Radzak Kara N, Sefton JoEllen M, Timmons Mark K, Lopp Rachel, Stickley Christopher D, Lam Kenneth C
Department of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas, Las Vegas, Nevada, USA.
School of Kinesiology, Auburn University, Auburn, Alabama, USA.
Orthop J Sports Med. 2020 Sep 23;8(9):2325967120948951. doi: 10.1177/2325967120948951. eCollection 2020 Sep.
Reserve Officers' Training Corps (ROTC) cadets must meet the same physical standards as active duty military servicemembers and undergo organized physical training (PT). ROTC participation, like all physical activity, can result in training-related musculoskeletal injury (MSKI), and of course, cadets could sustain MSKI outside of ROTC. However, MSKI incidence in ROTC programs is largely unknown.
To describe patient and injury demographics of MSKI in 5 universities' Army ROTC programs.
Descriptive epidemiology study.
A retrospective chart review of electronic medical records was performed using the Athletic Training Practice-Based Research Network (AT-PBRN). Athletic trainers at 5 clinical practice sites within the AT-PBRN documented injury assessments via a web-based electronic medical record system. Medical records during the 2017-2018 and 2018-2019 academic years were used for analysis. Summary statistics were calculated for age, sex, height, body mass, military science year, training ability group, mechanism of injury, activity type associated with injury, anatomic location of injury, participation status, injury severity, and diagnosis.
A total of 364 unique injuries were documented. Cadets in the most advanced fitness group (Alpha; n = 148/364) and in their third year of training (n = 97/364) presented with the most injuries. Injuries most commonly occurred during PT (n = 165/364). Insidious onset (n = 146/364) and noncontact (n = 115/364) mechanisms of injury were prevalent. The most frequent anatomic location of injury was the knee (n = 71/364) followed by the ankle (n = 57/364). General sprain/strain was the most frequent International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis code reported (n = 34/364).
The knee was the most frequent location of MSKI in ROTC participants, and most MSKIs had insidious onset. Cadets with higher injury frequency were high achieving (Alpha) and in a critical time point in ROTC (military science year 3). The majority of MSKIs can be attributed to ROTC training, with PT being the most frequent activity associated with injury. Civilian health care providers, from whom ROTC cadets will most likely seek medical attention, need to be aware of ROTC physical demands as well as the characteristics of training-related injuries.
后备军官训练团（ROTC）学员必须达到与现役军人相同的体能标准，并接受有组织的体能训练（PT）。与所有体育活动一样，参加ROTC可能导致与训练相关的肌肉骨骼损伤（MSKI），当然，学员也可能在ROTC之外遭受MSKI。然而，ROTC项目中MSKI的发生率很大程度上尚不清楚。
描述5所大学陆军ROTC项目中MSKI的患者和损伤人口统计学特征。
描述性流行病学研究。
使用基于运动训练实践的研究网络（AT-PBRN）对电子病历进行回顾性图表审查。AT-PBRN内5个临床实践地点的运动训练师通过基于网络的电子病历系统记录损伤评估。分析2017 - 2018学年和2018 - 2019学年的病历。计算年龄、性别、身高、体重、军事科学年级、训练能力组、损伤机制、与损伤相关的活动类型、损伤的解剖位置、参与状态、损伤严重程度和诊断的汇总统计数据。
共记录了364例独特的损伤。体能最先进组（Alpha组；n = 148/364）和训练第三年的学员（n = 97/364）损伤最多。损伤最常发生在体能训练期间（n = 165/364）。隐匿性起病（n = 146/364）和非接触性（n = 115/364）损伤机制很常见。损伤最常发生的解剖位置是膝盖（n = 71/364），其次是脚踝（n = 57/364）。报告的最常见的国际疾病分类第九版临床修订诊断代码是一般性扭伤/拉伤（n = 34/364）。
膝盖是ROTC参与者中MSKI最常发生的部位，大多数MSKI起病隐匿。损伤频率较高的学员成绩优异（Alpha组）且处于ROTC的关键时间点（军事科学三年级）。大多数MSKI可归因于ROTC训练，体能训练是与损伤相关最频繁的活动。ROTC学员最可能寻求医疗护理的民用医疗服务提供者需要了解ROTC的体能要求以及与训练相关损伤的特点。
