Bringing attention to FIFPRO’s Drake Football Study project

Sam Kerr Football and PARK

Initiated in 2019, the Drake Football Study is a decade-long research project dedicated to monitoring the physical and mental well-being of football players. Spanning ten years, this study aims to provide valuable insights into the long-term health impacts of playing football, offering a comprehensive analysis of both physical and psychological aspects as they evolve over time.

The study initially enrolled over 170 male and female players, capturing data from the early stages of their playing careers and continuing to track their journey as they transition into retirement.

Recent findings from the Drake Football Study have uncovered that 20 percent of professional women’s footballers experienced disordered eating within a 12-month timeframe, which is 1 in 5 women. These results highlight a significant concern within women’s football, underscoring the prevalence of disordered eating patterns among athletes.

The most recent sub-study, titled Unmasking Mental Health Symptoms in Female Professional Football Players, also indicates that female footballers are nearly twice as likely to experience sport-related psychological distress following each surgery. These findings shed light on the significant mental health challenges faced by women in professional football, particularly in the aftermath of surgical procedures.

Among the 74 players surveyed in this sub-study, 55 percent reported experiencing sport-related psychological distress within a 12-month period, a rate consistent with findings across other elite sports. Additionally, three percent of these athletes reported engaging in substance misuse during the same timeframe.

These statistics highlight the pervasive mental health struggles within the professional football community, mirroring trends seen in other high-performance sports.

Over the past decade, FIFPRO has taken a leading role in addressing mental health challenges within football. This effort began in 2013 with a pioneering pilot project aimed at assisting member unions in creating and implementing strategies to protect players’ mental well-being. Since then, numerous additional studies and initiatives have been launched, further strengthening the support network for athletes.

“Players are screened pre-season for musculoskeletal injuries, for their level of endurance, strength and speed, for cardiovascular abnormalities, and the same should apply for mental health,” said FIFPRO’s Chief Medical Officer Prof Dr Vincent Gouttebarge via FIFPRO’s website.

“In Australia, for instance, thanks to the work done jointly by FIFPRO and Professional Footballers Australia, mental health screening in pre-season is now embedded in the minimum medical requirements. It’s a big step forward.”

The findings in women’s football align with those observed in other sports but are less prevalent compared to aesthetic or weight-class sports like gymnastics, judo, wrestling, or boxing. Despite this, the results still raise significant concerns regarding player welfare, emphasising the need for continued attention to the well-being of athletes across all disciplines.

The initial findings of the project, derived from studies on male professional footballers, revealed a low prevalence of knee and hip osteoarthritis (the degeneration of joint cartilage). The research also indicated that pain is a reliable symptom for suggesting the presence of osteoarthritis. Additionally, the likelihood of developing knee osteoarthritis was found to increase by 1.5 times with each injury and by just over four times following surgeries. These insights underscore the significant impact of injuries and surgical procedures on the long-term joint health of football players.

Although the 10-year Drake Football Study focuses primarily on joint pain in the ankles, hips, and knees of players and its potential long-term effects on their well-being, it also seeks to investigate mental health symptoms such as anxiety and depression, which are commonly reported by athletes. Additional data from the study is expected to be published in the coming months.

The Drake Football Study is initially funded by The Drake Foundation and receives support from Amsterdam University Medical Centres, Mehiläinen in Finland, and Push Sports in the Netherlands.

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Project ACL: The initiative leading the way on injury research

Launched in 2024, the research project recently welcomed two US-based organisations: the National Women’s Soccer League Players Association (NWSLPA) and National Women’s Soccer League (NWSL).

 

About Project ACL

Led by FIFPRO, PFA England, Nike and Leeds Beckett University, Project ACL aims to research ACL injuries and understand more about multifactorial risk factors.

After piloting in England’s Women’s Super League (WSL), Project ACL will expand to the NWSL in the US, reflecting the global importance of the project’s research and outcome.

“We are incredibly excited to bring the NWSLPA and NWSL to Project ACL,” said Director of Women’s Football at FIFPRO, Dr. Alex Culvin, via official press release.

“Overall, we believe that player-centricity and collaboration with key stakeholders are central to establishing meaningful change in the soccer ecosystem and that players, competition organisers and stakeholdersaround the world will benefit from Project ACL’s outputs and outcomes.”

Interviews with over 30 players and team surveys across all 12 WSL clubs provided the project’s research team with valuable information about current prevention strategies and available resources.

Furthermore, the project tracks player workload and busy schedule periods during the season through the FIFPRO Player Workload Monitoring tool, therefore gaining insights into the link between scheduling and injury risks.

