Teyhen Deydre, Bergeron Michael F, Deuster Patricia, Baumgartner Neal, Beutler Anthony I, de la Motte Sarah J, Jones Bruce H, Lisman Peter, Padua Darin A, Pendergrass Timothy L, Pyne Scott W, Schoomaker Eric, Sell Timothy C, O'Connor Francis
1U.S. Army-Baylor University, Ft Sam Houston, TX; 2National Youth Sports Health and Safety Institute, Department of Pediatrics, Sanford USD School of Medicine, Sioux Falls, SD; 3Department of Military and Emergency Medicine, Consortium of Health and Military Performance, Uniformed Services University of the Health Sciences, Bethesda, MD; 4Headquarters Air Education and Training Command, Randolph Air Force Base, TX; 5Department of Family Medicine, Uniformed Services University, Bethesda, MD; 6Army Institute of Public Health, U.S. Army Public Health Command, Aberdeen Proving Grounds, MD; 7Department of Kinesiology, Towson University, Towson, MD; 8Department of Exercise and Sport Science, University of North Carolina, Chapel Hill, NC; 9Office of the Surgeon General, U.S. Army Medical Command, Falls Church, VA; 10Team Physician, United States Naval Academy, Annapolis, MD; 11Uniformed Services University of the Health Sciences, Bethesda, MD; and 12Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA.
Curr Sports Med Rep. 2014 Jan-Feb;13(1):52-63. doi: 10.1249/JSR.0000000000000023.
Prevention of musculoskeletal injuries (MSKI) is critical in both civilian and military populations to enhance physical performance, optimize health, and minimize health care expenses. Developing a more unified approach through addressing identified movement impairments could result in improved dynamic balance, trunk stability, and functional movement quality while potentially minimizing the risk of incurring such injuries. Although the evidence supporting the utility of injury prediction and return-to-activity readiness screening tools is encouraging, considerable additional research is needed regarding improving sensitivity, specificity, and outcomes, and especially the implementation challenges and barriers in a military setting. If selected current functional movement assessments can be administered in an efficient and cost-effective manner, utilization of the existing tools may be a beneficial first step in decreasing the burden of MSKI, with a subsequent focus on secondary and tertiary prevention via further assessments on those with prior injury history.
预防肌肉骨骼损伤（MSKI）对于 civilian 和 military 人群都至关重要，有助于提高身体机能、优化健康状况并尽量减少医疗费用。通过解决已确定的运动障碍来制定更统一的方法，可能会改善动态平衡、躯干稳定性和功能性运动质量，同时有可能将发生此类损伤的风险降至最低。尽管支持损伤预测和恢复活动准备筛查工具效用的证据令人鼓舞，但在提高敏感性、特异性和结果方面，尤其是在军事环境中的实施挑战和障碍方面，仍需要大量的额外研究。如果能够以高效且经济有效的方式进行选定的当前功能性运动评估，那么利用现有工具可能是减轻 MSKI 负担的有益第一步，随后通过对有既往损伤史的人进行进一步评估，重点关注二级和三级预防。
