USA Football recommendations for youth play earn endorsements  

Green Bay Packers

March 31, 2021

USA Football, the sport’s national governing body and a member of the U.S. Olympic & Paralympic Committee (USOPC), today introduced its Athlete Health & Wellness Recommendations for youth football play that have earned endorsements by the American College of Sports Medicine (ACSM), the National Athletic Trainers’ Association (NATA) and the National Youth Sports Health & Safety Institute (NYSHSI).

Packers President/CEO Mark Murphy is a member of USA Football’s board of directors.

The eight recommendations advance smarter play through new training and practice standards, use of the two-point stance and days of rest between full contact games and scrimmages.

USA Football’s recommendations were developed in collaboration with its Task Force on Athlete Health and Wellness, a subgroup of its FDM Council. The recommendations are aligned with USA Football’s Football Development Model (FDM), designed to develop the whole athlete based on a child’s age and stage of development in alignment with the USOPC’s American Development Model. The Task Force on Athlete Health and Wellness is comprised of leaders across football, sport science, medicine and long-term athlete development.

“As is evidenced by the support of several leading sports medicine and health care organizations, our Task Force members helped develop world-class athlete health and wellness recommendations for youth football,” said U.S. Tennis Association University Managing Director and USA Football Task Force on Athlete Health and Wellness Chair Dr. Paul Roetert. “These recommendations provide the basis for the implementation of new standards focused on young players of all ages, and as importantly, all stages of development.”

Combined, the ACSM, NATA and NYSHSI represent more than 50,000 members and certified professionals worldwide, representing 70 occupations across sports medicine and health care.

USA Football’s recommendations for youth football and accompanying rationale are accessible here. A summary of the recommendations are below.

“USA Football’s recommendations for youth play, created in conjunction with credentialed leaders of diverse expertise, hold myriad near- and long-term benefits for young athletes,” ACSM President Dr. Nicole Keith said. “Taking one of our most popular physical activities for children – youth football – and boldly reimagining it in this way is leadership one would expect from a national governing body of sport. The ACSM is proud to endorse these recommendations.”

“It is critical that the health and safety of athletes is always the number one priority,” said NATA President Tory Lindley, MA, ATC. “The National Athletic Trainers’ Association endorses USA Football’s new ‘Athlete Health and Wellness Recommendations’ and applauds USA Football for its continued commitment to a smarter and safer approach to sport.”

“Applying the best available science to seasoned insight and relevant, real-world experiences across medicine and sporting activities like football is exciting and uncommon – this is what USA Football has done,” said NYSHSI Leadership Board Member Dr. Thayne Munce. “This is what I would want my child’s youth league to teach, practice and play. And children in such leagues will have more fun, likely experience greater skill development and be more inclined to live healthy, active lifestyles as adults.”

USA Football’s Athlete Health & Wellness Recommendations, endorsed by the ACSM, NATA and NYSHSI:

  1. Guidelines for sport-specific football training by age-band

In alignment with the philosophy of the Football Development Model, this recommendation provides a clear and gradual progression relative to both the frequency and duration of practices as a young athlete grows and develops. The following table is within the recommendations based on current research regarding athlete workload, including those established by NATA (Youth Sport Specialization Safety RecommendationsPrevention of Pediatric Overuse Injuries). Note: This recommendation is strictly concerned with the frequency and duration of practices as it relates to age. Time limits on contact are addressed within other recommendations.

(Table inside Article)
Youth Athlete Practice Length Practices Per Week
Age 5+ 30-60 minutes 1 to 2
Age 8+ 60-90 minutes 1 to 3
Age 10++ 75-105 minutes 2 to 3
Age 12 through pre-High School 90-120 minutes 2 to 3
  1. Recommendation to prohibit select drills

In the interest of safer play and to remove high-risk drills which have limited transfer to skill development, USA Football recommends youth programs prohibit contact drills that meet the following criteria:

Only promote or teach contact “down the middle” of an opponent with no intent to offset the contact point.

Do not allow for players to win with speed or angles, but only through physical contact or collision.

Game- or Pod-based drills that require no game-specific reaction such as a designated ball insertion point for the offense, a run/pass option or designating a specific gap to control for the defense.

Any full-contact drills that allow for greater than a 2:1 player-to-player ratio.

