Lovalekar Mita T, Abt John P, Sell Timothy C, Nagai Takashi, Keenan Karen, Beals Kim, Lephart Scott M, Wirt Michael D
Neuromuscular Research Laboratory, Department of Sports Medicine and Nutrition, School of Health & Rehabilitation Sciences, University of Pittsburgh, 3230 South Water Street, Pittsburgh, PA 15203.
University of Kentucky, Charles T. Wethington Jr. Building, 900 South Limestone Street, Lexington, KY 40536-0200.
Mil Med. 2016 Aug;181(8):900-6. doi: 10.7205/MILMED-D-15-00262.
The purpose of this study was to describe the epidemiology of musculoskeletal injuries among Soldiers of the 101st Airborne (Air Assault) Division. A total of 451 subjects (age: 27.6 ± 6.2 years, gender: males 395/451 = 87.6%) volunteered. Musculoskeletal injury data were extracted from subjects' medical charts and injuries that occurred during 1 year were described. Injury frequency, injury anatomic location and sublocation, injury cause, activity when injury occurred, and injury type were described. Injury frequency was 29.5 injuries per 100 subjects per year. Most injures affected the lower extremity (60.2% of injuries) and common anatomic sublocations for injuries were the ankle (17.3%) and knee (15.0%). Frequent causes of injuries were running (13.5%) and direct trauma (9.0%). Physical training was associated with 29.3% of the injuries. A majority of injuries were classified as pain/spasm/ache (29.3%), without further elucidation of pathology. Other frequent injury types were sprain (21.8%) and strain (14.3%). The descriptive epidemiology of musculoskeletal injuries in this population underscores the need to explore the modifiable risk factors of potentially preventable lower extremity injuries associated with physical training and running. There is scope for the development of an optimized and targeted physical training program for injury prevention in this population.
本研究的目的是描述第101空降（空中突击）师士兵肌肉骨骼损伤的流行病学情况。共有451名受试者自愿参与（年龄：27.6±6.2岁，性别：男性395/451 = 87.6%）。从受试者的病历中提取肌肉骨骼损伤数据，并描述了1年内发生的损伤情况。描述了损伤频率、损伤的解剖位置和亚位置、损伤原因、损伤发生时的活动以及损伤类型。损伤频率为每年每100名受试者中有29.5次损伤。大多数损伤影响下肢（占损伤的60.2%），损伤常见的解剖亚位置是脚踝（17.3%）和膝盖（15.0%）。损伤的常见原因是跑步（13.5%）和直接创伤（9.0%）。29.3%的损伤与体能训练有关。大多数损伤被归类为疼痛/痉挛/酸痛（29.3%），未进一步阐明病理情况。其他常见的损伤类型是扭伤（21.8%）和拉伤（14.3%）。该人群肌肉骨骼损伤的描述性流行病学强调了探索与体能训练和跑步相关的潜在可预防下肢损伤的可改变风险因素的必要性。在该人群中开发优化且有针对性的预防损伤体能训练计划具有空间。
