Research Directorate, IDF Medical Corps, Tel-Hashomer, Israel.
Wingate College of Physical Education and Sports Sciences, Wingate Institute, Netanya, Israel.
BMJ Mil Health. 2021 Dec;167(6):418-423. doi: 10.1136/jramc-2019-001312. Epub 2020 Feb 20.
Musculoskeletal injuries to the lower extremities are major factors contributing to drop out from military tasks. The aim of the present study was to determine the incidence of musculoskeletal injuries and the parameters that differentiate between the soldiers who incurred these injuries and those who did not along 14 weeks of an infantry commanders course.
One-hundred and sixty-eight participants were recruited from an infantry commanders course. The soldiers were tested before (pre), in the middle (middle) and at the end (last) of the course for anthropometric measurements, proprioceptive ability and dynamic postural balance (DPB), and filled out an ankle stability questionnaire (Cumberland Ankle Instability Tool (CAIT). A physiotherapist followed and recorded all musculoskeletal injuries incurred by the participants during the course.
Fifty-eight participants out of the 168 (34.5%) reported some pain/injury. were found for body mass index, DPB asymmetry, DPB in posterior-medial (P-M) direction and proprioception ability. were found for DPB asymmetry, DPB in P-M direction, CAIT and proprioception ability. was found for proprioception ability. The Cox regression showed that the variables that are mostly effecting injuries were pretesting proprioception ability, DPB asymmetry and CAIT.
More than one out of three participants incurred musculoskeletal injuries, with deficits in proprioception ability, DPB and ankle stability in pretesting as major factors contributing to injuries. Further studies should look at the effect of specific exercises such as proprioception, DPB and ankle stability exercises for prevention and treatment of musculoskeletal injuries among combat soldiers.
下肢肌肉骨骼损伤是导致军事任务退出的主要因素。本研究旨在确定在步兵指挥官课程 14 周期间发生肌肉骨骼损伤的发生率以及区分受伤士兵和未受伤士兵的参数。
从步兵指挥官课程中招募了 168 名参与者。在课程开始前（pre）、中期（middle）和结束时（last），对士兵进行了人体测量学测量、本体感觉能力和动态姿势平衡（DPB）测试，并填写了踝关节稳定性问卷（Cumberland Ankle Instability Tool (CAIT)）。一名物理治疗师跟踪并记录了课程期间所有参与者发生的肌肉骨骼损伤。
168 名参与者中有 58 名（34.5%）报告有一些疼痛/损伤。体重指数、DPB 不对称、DPB 后内侧（P-M）方向和本体感觉能力存在差异。DPB 不对称、DPB 在 P-M 方向、CAIT 和本体感觉能力存在差异。本体感觉能力存在差异。Cox 回归显示，影响受伤的主要变量是测试前的本体感觉能力、DPB 不对称和 CAIT。
超过三分之一的参与者发生了肌肉骨骼损伤，测试前本体感觉能力、DPB 和踝关节稳定性不足是导致受伤的主要因素。进一步的研究应该着眼于特定练习（如本体感觉、DPB 和踝关节稳定性练习）对预防和治疗战斗士兵肌肉骨骼损伤的影响。