This would include player-to-player contact drills such as:

Board Drill // OL vs. DL In-Line Run Blocking with no variation of run, pass or play going right or left

Bull in the Ring // King of the Circle

Oklahoma Drill

Pods // 3-Spot without a Run/Pass read

  1. Recommendation on the Two-Point Stance

For youth football programs playing any version of Non-Contact, Limited Contact and/or Modified Contact games (i.e., Rookie Tackle®), it is recommended that all players initiate movement from the two-point stance.

  1. Recommendation at the youth Senior Tackle™ level (traditional full field, full contact) to use the two-point stance for offensive players

For youth tackle football played at the Senior Tackle™ level (traditional full field, full contact), programs are encouraged to instruct and use the two-point stance for players on the offensive side of the line of scrimmage.

  1. Recommendation to limit full contact activities on consecutive days

USA Football recommends that practices involving drills or activities considered to be full contact are not allowed on consecutive days. This includes the day following a game or live-action scrimmage. Full contact is defined as any drill or activity in which contact occurs at a competitive speed. Full contact drills and activities are based on the initial player-to-player contact, regardless of whether an athlete goes to ground or not. View USA Football’s Levels of Contact here.

  1. Recommendation for Maximum Games Per Week (Contact)

No more than one full contact game or live-action scrimmage is recommended per week. In postseason, a minimum of three days should lapse between full contact games.

  1. Recommendation for preseason practice contact guidelines

Following the acclimatization period, during the preseason (prior to regular season play), it is recommended that coaches limit the amount of full contact to no more than 75 minutes per week with no more than 30 minutes on any one day. Full contact is defined as any drill or activity in which contact occurs at a competitive speed. Full contact drills and activities are based on the initial player-to-player contact, regardless of whether an athlete goes to ground or not. View USA Football’s youth practice guidelines here.

  1. Recommendation for regular season practice contact guidelines

Following the preseason period, once regular season competitions begin, it is recommended that coaches limit the amount of full contact to no more than 60 minutes per week with no more than 30 minutes on any one day. Full contact is defined as any drill or activity in which contact occurs at a competitive speed. Full contact drills and activities are based on the initial player-to-player contact, regardless of whether the player goes to the ground or not. View USA Football’s youth practice guidelines here.

About USA Football: USA Football designs and delivers premier educational, developmental and competitive programs to advance, unify and grow the sport. As the sport’s national governing body, member of the U.S. Olympic & Paralympic Committee and organizer of the U.S. National Team for international competition, USA Football partners with leaders in medicine, child advocacy and athletics to support positive football experiences for youth, high school and other amateur players.

About the American College of Sports Medicine: The American College of Sports Medicine (ACSM) serves as the largest sports medicine and exercise science organization in the world with more than 50,000 international, national and regional members and certified fitness professionals. All are dedicated to advancing and integrating scientific research to provide educational and practical applications of exercise science and sports medicine. Visit

About NATA:*National Athletic Trainers’ Association* – Health Care for Life & Sport: Athletic trainers are health care professionals who specialize in the prevention, diagnosis, treatment and rehabilitation of injuries and sport-related illnesses. They prevent and treat chronic musculoskeletal injuries from sports, physical and occupational activity, and provide immediate care for acute injuries. Athletic trainers offer a continuum of care that is unparalleled in health care. The National Athletic Trainers’ Association represents and supports 45,000 members of the athletic training profession. Visit for more information.

About the National Youth Sports Health & Safety Institute: The National Youth Sports Health & Safety Institute (NYSHSI) is dedicated to being the recognized leader and advocate for advancing and disseminating the latest research and evidence-based education, recommendations and policy to enhance the experience, development, health and safety of our youth in sports. The NYSHSI encourages a deliberate early introduction of diverse functional movements and activities that are healthy and fun, as a catalyst for developing a critical foundation, capacity and enthusiasm for sustainable physical activity (sports and otherwise) through childhood, adolescence and beyond. NYSHSI further urges all youth sports stakeholders to provide a positive and healthy environment for our kids to enjoy sports – that is, have fun, learn sports skills and the rules of the game, and develop as capable and confident young athletes at any level of athletic success in a way that will help them to be good citizens of the game and community, healthy and fit, and performing well in all domains of life.

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