Holistic approach to managing acute soft tissue injury: PEACE and LOVE protocol-observational research

Background: Soft tissue injuries such as sprains, strains and contusions are common in football and the initial response to these injuries plays a crucial role in recovery. Traditional methods like R.I.C.E. (rest, ice, compression, elevation) have been widely used since their introduction in 1978. However, recent evidence suggests that these methods may not support optimal tissue healing, leading to the development of the P.E.A.C.E. (protection, elevation, avoid anti-inflammatories, compression, education) & L.O.V.E. (load, optimism, vascularization, exercise) protocol, which emphasizes natural healing processes without the use of anti-inflammatory treatments. This study aims to analyze the recurrence of injuries and the remedial management strategies used by footballers, promoting awareness of the P.E.A.C.E. & L.O.V.E. principle for better injury outcomes. Methods: This was a survey-based observational study involving 200 footballers aged 18 to 35, playing at different levels in Lucknow football academies and clubs. Data were collected using a self-made questionnaire comprising questions about football-related injuries and their management. Statistical analysis was performed using MS Excel (v2019) and SPSS (v26.0). Results: Injury recurrence: 76.5% experienced more than one recurrence, while 24.5% had a single recurrence. Immediate treatment strategies: 59.5% followed R.I.C.E., 30.5% used P.R.I.C.E. and 9.5% followed P.O.L.I.C.E. Awareness of P.E.A.C.E. & L.O.V.E.: 88% were unaware, while only 12% were aware of the principle. Perceived study impact: 96.5% of participants found this study informative. Conclusions: The study revealed that 88% of footballers lacked awareness of the P.E.A.C.E. & L.O.V.E. principle, which highlights the need for educating athletes about its benefits for optimal recovery and injury prevention. Incorporating these updated guidelines can reduce the recurrence of injuries and enhance long-term outcomes.