Wingate College of Physical Education and Sports Sciences, Wingate Institute, Netanya, Israel.
Physical Therapy and Occupational Therapy, Medical Corps, Israel Defense Forces, Israel.
J Strength Cond Res. 2021 Nov 1;35(11):3128-3138. doi: 10.1519/JSC.0000000000004053.
Steinberg, N, Bar-Sela, S, Moran, U, Pantanowitz, M, Waddington, G, Adams, R, Band, SS, and Funk, S. Injury prevention exercises for reduced incidence of injuries in combat soldiers. J Strength Cond Res 35(11): 3128-3138, 2021-The aim of this study was to determine the influence of an "all-cause injury" prevention program, focused on static-to-dynamic transitions, on injury prevalence in a military commanders course. Two cohorts of male infantry commanders were recruited (intervention [INT group], n = 196 and controls [CO group], n = 169) and tracked by a physiotherapist, who recorded any injuries that occurred during the 14-week course. Soldiers were tested precourse, midcourse, and postcourse for anthropometrics, proprioception ability, and dynamic postural balance (DPB). The INT group performed injury prevention exercises for 5 minutes, 3 times a week, and the CO group continued with their routine physical fitness sessions. The prevalence of injuries reported to the physiotherapist during the course was significantly lower for the INT group compared with the CO group (14.8 and 34.3%, respectively, p < 0.001). Similarly, rates of injury in the INT group were significantly lower than in the CO group (p < 0.001; hazard = 2.53, 95% confidence interval = 1.62-3.95). Precourse proprioception ability was significantly lower in those that became injured during the commanders course, irrespective of the group. Likewise, for DPB parameters, the injured subjects in both groups had significantly lower precourse scores than the noninjured subjects. From pretesting to midtesting, the injured soldiers in the INT group improved their ability up to the level of the noninjured subjects. A reduced prevalence of injuries was found for soldiers who completed the injury prevention program. Because the subjects soldiers injured on the course had reduced somatosensory abilities at the outset, and as these abilities can be improved by static-to-dynamic exercises, identifying at-risk soldiers and providing them with appropriate strategies for improvement beforehand is indicated.
斯坦伯格、巴尔-塞拉、莫兰、潘塔诺维茨、沃丁顿、亚当斯、班德和芬克。预防损伤运动减少战斗士兵损伤发生率。《力量与调节研究杂志》35（11）：3128-3138，2021-本研究旨在确定以静态到动态转换为重点的“全因损伤”预防计划对军事指挥官课程中损伤发生率的影响。招募了两组男性步兵指挥官（干预[INT]组，n=196 和对照组[CO]组，n=169），由一名物理治疗师进行跟踪，记录课程期间发生的任何损伤。士兵在课程前、课程中和课程后进行人体测量学、本体感受能力和动态姿势平衡（DPB）测试。INT 组每周进行 3 次、每次 5 分钟的损伤预防运动，而 CO 组继续进行常规体能训练。与 CO 组相比，INT 组报告给理疗师的损伤发生率明显较低（分别为 14.8%和 34.3%，p<0.001）。同样，INT 组的损伤发生率也明显低于 CO 组（p<0.001；危险比=2.53，95%置信区间=1.62-3.95）。无论组别如何，在指挥官课程中受伤的人，在课程开始时的本体感受能力明显较低。同样，对于 DPB 参数，两组受伤的受试者的术前分数均明显低于未受伤的受试者。从术前测试到中期测试，INT 组受伤士兵的能力提高到未受伤士兵的水平。完成损伤预防计划的士兵受伤率降低。由于课程中受伤的士兵在开始时就有较低的体感能力，而这些能力可以通过静态到动态的运动来提高，因此需要确定有风险的士兵，并提前为他们提供适当的提高策略。
