Suchergebnisse

Purpose: Gait retraining, comprising bio-feedback and/or an exercise intervention, might reduce the risk of musculoskeletal conditions. The purpose was to examine the effect of a gait retraining program on medial tibial stress syndrome incidence during a 26 week basic military training regimen. Methods: A total of 450 British Army recruits volunteered. On the basis of a baseline plantar pressure variable (mean foot balance during the first 10% of stance), participants classified as at-risk of developing medial tibial stress syndrome (n = 166) were randomly allocated to an intervention (n = 83) or control (n = 83) group. The intervention involved supervised gait retraining, including exercises to increase neuromuscular control and flexibility (3 sessions per week) and bio-feedback enabling internalization of the foot balance variable (1 session per week). Both groups continued with the usual military training regimen. Diagnoses of medial tibial stress syndrome over the 26 week regimen were made by physicians blinded to group assignment. Data were modelled in a survival analysis using Cox regression, adjusting for baseline foot balance and time to peak heel rotation. Results: The intervention was associated with a substantially reduced instantaneous relative risk of medial tibial stress syndrome versus control, with an adjusted hazard ratio of 0.25 (95% confidence interval, 0.05 to 0.53). The number needed to treat to observe one additional injury-free recruit in intervention versus control at 20 weeks was 14 (11 to 23) participants. Baseline foot balance was a nonspecific predictor of injury, with a hazard ratio per 2-SD increment of 5.2 (1.6 to 53.6). Conclusions: The intervention was effective in reducing incidence of medial tibial stress syndrome in an at-risk military sample

Background: Musculoskeletal injuries and the subsequent attrition incurred during basic military training are a significant socioeconomic burden across many Defence forces. In order to plan an injury prevention strategy, the purpose of this study was to quantify the regiment specific musculoskeletal injury patterns and training outcomes. Methods: This was a prospective observational study of the Parachute (n = 734), Guards (n = 1044), Line (n = 3472) and Gurkha (n = 458) regiments of the British Army recruits during a 26 week basic military training programme over a two year period . The participant demographic characteristics were; age 18.9 years (SD ± 2.3), height 176.5 cm (SD ±7.80, mass 69 kg (SD ± 9.7) and body mass index 22.14 kg/m2 (SD ± 2.5). Results: The incidence of injuries (86, 46, 48 and 10%) were significantly different (p < 0.001) as were the first time pass out rates (p = 0.02) of 38, 51, 56 and 98% for Parachute, Guards, Line and Gurkha, respectively. Overuse injuries were more frequently reported than both acute and recurrent injuries in all Regiments (X2 = 688.01, p< 0.01). Conclusions: The disparity in injury incidence and training outcome between Infantry Regiments, suggests that the demands of training be taken into account when devising injury prevention strategies.

Background Musculoskeletal injuries during initial military training are a significant medical problem facing military organisations globally. In order to develop an injury management programme, this study aims to quantify the incidence and rehabilitation times for injury specific diagnoses. Methods This was a prospective follow-up study of musculoskeletal injuries in 6608 British Army recruits during a 26-week initial military training programme over a 2-year period. Incidence and rehabilitation times for injury specific diagnoses were recorded and analysed. Results During the study period the overall incidence of musculoskeletal injuries was 48.6%, and the most common diagnosis was iliotibial band syndrome (6.2%). A significant proportion of the injuries occurred during the first 11 weeks of the programme. The longest rehabilitation times were for stress fractures of the femur, calcaneus and tibia (116 ± 17 days, 92 ± 12 days, and 85 ± 11 days, respectively). The combination of high incidence and lengthy rehabilitation indicates that medial tibial stress syndrome had the greatest impact on training, accounting for almost 20% of all days spent in rehabilitation. Conclusion When setting prevention priorities consideration should be given to both the incidence of specific injury diagnoses and their associated time to recovery.

Abstract Background Musculoskeletal injuries during initial military training are a significant medical problem facing military organisations globally. In order to develop an injury management programme, this study aims to quantify the incidence and rehabilitation times for injury specific diagnoses. Methods This was a prospective follow-up study of musculoskeletal injuries in 6608 British Army recruits during a 26-week initial military training programme over a 2-year period. Incidence and rehabilitation times for injury specific diagnoses were recorded and analysed. Results During the study period the overall incidence of musculoskeletal injuries was 48.6%, and the most common diagnosis was iliotibial band syndrome (6.2%). A significant proportion of the injuries occurred during the first 11 weeks of the programme. The longest rehabilitation times were for stress fractures of the femur, calcaneus and tibia (116 ± 17 days, 92 ± 12 days, and 85 ± 11 days, respectively). The combination of high incidence and lengthy rehabilitation indicates that medial tibial stress syndrome had the greatest impact on training, accounting for almost 20% of all days spent in rehabilitation. Conclusion When setting prevention priorities consideration should be given to both the incidence of specific injury diagnoses and their associated time to recovery.