 

Looking to the data

Project ACL’s partnerships with the WSL – and now the NWSL – are immensely valuable for the future of player welfare in women’s football.

Although ACL injuries affect both male and female athletes, they are twice as likely to occur in women than men. However, according to the NWSL, as little as 8% of sports science research focuses on female athletes.

In Australia, several CommBank Matildas suffered ACL injuries in recent years: Sam Kerr was sidelined from January 2024 to September 2025, Ellie Carpenter for 8 months after suffering the injury while playing for Olympique Lyonnais, and Holly McNamara came back from three ACL’s aged 15, 18 and 20.

And this is just the tip of the iceberg. The 2025/26 ALW season saw several ACL incidents, including four in just two weeks.

 

Research, prevent, protect

Injury prevention and research are vital to sport – whether professional or amateur.

But when the numbers are so shocking – and incidents are so common – governing bodies must remember that player welfare comes above all else. Research can inform prevention strategies. Prevention means players can enjoy the game they love.

The work of Project ACL, continuing until 2027, will hopefully protect countless players across women’s football from suffering long-term or recurring injuries.

The A-Leagues Final Series important status also a secret hinderance

The Isuzu A-League finals series is a huge event in the footballing calendar, though its contribution to stagnant attendance numbers in the league is something to be said.

If the 2025/26 finals series follows similar patterns to those before it, it will gather huge traction and strong ticket sales.

It is the largest event for the domestic league, bringing in massive amounts of viewership through media and gate receipts.

Finals series from years past have shown this, with the 2024/25 final, a Melbourne derby, being sold out within 48 hours and gathering significant viewership online.

The idea of a finals series lies within the Australian sporting ethos; the other sporting codes have had this tradition for most of their existence, especially in recent history.

Football, though, is different from the rest of the sporting codes in Australia, unique even. This has historically contributed to its inability to integrate into the same supported status as other codes.

Many in the Australian footballing community, supporter groups, players, coaches, and even the new Director of Football Australia, have voiced concerns over fan numbers in the league competition.

It wouldn’t be absurd to say that maybe, though profitable now, the finals series is actually taking away from the league itself.

Consider the media image: the league winner is called the “minor premiership,” and ticket sales and viewership figures reveal a huge disparity between the two parts of the A-League.

It must be said that an alternative that could work in unison with the league and possibly increase viewership of the league itself would be a great advantage.

It would allow the league to gain more jeopardy and drama, which could build greater interest in attending league games.

One alternative is already here.

No other sporting code in Australia has both a league competition and a cup competition. Football in Australia does.

The Hahn’s Australia Cup is our equivalent to the FA Cup in England or the Copa del Rey in Spain.

These are competitions that offer a finals option in a different competition entirely. They generate huge traction while never diminishing the importance of the league and, therefore, its popularity.

These cup competitions cannot be discussed without acknowledging some obvious differences.

They don’t face the same popularity issues that football does in Australia. It’s obvious the Hahn’s Australia Cup doesn’t yet gain the traction that the finals series does.

However, for a healthy footballing environment with increasing fan numbers, it should.

The idea of elevating the Hahn’s Australia Cup and scaling back the finals series is a complex question, one that is treated like a “no-go zone” by many in the Australian footballing community, and that is understandable.

Though big changes like this might, in the end, be credible options for the future of the sport in this country.

Larger plans must be set in motion, strategies that can be worked towards and refined along the way. It is the process by which all large organisations, business models and even national governments build their strategies.

Such a shift will be scrutinised and pushed back against.

Though with further fine-tuning and smart investment in development, not to mention the introduction of promotion and relegation and the possibility of changing the footballing calendar.

It could replicate the success that these two-competition models already enjoy in other leagues.

The added importance that the premiership would gain, the reality that every game matters, could alongside other strategies entice fans to more games, increase viewership and ticket sales, and create more dedicated fan bases. It works in other nations, very well in fact.

The possibility of two teams lifting a trophy, rather than one single event defining it all, sounds like a strategy that could deliver more engagement over longer periods of time.

Maybe Australian football doesn’t need to answer this question just yet. It is complex, difficult and it would require a great deal of work, including significant investment into the game, which is another issue entirely.

Yet as low attendance numbers persist in the A-League, even alongside increased media viewership, something needs to change for football in Australia.

The rise in popularity of this game and its dedicated community deserves bold ideas and forward thinking.

Ideas like this could eventually begin to change the landscape of the beautiful game in Australia for the better.

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