THE INCIDENCE OF OVERUSE INJURIES IN MILITARY RECRUITS DURING BASIC MILITARY TRAINING
THE INCIDENCE OF OVERUSE INJURIES IN MILITARY RECRUITS DURING BASIC MILITARY TRAINING
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DOI：
10.1093/milmed/159.6.421
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发表时间：
1994-06-01
影响因子：
1.2
通讯作者：
SCHWELLNUS, MP
中科院分区：
文献类型：
--
作者：
JORDAAN, G;SCHWELLNUS, MP
进行了一项研究，以记录在基本军事训练期间过度使用受伤的发生率。 前瞻性记录了接受基础训练的新兵（N = 1，261）在9周内的受伤情况。 受伤发生率表示为所有受伤新兵的百分比、每周发生率（受伤/1 000名新兵/周）和受伤/1 000训练小时。 还记录了六种常见的特定过度使用损伤的发生率。 在9周的时间里，受伤的总发生率为31.9%（急性，13.6%;过度使用，86.4%），或1.8/1000训练小时。 在训练的第1 - 3周和第9周，受伤率最高，这是以行军为特征的几周（> 77%的训练时间）。 特定过度使用损伤的最高发生率（损伤/1,000训练小时）为胫骨应力反应（0.33）、髌股疼痛（0.22）和髂胫束摩擦综合征（0.08）。 9周内应力性骨折的发生率为1.2%（0.07/1，000培训小时）。 膝盖、小腿和脚踝的损伤占所有损伤的80%以上。 在此期间，总共损失了3.6%的训练日，主要是由于骨应力损伤。 为了减少基本军事训练中的损伤，必须注意（1）改变训练类型和（2）预防骨应力损伤。
A study was undertaken to document the incidence of overuse injuries sustained during basic military training. The injuries in military recruits (N = 1,261) undergoing basic training were documented prospectively over a 9-week period. Injury incidence was expressed as percentage of all recruits injured, weekly incidence (injuries/1,000 recruits/week), and injuries/1,000 training hours. The incidence of six common specific overuse injuries was also recorded. The overall incidence of injuries over the 9-week period was 31.9% (acute, 13.6%; overuse, 86.4%), or 1.8/1,000 training hours. The highest incidence of injuries was recorded in weeks 1 to 3 and week 9 of training, which were weeks characterized by marching (> 77% of the training time). The highest incidence (injuries/1,000 training hours) of specific overuse injuries were tibial bone stress reaction (0.33), patellofemoral pain (0.22), and the iliotibial band friction syndrome (0.08). The incidence of stress fractures over the 9-week period was 1.2% (0.07/1,000 training hours). Injuries to the knee, lower leg, and ankle accounted for more than 80% of all injuries. A total of 3.6% of training days were lost during this period, mainly due to bone stress injuries. In order to reduce injuries during basic military training, attention must be directed towards (1) modifying the type of training and (2) prevention of bone stress injuries.