Sell Timothy C, Pederson Jonathan J, Abt John P, Nagai Takashi, Deluzio Jennifer, Wirt Michael D, McCord Larry J, Lephart Scott M
Neuromuscular Research Laboratory, Department of Sports Medicine and Nutrition, University of Pittsburgh, 3830 South Water Street, Pittsburgh, PA 15203, USA.
Mil Med. 2013 Jan;178(1):76-81. doi: 10.7205/milmed-d-12-00185.
Poor postural stability has been identified as a risk factor for lower extremity musculoskeletal injury. The additional weight of body armor carried by Soldiers alters static postural stability and may predispose Soldiers to lower extremity musculoskeletal injuries. However, static postural stability tasks poorly replicate the dynamic military environment, which places considerable stress on the postural control system during tactical training and combat. Therefore, the purpose of this study was to examine the effects of body armor on dynamic postural stability during single-leg jump landings. Thirty-six 101st Airborne Division (Air Assault) Soldiers performed single-leg jump landings in the anterior direction with and without wearing body armor. The dynamic postural stability index and the individual stability indices (medial-lateral stability index, anterior-posterior stability index, and vertical stability index) were calculated for each condition. Paired sample t-tests were performed to determine differences between conditions. Significant differences existed for the medial-lateral stability index, anterior-posterior stability index, vertical stability index, and dynamic postural stability index (p < 0.05). The addition of body armor resulted in diminished dynamic postural stability, which may result in increased lower extremity injuries. Training programs should address the altered dynamic postural stability while wearing body armor in attempts to promote adaptations that will result in safer performance during dynamic tasks.
不良的姿势稳定性已被确定为下肢肌肉骨骼损伤的一个风险因素。士兵所携带的防弹衣的额外重量会改变静态姿势稳定性,并可能使士兵易患下肢肌肉骨骼损伤。然而,静态姿势稳定性任务很难复制动态的军事环境,在战术训练和战斗期间,这种环境会给姿势控制系统带来相当大的压力。因此,本研究的目的是检查防弹衣对单腿跳跃落地时动态姿势稳定性的影响。36名第101空降师(空中突击)的士兵在穿着和不穿防弹衣的情况下向前进行单腿跳跃落地。针对每种情况计算动态姿势稳定性指数和个体稳定性指数(内侧-外侧稳定性指数、前后稳定性指数和垂直稳定性指数)。进行配对样本t检验以确定不同情况之间的差异。内侧-外侧稳定性指数、前后稳定性指数、垂直稳定性指数和动态姿势稳定性指数存在显著差异(p < 0.05)。防弹衣的添加导致动态姿势稳定性降低,这可能会导致下肢受伤增加。训练计划应解决穿着防弹衣时改变的动态姿势稳定性问题,试图促进适应性变化,从而在动态任务中实现更安全的表现。