Accession Number : ADA575513


Title :   A Prospective Investigation of Injury Incidence and Risk Factors Among Army Recruits in Combat Engineer Training


Descriptive Note : Journal article


Corporate Author : ARMY PUBLIC HEALTH COMMAND ABERDEEN PROVING GROUND MD ARMY INST OF PUBLIC HEALTH


Personal Author(s) : Knapik, Joseph J ; Graham, Bria ; Cobbs, Jacketta ; Thompson, Diane ; Steelman, Ryan ; Jones, Bruce H


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a575513.pdf


Report Date : 05 Mar 2013


Pagination or Media Count : 11


Abstract : Background: United States Army combat engineer (ENG) training is an intense 14-week course designed to introduce new recruits to basic soldiering activities, Army values and lifestyle, and engineering skills and knowledge. The present investigation examined injury rates and injury risk factors in ENG training. Methods: At the start of their training, 1,633 male ENG recruits were administered a questionnaire containing items on date of birth, height, weight, tobacco use, prior physical activity, and injury history. Injuries during training were obtained from electronic medical records and the training units provided data on student graduation and attrition. Risk factors were identified using Cox regression. Results: Ninety-two percent of the recruits successfully graduated from the course and 47% of the recruits experienced one or more injuries during training. Univariate Cox regression demonstrated that recruits were at higher injury risk if they reported that they were older, had a higher or lower body mass index, had smoked in the past, had performed less exercise (aerobic or muscle strength) or sports prior to ENG training, had experienced a previous time-loss lower limb injury (especially if they had not totally recovered from that injury), or had a lower educational level. Conclusions: The present investigation was the first to identify injury rates and identify specific factors increasing injury risk during ENG training. The identified risk factors provide a basis for recommending future prevention strategies.


Descriptors :   *MILITARY TRAINING , *RECRUITS , *RISK , *WOUNDS AND INJURIES , AGE DISTRIBUTION , EDUCATION , EXERCISE(PHYSIOLOGY) , TOBACCO SMOKING


Subject Categories : Anatomy and Physiology
      Military Forces and Organizations


Distribution Statement : APPROVED FOR PUBLIC RELEASE