Epidemiology of Exercise- and Sports-Related Injuries in a Population of Young, Physically Active Adults

Hauret, Keith G.; Bedno, Sheryl A.; Loringer, Kelly; Kao, Tzu‐Cheg; Mallon, Timothy M.; Jones, Bruce H.

doi:10.1177/0363546515601990

Cited by 64 publications

(49 citation statements)

References 41 publications

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“…For context, Hauret et al showed in 2015 that over 55% of soldiers experience one or more injuries a year and that soldiers attribute over half of those injuries to exercise or sports, of which running accounted for 43%. 4 This was supported by results from a 2014 injury prevention needs assessment survey, in which over half of the respondents reported an injury in the past year and over a third of those were attributed to running. 38 The third step of the process asks: What works to prevent the problem?…”

Section: Effective In Reducing Injury Riskmentioning

confidence: 89%

“…3 These MSK injuries, which are predominantly to the lower extremities and lower back, have been referred to as Army training-related overuse injuries. [2][3][4] Yet the need to maintain a vigorous physical training regimen will always be paramount to the Army. It is a paradox that the very physical training activities required or encouraged by the U.S. Army to improve soldiers' physical performance, are also what can most detract from their physical readiness by causing injuries.…”

Section: Introductionmentioning

confidence: 99%

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Musculoskeletal training injury prevention in the U.S. Army: Evolution of the science and the public health approach

Jones¹,

Hauschild²,

Canham-Chervak³

2018

Journal of Science and Medicine in Sport

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Injuries cause more morbidity among soldiers in the U.S. Army than any other health condition. Over two-thirds of U.S. soldiers' injuries occur gradually from cumulative micro-traumatic damage to the musculoskeletal system as a result of physical training activities. Paradoxically, the very physical training activities required to improve soldier performance also result in injury. Determining the amounts and types of physical training that maximize performance while minimizing injuries requires scientific evidence. This evidence must be incorporated into a framework that ensures scientific gaps are addressed and prevention efforts are evaluated. The five-step public health approach has proven to be an effective construct for Army public health to organize and build an injury prevention program. Steps include: 1) surveillance to define the magnitude of the problem, 2) research and field investigations to identify causes and risk factors, 3) intervention trials and systematic reviews to determine what works to address leading risk factors, 4) program and policy implementation to execute prevention, and 5) program evaluation to assess effectiveness. Dissemination is also needed to ensure availability of scientific lessons learned. Although the steps may not be conducted in order, the capability to perform each step is necessary to sustain a successful program and make progress toward injury control and prevention. As with many U.S. public health successes (e.g., seatbelts, smoking cessation), the full process can take decades. As described in this paper, the U.S. Army uses the public health approach to assure that, as the science evolves, it is translated into effective prevention.

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Section: Effective In Reducing Injury Riskmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Musculoskeletal training injury prevention in the U.S. Army: Evolution of the science and the public health approach

Jones¹,

Hauschild²,

Canham-Chervak³

2018

Journal of Science and Medicine in Sport

Self Cite

View full text Add to dashboard Cite

show abstract

“…Physical training and sports‐related activities account for up to 90% of all musculoskeletal injuries in the US Military, and 80% of these injuries are considered overuse in nature . Nearly all military service members run for physical training, and this accounts for 45% of all exercise and sports‐related injuries in the military . Annual running injury incidence has been reported between 19% and 79% with the greatest percentage of those injuries located at the knee .…”

Section: Introductionmentioning

confidence: 99%

Using real‐time biofeedback to alter running biomechanics: A randomized controlled trial

et al. 2019

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In this study, we assessed the effectiveness of a mobile feedback system on transitioning runners to a non‐rearfoot strike (NRFS) pattern and prospectively compared injury incidence rates at one year between rearfoot strike (RFS) and NRFS runners. 128 RFS runners participated in a 2‐hour training session to learn a NRFS pattern with 114 completing the 1‐year follow‐up. Participants were randomized into a control group (CON) with no additional training and a biofeedback group (BFG) where they received equipment to provide real‐time biofeedback to augment the transition to a NRFS pattern. Foot strike patterns (FSP) were assessed at baseline, post‐training, 6‐months, and 1‐year. Injury data were collected through weekly email surveys over one year. Eighty percent of runners demonstrated a NRFS pattern following the training session (91/114, P < .001). The percentage of NRFS runners remaining at the one‐year follow‐up decreased slightly in both groups, but was not significantly different between groups (CON = 69%, P = .29; BFG = 75%, P = .36). Injury rates were similar between RFS runners (37% injured) and NRFS runners (30% injured) after one year (P = .47). The relative risk for knee injury in RFS runners was 5.64 (95% CI: 1.90‐16.8; P = .02). In conclusion, both groups had a significant number of participants transition to a NRFS immediately after training and maintain NRFS at the 1‐year follow‐up. However, compliance with the sensor in the BFG group was very poor due to limitations of the sensor. Regardless of FSP, runners experienced 1‐year injury incidence rates between 30%‐37%. RFS runners had nearly a six times greater risk for developing a knee injury than NRFS runners.

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“…Epidemiological data also demonstrate that running is the most frequent cause of exercise-and sport-related injuries in the military [3]. Likewise, there is a high incidence of overuse injuries in recreational athletes, with around 10 % of novice runners reporting injury within a 6-week supervised training program [4].…”

Section: Introductionmentioning

confidence: 99%

Physiological and Biomechanical Responses to Running on Lower Body Positive Pressure Treadmills in Healthy Populations

et al. 2016

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The current literature suggests that LBPPTs are effective in allowing individuals to achieve a given metabolic stimulus with reduced musculoskeletal loading. However, LBPPTs not only reduce impact but also change neuromuscular activation and biomechanics in a complex manner. Thus, clinicians must account for the specific biomechanical and physiological alterations induced by LBPPTs when designing training programs and rehabilitation protocols.

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Epidemiology of Exercise- and Sports-Related Injuries in a Population of Young, Physically Active Adults

Cited by 64 publications

References 41 publications

Musculoskeletal training injury prevention in the U.S. Army: Evolution of the science and the public health approach

Musculoskeletal training injury prevention in the U.S. Army: Evolution of the science and the public health approach

Using real‐time biofeedback to alter running biomechanics: A randomized controlled trial

Physiological and Biomechanical Responses to Running on Lower Body Positive Pressure Treadmills in Healthy Populations

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