Background: Vertical jump scans from commercially available force plate systems are increasingly used in military settings to screen for musculoskeletal injury (MSKI) risk. However, to date, no studies have determined the ability of these tools to identify tactical athletes at elevated risk for MSKI. Purpose: To (1) determine associations between scores from a force plate vertical jump test and the likelihood of experiencing an MSKI and to (2) establish the test-retest reliability of the output scores from the force plate system used. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 823 male Air Force Special Warfare trainees underwent force plate vertical jump screenings before entering an 8-week training course at US Air Force Special Warfare Training Wing. MSKI data were collected for the 8-week surveillance period for each trainee. Logistic regression analyses were used to identify associations between baseline force plate jump scores and the likelihood of MSKI (any region) or a lower extremity MSKI (significance level, P = .05). The test-retest portion of the study collected force plate output scores from 12 trainees performing 3 trials of the standard test procedures. The reliability of 5 output scores was assessed with intraclass correlation coefficients (ICCs) using a single rater. Results: All force plate output scores demonstrated excellent test-retest reliability (ICC >0.90). Overall 308 (36.4%) trainees had an MSKI during the surveillance period. However, no significant associations were found between the proprietary force plate vertical jump scan output scores and the likelihood of experiencing either an MSKI or a lower extremity MSKI. Conclusion: Output scores from this commercially available force plate system did not identify Air Force Special Warfare trainees at elevated risk of experiencing an MSKI.

Background: Markerless motion capture (MMC) systems used to screen for musculoskeletal injury (MSKI) risk have become popular in military and collegiate athletic settings. However, little is known regarding the test-retest reliability or, more importantly, the ability of these systems to accurately identify individuals at risk for MSKI. Purpose: To determine the association between scores from a proprietary MMC movement screen test and the likelihood of suffering a subsequent MSKI and establish the test-retest reliability of the MMC system used. Study Design: Cohort study; Level of evidence, 3. Methods: Trainees for the Air Force Special Warfare program underwent MMC screenings immediately before entering the 8-week training course. MSKI data were extracted from a database for the surveillance period for each trainee. Logistic regression analyses were performed to identify associations between baseline MMC scores and the likelihood of suffering any MSKI or, specifically, a lower extremity MSKI. The test-retest portion of the study collected MMC scores from 10 separate participants performing 4 trials of the standard test procedures. Reliability was assessed using intraclass correlation coefficients by a single rater. Results: Overall, 1570 trainees, of whom 800 (51%) suffered an MSKI, were included in the analysis. MMC scores poorly predicted the likelihood of any or a lower extremity MSKI (odds ratio, 1.01-1.02). Further, receiver operating characteristic curve analyses demonstrated poor sensitivity and specificity for prediction of MSKI with MMC scores (area under the curve = 0.53). Finally, intraclass correlation coefficients from the test-retest analysis of MMC scores ranged from 0.157 to 0.602. Conclusion: This MMC system displayed poor to moderate test-retest reliability and did not demonstrate the ability to discriminate between individuals who were and were not likely to suffer an MSKI.

Background: The United States Air Force Special Warfare Training Wing (SWTW) administers a comprehensive physical fitness test to active duty Airmen entering the Special Warfare training pipeline. The Sparta Science™ system utilizes proprietary software to analyze the force-time curve of a vertical jump and purports to serve as a proxy for traditional military fitness tests. The Sparta Science™ system produces four proprietary metrics, including the Sparta™ Score, which is correlated to high magnitudes of force production purportedly performance. This study investigated how Sparta™ Jump Scans correlate to components of a physical fitness test utilized within the SW training pipeline.Methods: At the entry and exit of an 8-week Special Warfare Training Wing preparatory course (SW PREP), 643 trainees completed both an initial and final Sparta™ Jump Scan and a Candidate Fitness Test (CFT). The Candidate Fitness Test consists of eight components and tests several different domains of fitness including strength, power, muscular endurance, swimming proficiency, and cardiovascular fitness. Paired t-tests were used to determine if Sparta™ Jump Scan metrics and CFT components changed during SW PREP. Sparta™ Score’s correlation was assessed against every other Sparta™ Jump Scan metric and all CFT fitness measures.Results: This study found that the Sparta™ Jump Scan metrics decline slightly over SW PREP (p < 0.05; negligible-small effect size), while most CFT measures improve (p < 0.05; small-medium effect size). Changes in Sparta™ Jump Scan metrics did not reflect the changes in CFT performance over SW PREP (r2: 0.00–0.03).Conclusion: The Sparta™ Score was not correlated to the most tactically-relevant fitness measures (rucking and swimming), and only weakly correlated with the only jumping measure on the fitness test, the standing broad jump.