Department of Research, Sint Maartenskliniek, Nijmegen, The Netherlands
Department of Research, Sint Maartenskliniek, Nijmegen, The Netherlands.
BMJ Mil Health. 2022 Aug;168(4):260-265. doi: 10.1136/bmjmilitary-2020-001461. Epub 2020 Oct 29.
Overuse injuries often start with a musculoskeletal complaint, which can progress over time to an injury. Little or no information is known about the development and severity of overuse injuries in military recruits. This study describes the musculoskeletal complaints in Dutch military recruits during their basic training and examines potential predictive factors for dropout due to injury.
In this prospective cohort study, Dutch military recruits reported complaints of the lower body weekly using a Numeric Rating Scale (NRS) pain score chart during their basic training. Number, location and severity of complaints during each of the first 12 weeks of basic training were analysed.
Of the 930 recruits, 61% reported an NRS pain score of 3 or higher and 34% reported an NRS pain score of 5 or higher at least once. Complaints were mostly reported in the foot and ankle region and least reported in the upper leg region. Injury dropouts (11%) showed significantly higher proportions of complaints and higher maximal pain scores throughout most weeks of basic training. The maximal NRS pain score of the first two weeks was the strongest predictor of dropping out due to injury.
Recruits who drop out due to injury report more severe complaints throughout basic training. Focusing on musculoskeletal complaints in the first phase of training seems helpful to identify recruits who are at risk of developing an injury.
过度使用损伤通常始于肌肉骨骼投诉，随着时间的推移，这些投诉可能会发展为损伤。对于新兵中过度使用损伤的发展和严重程度，人们知之甚少。本研究描述了荷兰新兵在基础训练期间的肌肉骨骼投诉，并研究了因伤退役的潜在预测因素。
在这项前瞻性队列研究中，荷兰新兵在基础训练期间每周使用数字评分量表（NRS）疼痛评分表报告下半身的投诉。分析了基础训练前 12 周内每周的投诉次数、位置和严重程度。
在 930 名新兵中，61%报告 NRS 疼痛评分≥3，34%报告 NRS 疼痛评分≥5。投诉主要发生在足部和踝关节区域，而在大腿区域报告的最少。受伤的退役者（11%）在基础训练的大多数周内报告的投诉比例明显更高，最大疼痛评分也更高。前两周的最大 NRS 疼痛评分是因伤退役的最强预测因素。
因伤退役的新兵在整个基础训练期间报告更严重的投诉。在训练的第一阶段关注肌肉骨骼投诉似乎有助于识别有受伤风险的新兵。
