Milgrom Charles, Sorkin Alex, Gam Arnon, Singer Jonathan, Nir Itamar, Kogan Boris, Finestone Aharon S
Hebrew University Medical School, 91120 Ein Kerem, Jerusalem, Israel ; IDF Medical Corps, Active Reserve, Jerusalem, Israel.
IDF Medical Corps, Jerusalem, Israel.
Disaster Mil Med. 2016 Oct 10;2:14. doi: 10.1186/s40696-016-0024-5. eCollection 2016.
The combat role of the twenty-first century infantry soldier has changed and accordingly their boots should evolve to meet these new needs and maximize soldier performance.
To evaluate injuries and durability of the hot weather infantry boots (HWIB) in elite infantry training and assess the initial performance of newly designed Israeli infantry boots (NDIB).
In Phase 1, the durability of the HWIB during elite infantry training was evaluated at weeks 10, 19 and 64 in a cohort of 67 recruits. At each exam recruits removed their boots which were assessed for wear and integrity and photographed. The number of times recruits changed their boots was recorded. In Phase 2, foot injuries were assessed in a cohort of 73 elite infantry recruits wearing HWIB. In Phase 3, 65 infantry recruits were issued the NDIB. Recruits feet were measured for width and shoe size using the Brannock device and then followed for problems associated with their boots. Foot lesions were document by photographs.
Phase 1: The mean longevity of HWIB in training was 5.2 ± 0.2 (SE) months, (95 % CI 4.83-5.61). Phase 2: 38 % of the elite infantry recruits wearing HWIB had at least one complaint and 31 (42 %) were found to have boot related injuries in a total of 56 injured areas. Phase 3: The mean predicted boot size (42.8 ± 1.7) based on Brannock measurements, was less than the size of the NDIB actually worn, 43.1 ± 1.6. Only 34.8 % of the feet were width D (the standard shoe width). At 9 day follow up, 55 of the 65 recruits who wore NDIB reported at least one problem with them (85 %, p < 0.0001, compared to HWIB). By 3 weeks, all but five recruits had returned to wearing the HWIB. Of the recruits wearing NDIB, 47 (72 %) were found to have had at least one boot related injury with a total number of 180 injured foot areas (p = 0.0004, compared to HWIB).
The HWIB was well tolerated by the elite infantry recruits and associated with significantly less foot injuries than the NDIB. The longevity of the HWIB in demanding elite infantry training was five months. : NCT02810002 retrospectively registered June 22, 2016.
21世纪步兵的作战角色发生了变化，因此他们的靴子也应不断发展，以满足这些新需求并最大限度地提高士兵的作战表现。
评估炎热天气步兵靴（HWIB）在精英步兵训练中的损伤情况和耐用性，并评估新设计的以色列步兵靴（NDIB）的初始性能。
在第1阶段，对67名新兵组成的队列在第10周、第19周和第64周评估HWIB在精英步兵训练期间的耐用性。每次检查时，新兵脱下靴子，评估靴子的磨损情况和完整性，并拍照。记录新兵更换靴子的次数。在第2阶段，对73名穿着HWIB的精英步兵新兵的足部损伤情况进行评估。在第3阶段，给65名步兵新兵发放NDIB。使用布兰诺克测量仪测量新兵的脚宽和鞋码，然后跟踪与靴子相关的问题。通过照片记录足部损伤情况。
第1阶段：HWIB在训练中的平均使用寿命为5.2±0.2（标准误）个月，（95%置信区间4.83 - 5.61）。第2阶段：穿着HWIB的精英步兵新兵中，38%至少有一项抱怨，在总共56个受伤部位中，有31人（42%）被发现有与靴子相关的损伤。第3阶段：根据布兰诺克测量得出的平均预测靴码（42.8±1.7）小于实际穿着的NDIB的码数，即43.1±1.6。只有34.8%的脚宽为D（标准鞋宽）。在9天的随访中，6位5名穿着NDIB的新兵中有55人报告至少有一个与靴子相关的问题（85%，与HWIB相比，p<0.0001）。到3周时，除5名新兵外，其他人都换回了HWIB。在穿着NDIB的新兵中，47人（72%）被发现至少有一项与靴子相关的损伤，总共有180个足部受伤部位（与HWIB相比，p = 0.0004）。
精英步兵新兵对HWIB耐受性良好，与NDIB相比，足部损伤明显更少。HWIB在要求苛刻的精英步兵训练中的使用寿命为5个月。临床试验注册号：NCT02810002，于2016年6月22日进行回顾性注册。
