Baxter Marian L, Baycroft Charles, Baxter G D
School of Preventive & Social Medicine, University of Otago, Dunedin, Otago, New Zealand.
Mil Med. 2011 Mar;176(3):291-6. doi: 10.7205/milmed-d-10-00352.
At any one time, 10% of personnel within the New Zealand Army are affected by injuries caused by inadequate footwear. The purpose of this study was to assess the feasibility of addressing this problem by orthotic issue on the basis of a novel screening protocol. A total of 909 military personnel were included in this study. Data were collected over 3 months, and injuries of interest included stress fractures of the lower limb, foot, or back; chronic pain or discomfort in the hip, knee, or lower back; overuse injury in the ankle, knee, or hip; and plantar fasciitis. A novel screening protocol was used to prescribe orthotics (n = 47/102) as a preventative measure in a cohort of recruits. All injuries were significantly reduced (p = 0.000) in the intervention group compared to control, with the exception of stress fracture of the femur and overuse lower limb injury (p = 0.106 and p = 0.108, respectively).
在任何时候，新西兰军队中有10%的人员受到因鞋类不合适导致的损伤影响。本研究的目的是评估基于一种新型筛查方案通过配发矫形器来解决这一问题的可行性。本研究共纳入909名军事人员。数据收集历时3个月，关注的损伤包括下肢、足部或背部的应力性骨折；髋部、膝盖或下背部的慢性疼痛或不适；脚踝、膝盖或髋部的过度使用损伤；以及足底筋膜炎。在一组新兵中，采用一种新型筛查方案来配发矫形器（n = 47/102）作为预防措施。与对照组相比，干预组中除股骨应力性骨折和下肢过度使用损伤（分别为p = 0.106和p = 0.108）外，所有损伤均显著减少（p = 0.000）。
