Bonanno Daniel R, Munteanu S E, Murley G S, Landorf K B, Menz H B
Discipline of Podiatry, School of Allied Health, La Trobe University, Melbourne, Victoria, Australia.
J R Army Med Corps. 2018 Sep;164(5):347-351. doi: 10.1136/jramc-2018-000919. Epub 2018 Apr 6.
This study aimed to identify risk factors associated with the development of common lower limb injuries during initial defence training in naval recruits who were enrolled in a randomised trial.
Three-hundred and six naval recruits were randomly allocated flat insoles (n=153) or foot orthoses (n=153) while undertaking 11 weeks of initial training. Participant characteristics (including anthropometrics, general health, physical activity, fitness and foot characteristics) were collected at the baseline assessment and injuries were documented prospectively. Injury was defined as the combined incidence of participants with medial tibial stress syndrome, patellofemoral pain, Achilles tendinopathy and plantar fasciitis/plantar heel pain throughout the 11 weeks of training. A discriminant function analysis was used to explore the ability of baseline measures to predict injury.
Overall, 67 (21.9%) participants developed an injury. Discriminant function analysis revealed that participants who sustained an injury were slightly younger (mean 21.4±SD 4.1 vs 22.5±5.0 years) and were less likely to be allocated to the foot orthosis group (40% vs 53%) compared with those who remained uninjured. The accuracy of these baseline variables to predict injury was moderate (78.1%).
Lower limb injury was not accurately predicted from health questionnaires, fitness results and clinical assessments in naval recruits undertaking initial defence training. However, although not reaching statistical significance, the use of foot orthoses may be protective against common lower limb injuries.
ACTRN12615000024549; Post-results.
本研究旨在确定参加一项随机试验的海军新兵在初始防御训练期间发生常见下肢损伤的相关风险因素。
306名海军新兵在进行为期11周的初始训练时被随机分配使用平底鞋垫（n = 153）或足部矫形器（n = 153）。在基线评估时收集参与者特征（包括人体测量学、一般健康状况、身体活动、体能和足部特征），并前瞻性记录损伤情况。损伤定义为在整个11周训练期间发生胫骨内侧应力综合征、髌股疼痛、跟腱病和足底筋膜炎/足跟痛的参与者的综合发病率。采用判别函数分析来探讨基线测量指标预测损伤的能力。
总体而言，67名（21.9%）参与者发生了损伤。判别函数分析显示，与未受伤的参与者相比，受伤的参与者年龄略小（平均21.4±标准差4.1岁对22.5±5.0岁），且被分配到足部矫形器组的可能性较小（40%对53%）。这些基线变量预测损伤的准确性为中等（78.1%）。
在进行初始防御训练的海军新兵中，通过健康问卷、体能结果和临床评估无法准确预测下肢损伤。然而，尽管未达到统计学显著性，但使用足部矫形器可能对常见下肢损伤具有保护作用。
ACTRN12615000024549；结果后。
