Gender differences in limited duty time for lower limb injury

Holsteen, Katherine; Choi, Y. Sammy; Bedno, Sheryl A.; Nelson, Douglas A.; Kurina, Lianne M.

doi:10.1093/occmed/kqx169

Cited by 14 publications

(4 citation statements)

References 23 publications

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“…Many studies included in this analysis and in general specify the ankle as the most commonly injured location of the distal lower extremity 4 23 30 37 38 61 92–95. However, some studies17 29 59 60 66 67 81 91 localise the majority of these injuries to the foot, contrasting with this study’s findings that acute ankle injuries are the most common type of injuries to the distal lower extremity during military training. This seemingly contradicting finding can be explained by the fact that all but one of the articles91 citing the foot as the most commonly injured location are studies primarily focused on stress fractures or overuse injuries.…”

Section: Discussionmentioning

confidence: 78%

“…Forty-two studies were level II evidence 1 3 4 9 11 18–54. Forty-two studies were level III,2 5–8 10 12 54–89 and 2 studies were level IV 90 91. While assessing study size, we found that 85 (93%) studies included over 120 subjects; 4 (4%) studies included between 40 and 120 subjects; and only 2 (3%) studies included fewer than 40 subjects.…”

Section: Resultsmentioning

confidence: 84%

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Worldwide epidemiology of foot and ankle injuries during military training: a systematic review

et al. 2020

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IntroductionMusculoskeletal foot and ankle injuries are commonly experienced by soldiers during military training. We performed a systematic review to assess epidemiological patterns of foot and ankle injuries occurring during military training.MethodsA review of the literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search, done on 14 February 2019, resulted in 1603 reports on PubMed, 565 on Embase and 3 on the Cochrane Library. After reading the remaining full-text articles, we included 91 studies.ResultsAmong a population of 8 092 281 soldiers from 15 countries, 788 469 (9.74%) foot and ankle injuries were recorded. Among the 49 studies that reported on length of training, there were 36 770/295 040 (18.17%) injuries recorded among women and 248 660/1 501 672 (16.56%) injuries recorded among men over a pooled mean (±SD) training period of 4.51±2.34 months. Ankle injuries were roughly 7 times more common than foot injuries, and acute injuries were roughly 24 times more common than non-acute injuries. Our findings indicated that, during a 3-month training period, soldiers have a 3.14% chance of sustaining a foot and ankle injury. The incidence of foot or ankle injury during military parachutist training was 3.1 injuries per thousand jumps.ConclusionsOur findings provide an overview of epidemiological patterns of foot and ankle injuries during military training. These data can be used to compare incidence rates of foot and ankle injuries due to acute or non-acute mechanisms during training. Cost-effective methods of preventing acute ankle injuries and non-acute foot injuries are needed to address this problem.

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Section: Discussionmentioning

confidence: 78%

Section: Resultsmentioning

confidence: 84%

Worldwide epidemiology of foot and ankle injuries during military training: a systematic review

et al. 2020

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“…When considering an injury risk in active duty military personnel, we may bias our thinking toward combat-related tasks involving heavy load carriage and manual handling. However, recent U.S. Army data showed that NCA soldiers (combat support and combat service support trades) had a higher musculoskeletal injury incidence or severity when compared with CA soldiers in some (19,20,30) but not all instances (2). It is acknowledged that these results are nuanced because musculoskeletal injury incidence and severity (e.g., limited duty days and medical discharge) are influenced by a variety of factors, including occupational exposure, physical fitness, sex and age distribution of the population, and access to medical care.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Military Recruit and Incumbent Physical Characteristics and Performance: Potential Implications for Through-Career Individual Readiness and Occupational Performance

