Effect of rest from running on overuse injuries in Army basic training

Popovich, Rose M.; Gardner, John C.; Potter, Robert N.; Knapik, Joseph J.; Jones, Bruce H.

doi:10.1016/s0749-3797(99)00167-1

Cited by 90 publications

(51 citation statements)

References 31 publications

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“…In keeping with observations made across global military and athletic populations, the findings of this study indicate that overuse MSKI injuries were the most prevalent and potentially modifiable subclassifications [1,2,[8][9][10][14][15][16]34,[37][38][39][40]. Significant reductions in incidence were observed for overuse MSKI (non-fracture) for both OMEGA Line (12.52% 95% CI: 11.12-14.34%) compared to the average for the previous four years (21.74%: 95% CI: 20.76-22.75) and OMEGA Guards (11.36%; 95% CI: 7.81-16.23) and the four year average (25.09%: 95% CI: 23.04-27.29).…”

Section: Injury Typesupporting

confidence: 71%

“…Significant reductions in incidence were observed for overuse MSKI (non-fracture) for both OMEGA Line (12.52% 95% CI: 11.12-14.34%) compared to the average for the previous four years (21.74%: 95% CI: 20.76-22.75) and OMEGA Guards (11.36%; 95% CI: 7.81-16.23) and the four year average (25.09%: 95% CI: 23.04-27.29). These results compare favourably to the 17% incidence in overuse MSKI observed in US Basic Army Training [39]. Recognised amongst MSKI as the cause for the greatest amount of time lost out of training and therefore representing significant impact on organisational effectiveness, stress fractures, a sub-classification of overuse MSKI, have received considerable attention across the literature.…”

Section: Injury Typesupporting

confidence: 55%

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A Multicenter Randomized, Double-Blind, Split-Side, Comparative Study of Moisturizer Containing MAS064D and 1% Hydrocortisone Cream in the Treatment of Infantile Seborrheic Dermatitis

Wananukul¹,

Chatproedprai²,

Tempark³

et al. 2018

J Clin Exp Dermatol Res

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Section: Injury Typesupporting

confidence: 71%

Section: Injury Typesupporting

confidence: 55%

A Multicenter Randomized, Double-Blind, Split-Side, Comparative Study of Moisturizer Containing MAS064D and 1% Hydrocortisone Cream in the Treatment of Infantile Seborrheic Dermatitis

Wananukul¹,

Chatproedprai²,

Tempark³

et al. 2018

J Clin Exp Dermatol Res

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“…The occurrence of stress fractures is reported to be correlated to a higher weekly running mileage (12), as well as higher intensities and frequencies of training in both the military (13,14) and professional sports teams (15). As the training intensity is decreased, the loads on the bone are decreased, so bone damage is less likely to manifest.…”

Section: Extrinsic Risk Factorsmentioning

confidence: 99%

“…According to the primary microdamage hypothesis, the rate of microdamage accumulation exceeds the rate of bone repair. This could be caused by an abrupt change in duration, frequency, or intensity of training programs (14) or if the rate of bone formation is impaired (28).…”

Section: Stress Fracture Pathophysiologymentioning

confidence: 99%

Experimental validation of finite element predicted bone strain in the human metatarsal

Fung

Loundagin

Edwards

2017

Journal of Biomechanics

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The objective of this study was to verify and validate a finite element modeling routine for the human metatarsal, which is a common location for stress fractures. Experimental strain measurements on 33 human cadaveric metatarsals subject to cantilever bending were compared with strain predictions from finite element (FE) models generated from computed tomography images. For the material property assignment of the FE models, a published density-elasticity relationship was compared with density-elasticity equations developed using optimization techniques. The correlations between the measured and predicted and predicted strains were very high (r 2 ≥0.94) for all of the density-elasticity equations. However, the utilization of an optimized density-elasticity equation improved the accuracy of the finite element models, reducing the maximum error between measured and predicted strains by 10% to 20%. The finite element modeling routine could be used for investigating potential interventions to minimize metatarsal strains and the occurrence of metatarsal stress fractures.iii

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“…The prevention of unintentional musculoskeletal injury is a continued focus of human performance managers and medical personnel in the military due to the high prevalence and significant impact that injury can have on performance and tactical readiness [1][2][3][4][5][6][7][8]. In comparison to general purpose forces, injury preven-tion in U.S. Special Forces may have amplified importance due to the high intensity and volume of physical and tactical training as well as the high-risk missions they execute [9].…”

Section: Introductionmentioning

confidence: 99%

Isokinetic strength of fully operational U.S. Navy Seals with a previous history of shoulder and knee injury

Sell¹,

Clark²,

Abt³

et al. 2016

IES

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Abstract. BACKGROUND:Unintentional musculoskeletal injury has a significant impact on military personnel which is amplified in U.S. Navy Sea, Air, and Land Operators who participate in year round physical and tactical training. Full recovery from injury including restoration of strength is necessary for safe participation in training and performance of missions. Inadequate recovery may predispose the Operator to risk of future injury. OBJECTIVE: The purpose of this study was to examine isokinetic knee and shoulder strength of previously injured Operators who had returned to full duty. METHODS: Two previously injured cohorts, a knee injury group (n = 46) and a shoulder injury group (n = 55), were created from a larger group of Operators (n = 305) who had undergone strength testing. A comparison cohort was also created from each injury group (knee injury control group (n = 77) and shoulder injury control group (n = 121). All participants underwent isokinetic strength testing of their group assigned joint. This included knee flexion/extension strength testing for the knee group and shoulder internal/external rotation strength testing for the shoulder group. Side-to-side comparisons were made within each injury group and to the control group (injured extremity to strongest extremity of the control group). Individual counts within the injured Operators with strength deficits greater than 10% in their injured extremity were also performed. RESULTS: No significant side-to-side or between group differences were observed for the knee injury group. No significant side-to-side or between group differences were observed except for shoulder external rotation strength which was significantly different between groups (p = 0.003). Side-to-side strength deficits greater than 10% were observed in 20 to 25% of the injured Operators. CONCLUSION: The group comparisons demonstrate the effectiveness of the military group's rehabilitation and performance training programs, but continued vigilance and tracking of injured individuals are necessary to insure full recovery and return to duty as a small number of each injured cohort did have strength deficits bilaterally.

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Effect of rest from running on overuse injuries in Army basic training

Cited by 90 publications

References 31 publications

A Multicenter Randomized, Double-Blind, Split-Side, Comparative Study of Moisturizer Containing MAS064D and 1% Hydrocortisone Cream in the Treatment of Infantile Seborrheic Dermatitis

A Multicenter Randomized, Double-Blind, Split-Side, Comparative Study of Moisturizer Containing MAS064D and 1% Hydrocortisone Cream in the Treatment of Infantile Seborrheic Dermatitis

Experimental validation of finite element predicted bone strain in the human metatarsal

Isokinetic strength of fully operational U.S. Navy Seals with a previous history of shoulder and knee injury

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