Accession Number:

ADA370930

Title:

Physical Training and Exercise-Related Injuries Surveillance, Research and Injury Prevention Military Populations

Descriptive Note:

Final rept,

Corporate Author:

ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE (PROVISIONAL) ABERDEEN PROVING GROUND MD

Personal Author(s):

Report Date:

1999-11-01

Pagination or Media Count:

16.0

Abstract:

Athletes and soldiers must both develop and maintain high levels of physical fitness for the physically demanding tasks they perform however, the routine physical activity necessary to achieve and sustain fitness can result in training-related injuries. This article reviews data from a systematic injury control programme developed by the U.S. Army. Injury control requires 5 major steps 1 surveillance to determine the size of the injury problem 2 studies to determine causes and risk factors for these injuries 3 studies to ascertain whether proposed interventions actually reduce injuries 4 Implementation of effective interventions and 5 monitoring to see whether interventions retain their effectiveness. Medical surveillance data from the U.S. Army indicate that unintentional accidental injuries cause about 50 of deaths, 50 of disabilities, 30 of hospitalisations and 40 to 60 of outpatient visits. Epidemiological surveys show that the cumulative incidence of injuries requiring an outpatient visit in the 8 weeks of U.S. Army basic training is about 25 for men and 55 for women incidence rates for operational infantry, special forces and ranger units are about 10 to 12 injuries100 soldier-months. Of the limited-duty days accrued by trainees and infantry soldiers who were treated in outpatient clinics, 80 to 90 were the result of training-related injuries. U.S. Army studies document a number of potentially modifiable risk factors for these injuries, which include high amounts of running, low levels of physical fitness, high and low levels of flexibility, sedentary life-style and tobacco use, amongst other. Studies directed at interventions showed that limiting running distance can reduce the risk for stress fractures, that the use of ankle braces can reduce the likelihood of ankle sprains during harebrained operations and the use of shock-absorbing insoles does not reduce stress fractures during training.

Subject Categories:

  • Medicine and Medical Research
  • Personnel Management and Labor Relations

Distribution Statement:

APPROVED FOR PUBLIC RELEASE