To the best of our knowledge, this is the first comprehensive analysis of MSI among SAF members showing that the currently used injury surveillance system in SAF, that reports only the prevalence of time-loss injuries (4.9%), is probably underestimating the true and overall MSI prevalence (48.8%) in SAF members, suggesting a need for a better injury registration process. Based on the most frequent injury locations, preventive measures in SAF should focus on knee and ankle injuries in males with previous lower limb injuries. A best preventive approach would probably be to train smarter and harder to develop the physical capability to better protect against those injuries.
Šimenko, J, Kovčan, B, Pori, P, Vodičar, J, Vodičar, M, and Hadžić, V. The Relationship between army physical fitness and functional capacities in infantry members of the Slovenian Armed Forces. J Strength Cond Res 35(12): 3506–3512, 2021—The primary purpose of this study was to determine the relationship between traditional army physical fitness test (APFT) and a novel functional testing battery that included countermovement jump (CMJ) testing, stork balANce test, pUll-ups, single leg hAmstring bridge test, and loaded prone pLank test—MANUAL battery. The secondary purpose was to explore additional baseline fitness aspects traditionally not covered by APFT. This cross-sectional study involved 181 Slovenian Armed Forces (SAF) infantry members (age 31.4 ± 6.1 years) that were tested using both the regular annual APFT and the MANUAL battery (testing was conducted 2 weeks apart). At the significance level of p ≤ 0.05, significant but weak associations between the MANUAL testing battery and APFT battery (0.2 ≤ r < 0.5; p ≤ 0.05) were observed. The MANUAL battery has highlighted possible hamstring (less than 20 repetitions on a single leg bridge test in 26% of SAF infantry members) and posterior shoulder pull-up muscle weakness (mean score 5 ± 4 pull-ups). Functional predictors from the MANUAL explained only 33.6% of the APFT score (R
2 = 0.336). Significant predictors of APFT score were single leg hamstring left (p = 0.048), loaded plank (p = 0.049), number of pull-ups (p < 0.001), CMJ (p = 0.01), and loaded CMJ (p = 0.026). The findings suggest that higher APFT marks are associated with better performance on the MANUAL tests and indicate the problem of hamstring and pull-up muscle weakness. The general recommendation is that the physical condition military programs should include more exercises to strengthen those muscle groups.
The hamstrings are an important biarticular muscle group that plays an important role in the occupational performance of military personnel. The single leg hamstring bridge test (SLHBT) could be a good test to screen military personnel performance. The aims of our study were to assess of the reproducibility of the SLHBT in the military population and to use receiver operating curve (ROC) analysis to examine the ability of the SLHBT to discriminate between soldiers with poor and good baseline fitness. A cross-sectional study was performed on 201 male members of the Slovenian Armed Forces (SAF). They undertook army physical fitness testing (APFT) and functional physical fitness testing (FPFT), which included the SLHBT. The SLHBT showed acceptable reproducibility in a military setting and had moderate predictive validity to discriminate between soldiers with poor and good overall physical fitness performance using a cut-off value of 20 repetitions. In conclusion, the SLHBT could be a good candidate test for the military population as the ROC analysis showed the ability of the SLHBT to discriminate between soldiers with poor and good baseline fitness. The SLHBT represents a simple and affordable test that can be used to evaluate performance and form preventive guidelines for military personnel.
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