative research can support developing and implementing tailored ACL injury risk reduction strategies to improve players’ health and performance in professional women’s football. J Orthop Sports Phys Ther 2025;55(6):386-389. Epub 21 April 2025. doi:10.2519/jospt.2025.12926

Since the professionalization of English women's football in 2018, it is now considered a viable career opportunity for women footballers. Nevertheless, little is known about women working within the culture of professional football clubs, the impact on their career experiences, and crucially, within the context of women's sport. Utilizing Schein's model of organizational culture as a theoretical framework and focusing on the professional tiers of English women's football, we interviewed General Managers and Head Coaches for what they perceive to be the cultural features of their organizations that either constrain or support the recruitment, retention, and/or progression of female leaders. In doing so, this research advances existing literature by centering the specific dynamics of women's sport organizations rather than extrapolating from men's football and offers a gendered critique of cultural assumptions that continue to marginalize women. We also extend Schein's framework by applying it to a gendered sporting context, highlighting how deeper cultural artifacts, espoused values, and underlying assumptions intersect with structural inequalities. Findings suggest that women continue to be appraised on the basis of gender rather than capability and that club cultures and practices are constraining the appointment of a gender‐diverse workforce. We argue for a shift in focus toward systemic cultural change to address persistent gender inequalities in football leadership.