31 Canadian Forces Health Services Centre Detachment Meaford, Canadian Forces Health Services, 4th Canadian Division Training Centre, Canada.
31 Canadian Forces Health Services Centre Detachment Meaford, Canadian Forces Health Services, 4th Canadian Division Training Centre, Canada.
J Sci Med Sport. 2021 Sep;24(9):886-893. doi: 10.1016/j.jsams.2021.03.012. Epub 2021 Mar 30.
Determine the feasibility of implementing an evidence-based training program compared to a control during a basic infantry training course, and compare their effectiveness on measures of injuries and associated burdens.
Prospective, cohort, feasibility study.
Infantry candidates awaiting course between 01-April-2019 and 31-March-2020 were invited to participate while those releasing from the military, awaiting occupational transfer or having >5 medical employment limitation days were excluded. Consenting participants were allocated to an infantry course prospectively scheduled to host either the evidence-based program or a control. The evidence-based program adapted modified physical training strategies from previous studies reporting reduced injuries in recruits and was supervised by certified fitness professionals, while the control was at the discretion of infantry instructors.
With the exception of intervention duration which was limited due to operational factors, all feasibility outcomes were met including a recruitment rate of 171/203=84.2% and an intervention adherence of 126/144=87.5%. Stakeholders reported that the evidence-based program implementation was feasible, posing a manageable demand on resources without compromising operations. Evidence-based program participants reported 68% fewer overuse musculoskeletal injuries, 296 fewer medical employment limitation days and 11 fewer attritions than control participants.
An evidence-based training program is feasible to implement on a basic infantry training course, and results in fewer musculoskeletal injuries, medical employment limitation days and attrition. Given these results, this program should be generalizable for a full experimental trial, and may be scaled for intermediate/advanced infantry and/or other combat occupation courses to promote an evolution towards evidence-based training.
在基础步兵训练课程中，与对照组相比，确定实施基于证据的培训计划的可行性，并比较它们在受伤和相关负担措施上的效果。
前瞻性队列可行性研究。
邀请在 2019 年 4 月 1 日至 2020 年 3 月 31 日期间等待课程的步兵候选人参加，而那些从军队中释放、等待职业转移或有超过 5 个医疗就业限制日的候选人则被排除在外。同意参加的参与者被前瞻性地分配到步兵课程中，这些课程计划主办基于证据的计划或对照组。基于证据的计划从以前报告减少新兵受伤的研究中改编了改良的体能训练策略，并由认证的健身专业人员监督，而对照组则由步兵教官自行决定。
除了由于操作因素而限制的干预持续时间外，所有可行性结果都得到了满足，包括招募率为 171/203=84.2%和干预依从率为 126/144=87.5%。利益相关者报告称，基于证据的计划实施是可行的，对资源的需求可控，而不会影响运营。与对照组相比，基于证据的计划参与者报告的过度使用肌肉骨骼损伤减少了 68%，医疗就业限制天数减少了 296 天，流失人数减少了 11 人。
在基础步兵训练课程中实施基于证据的培训计划是可行的，可减少肌肉骨骼损伤、医疗就业限制天数和流失率。鉴于这些结果，该计划应该可以推广到全面的实验性试验中，并可以为中级/高级步兵和/或其他战斗职业课程扩展，以促进向基于证据的培训的转变。
