Walter Reed Army Institute of Research, Silver Spring, Maryland; ManTech Health, Herndon, Virginia.
Walter Reed Army Institute of Research, Silver Spring, Maryland.
Am J Prev Med. 2017 Mar;52(3):324-330. doi: 10.1016/j.amepre.2016.08.025. Epub 2016 Oct 5.
Low levels of pre-accession physical fitness and activity are risk factors for stress fractures and other overuse musculoskeletal injuries among military trainees. One dimension in the Tailored Adaptive Personality Assessment System (TAPAS), a non-cognitive personality test given to Army applicants, specifically assesses propensity to engage in physical activity. This dimension may serve as a surrogate measure for activity or fitness. The study examines the associations between TAPAS dimension scores and risk of musculoskeletal injuries.
Fifteen TAPAS dimension scores for 15,082 U.S. Army trainees entering military service in 2010 were provided by the U.S. Army Research Institute for Social and Behavioral Sciences. During 2013-2015, the associations between TAPAS dimension scores (as a continuous variable) and injuries in the first 6 months of service were evaluated using logistic regression, with the measure of association being the OR.
The TAPAS physical conditioning dimension was associated with musculoskeletal injuries and stress fractures among both men (musculoskeletal injury, OR=0.83, 95% CI=0.79, 0.86; stress fracture, OR=0.68, 95% CI=0.57, 0.80) and women (musculoskeletal injury, OR=0.77, 95% CI=0.70, 0.85; stress fracture, OR=0.60, 95% CI=0.43, 082). No other dimensions were both significantly and consistently associated with either injury.
The TAPAS physical conditioning dimension is a strong predictor of musculoskeletal injury and stress fracture among male and female U.S. Army trainees, and may serve as a pre-accession screen for self-reported physical activity.
在军事受训人员中，低水平的入伍前体能和活动水平是应力性骨折和其他过度使用肌肉骨骼损伤的危险因素。Tailored Adaptive Personality Assessment System（TAPAS）是一项给予陆军应征者的非认知人格测试，其中一个维度专门评估参与身体活动的倾向。这个维度可以作为活动或体能的替代衡量标准。本研究检验了 TAPAS 维度评分与肌肉骨骼损伤风险之间的关联。
美国陆军研究所以及社会和行为科学研究所提供了 2010 年入伍的 15082 名美国陆军新兵的 15 个 TAPAS 维度评分。在 2013-2015 年期间，使用逻辑回归评估 TAPAS 维度评分（作为连续变量）与服役头 6 个月内受伤之间的关联，关联度量为 OR。
TAPAS 体能维度与男性（肌肉骨骼损伤，OR=0.83，95%CI=0.79，0.86；应力性骨折，OR=0.68，95%CI=0.57，0.80）和女性（肌肉骨骼损伤，OR=0.77，95%CI=0.70，0.85；应力性骨折，OR=0.60，95%CI=0.43，0.82）的肌肉骨骼损伤和应力性骨折均相关。其他维度均与任何一种损伤既不显著相关也不一致相关。
TAPAS 体能维度是美国陆军男女新兵肌肉骨骼损伤和应力性骨折的强有力预测指标，可作为入伍前自我报告身体活动的筛选工具。