Drain

Debenedictis

Bulmer

et al. 2020

Journal of Strength and Conditioning Research

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Drain, JR, Debenedictis, T, Bulmer, S, and Michael, S. comparison of military recruit and incumbent physical characteristics and performance: Potential implications for through-career individual readiness and occupational performance. J Strength Cond Res 36(9): 2536-2543, 2022-After basic military training, physical training practices among incumbent personnel differ substantially, potentially precipitating varied physical capacity and operational readiness. The purpose of this retrospective investigation was to compare physical characteristics and physical performance between recruits and incumbent personnel. Data were collected for 222 army recruits (REC: 197 men/25 women) nearing completion of basic training and 280 incumbent army personnel from combat arms (CA: 142 men) and noncombat arms trades (NCA: 113 men/25 women). Height, mass, and body mass index (BMI) were recorded together with performance measures including predicted V Ȯ2 max and 1 repetition maximum box lift. Compared with REC, male incumbents were older (21.8 6 0.6 vs. 27.6 6 1.2 years; mean 6 95% confidence interval), had greater body mass (77.6 6 1.3 vs. 82.6 6 1.5 kg) and BMI (24.2 6 0.3 vs. 25.8 6 0.5 kg•m 22 ), similar relative V Ȯ2 max, and lower box lift (49.7 6 1.4 vs. 47.2 6 2.4 kg). Male CA demonstrated greatest physical performance while male NCA demonstrated the highest BMI and poorest physical performance. Compared with REC, female incumbents were older (22.8 6 1.6 vs. 31.9 6 4.4 years), had similar body mass, higher BMI (24.1 6 0.7 vs. 26.1 6 2.4 kg•m 22 ), as well as lower V Ȯ2 max (42.0 6 1.3 vs. 37.9 6 2.1 ml•kg• 21 •min 21 ) and box lift (27.8 6 2.1 vs. 23.3 6 2.4 kg). More than 97% of men and approximately 75% of women were able to achieve the box lift and V Ȯ2 max baseline standards. The older age category (26 + vs. 18-25 years) typically demonstrated higher BMI and lower physical performance. Through-career maintenance of physical capacity is important for military personnel to support individual readiness and occupational performance, preserve health, and mitigate musculoskeletal injury risk.

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“…Compared with men, female soldiers are more likely to get injured in their lower limbs (5). It may be that their smaller size puts them at a higher risk of serious personal injury during weight training (6).…”

Section: Introductionmentioning

confidence: 99%

To Investigate Musculoskeletal Status and Mental State of Female Recruits During Training

Qing-bo

Zhang

Sun

et al. 2021

Preprint

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Objective: To investigate the musculoskeletal status and psychological status of female recruits during military boot enlistment training. Methods: The musculoskeletal status and psychological status of 110 boot training patients were assessed by scale, the psychological status of the subjects was assessed by Zung Anxiety Self-Rating Scale and Zung Depression Self-Evaluation Scale, the musculoskeletal status was assessed by visual analogue scale, Neck disability index, JOA low back pain evaluation form, Knee injury and Osteoarthritis Outcome Score scale, the medical document data during boot training were collated, and the risk factors affecting physical and mental health were analyzed. Thus, interventions are taken to reduce the injury rate and improve training performance.Results: Logistic regression analysis showed that neck dysfunction was a risk factor for depressive state and lumbar dysfunction; lumbar dysfunction was a risk factor for anxiety state, neck dysfunction and pain symptoms around the knee joint; pain around the knee joint was a risk factor for lumbar dysfunction and a protective factor for neck dysfunction; anxiety state was a risk factor for depressive state; depression state was a risk factor for anxiety state and neck dysfunction; and young age was a protective factor for anxiety state. Conclusion: In 10 weeks of military training, the site with the highest musculoskeletal injury is around the knee joint, followed by the neck and waist. Knee injury and Osteoarthritis Outcome Score scale scores were significantly associated with mental health status, with neck dysfunction increasing the risk of depression and lumbar dysfunction increasing the risk of anxiety in recruits. Prevention and treatment need to pay attention to these parts, gradually improve the balance, flexibility, strength of the body, while paying close attention to the mental health of recruits, so as to reduce the rate of injury. Keywords: recruits; military training; female soldiers; anxiety; depression; musculoskeletal injury.

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Gender differences in limited duty time for lower limb injury

Cited by 14 publications

References 23 publications

Worldwide epidemiology of foot and ankle injuries during military training: a systematic review

Worldwide epidemiology of foot and ankle injuries during military training: a systematic review

Comparison of Military Recruit and Incumbent Physical Characteristics and Performance: Potential Implications for Through-Career Individual Readiness and Occupational Performance

To Investigate Musculoskeletal Status and Mental State of Female Recruits During Training

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