Mónico José Lito, Silva Frederico, Marques José Pedro, Cardoso Joaquim, Mónico Lisete, Fonseca Fernando
Centro de Saúde Militar de Coimbra, Coimbra, Portugal.
Faculdade de Psicologia e de Ciências da Educação da Universidade de Coimbra, Coimbra, Portugal.
Rev Bras Ortop (Sao Paulo). 2020 Dec;55(6):681-686. doi: 10.1055/s-0040-1712137. Epub 2020 Jul 22.
The present study aims to measure the incidence of overload injuries in training soldiers, who are subjected to intense physical exercise, and to compare it with a control group. Next, it intends to verify whether there is any relationship between overload injuries and some neuromuscular function parameters. Analytical, prospective observational study. Both the observational and the control group consisted of soldiers from the Portuguese Army. Clinical evaluation was performed by medical interview in the week prior to the beginning of a military parachuting course and in the week immediately after its completion. The neuromuscular performance was assessed by isokinetic dynamometry during the medical interview. With 44 of the 57 military personnel in training complaining of pain, the observational group had significantly more injuries than the control group ( < 0.001). Five complaints had traumatic origin and 39 were overload injuries. Of the 39 military personnel with overload injuries, 21 reported limited sports performance. However, isokinetic dynamometry showed no statistically significant differences in neuromuscular performance ( = 0.223 and = 0.229). Military personnel in training are prone to overload injuries, with an incidence rate > 70%. The implementation of strategies for injury monitoring and prevention is critical to promote health and physical capacity.
本研究旨在测量接受高强度体育锻炼的受训士兵中过度负荷损伤的发生率，并将其与对照组进行比较。其次，研究旨在验证过度负荷损伤与某些神经肌肉功能参数之间是否存在任何关联。
分析性前瞻性观察研究。观察组和对照组均由葡萄牙军队的士兵组成。在军事跳伞课程开始前一周和结束后紧接着的一周，通过医学访谈进行临床评估。在医学访谈期间，通过等速测力法评估神经肌肉表现。
57名受训军事人员中有44人抱怨疼痛，观察组的损伤明显多于对照组（<0.001）。5例主诉有创伤性起因，39例为过度负荷损伤。在39例有过度负荷损伤的军事人员中，21人报告运动表现受限。然而，等速测力法显示神经肌肉表现无统计学显著差异（=0.223，=0.229）。
受训军事人员容易发生过度负荷损伤，发生率>70%。实施损伤监测和预防策略对于促进健康和身体能力至关重要。
