Concussion history is associated with increased lower-extremity injury incidence in Reserve Officers' Training Corps cadets
Concussion history is associated with increased lower-extremity injury incidence in Reserve Officers' Training Corps cadets
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DOI：
10.1136/bmjmilitary-2020-001589
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发表时间：
2023-04-01
影响因子：
1.5
通讯作者：
Buckley, T. A.
中科院分区：
文献类型：
--
作者：
Hunzinger, Katherine J.;Radzak, K. N.;Buckley, T. A.
脑震荡与运动员和美国陆军士兵下肢肌肉骨骼损伤（LE-MSI）的风险增加有关，造成额外的经济，身体和社会负担。然而，关于后备军官训练团（ROTC）学员之间这种关系的证据很少，这是一个从事高伤害风险活动的群体，随后将被任命为现役军官。本研究旨在探讨后备军官训练团学员脑震荡与LE-MSI之间的关联。方法125（83名男性）陆军和空军ROTC学员（19.8 +/- 2.0年）从两个大型州立大学的陆军和空军ROTC计划参加了这项研究。学员完成了可靠的损伤史调查问卷，以确定以下关注的变量：（1）任何脑震荡史，（2）报告的脑震荡，（3）未诊断的脑震荡，和（4）可能未识别的脑震荡史和LE-MSI史（例如，踝关节扭伤，膝关节扭伤或肌肉拉伤）。使用卡方检验分析数据的相关性，并使用二元逻辑回归确定OR。结果42名有脑震荡病史的军校学员与LE-MSI的相关性（OR 2.47，95%CI 1.05 ~ 5.83）显著高于无脑震荡病史的军校学员（P=0.035）。与没有脑震荡的学员相比，有脑震荡报告的学员（n=33）与LE-MSI（OR 2.95，95%CI 1.11至7.84）的相关性显著（p=0.026）更高。结论：有脑震荡病史的后备军官训练团学员比没有脑震荡病史的学员更容易患LE-MSI。后备军官训练队干部应该意识到这种关系，并纳入伤害预防协议。
IntroductionConcussions have been associated with an increased risk of lower-extremity musculoskeletal injury (LE-MSI) in athletes and US Army soldiers, creating an added economic, physical and social burden. Yet, there is a paucity of evidence on this relationship among Reserve Officers' Training Corps (ROTC) cadets, a group which engages in activities with high-injury risk and will subsequently commission as active duty officers. This study aimed to examine the association between concussions and LE-MSI in ROTC cadets. Methods125 (83 were male) Army and Air Force ROTC cadets (19.8 +/- 2.0 years) from two large state universities' Army and Air Force ROTC programmes participated in this study. Cadets completed a reliable injury history questionnaire to ascertain the following variables of interest: (1) any concussion history, (2) reported concussions, (3) undiagnosed concussions, and (4) potentially unrecognised concussion history and LE-MSI history (eg, ankle sprain, knee sprain or muscle strain). Data were analysed using a chi(2) test for association and binary logistic regression to determine ORs. ResultsCadets with any concussion history (n=42) had a significantly (p=0.035) higher association with LE-MSI (OR 2.47, 95% CI 1.05 to 5.83) than those without. Cadets who had a reported concussion (n=33) had a significantly (p=0.026) higher association with LE-MSI (OR 2.95, 95% CI 1.11 to 7.84) compared to cadets without. ConclusionsROTC cadets with a history of diagnosed concussion were more likely to have suffered an LE-MSI than cadets without a concussion history. ROTC cadre should be aware of this relationship and incorporate injury prevention protocols.