A prospective field study of U.S. Army trainees to identify the physiological bases and key factors influencing musculoskeletal injuries: a study protocol

BMC Musculoskeletal Disorders

Mary L. Bouxsein¹  Amy F. Hand²  Tyson L. Grier³  Bruce H. Jones³  Keith G. Hauret³  James P. McClung⁴  Kristin L. Popp⁵  Leila A. Walker⁵  Stephen A. Foulis⁵  Ronald W. Matheny⁵  Susan P. Proctor⁵  Julie M. Hughes⁵  Marilyn A. Sharp⁵  Erin Gaffney-Stomberg⁵  Kathryn M. Taylor⁵  Kristin J. Heaton⁵  Katelyn I. Guerriere⁵ 

[1] Center for Advanced Orthopedic Studies, Beth Israel Deaconess Medical Center;Department of Exercise Science, University of South Carolina;Injury Prevention Division, United States Army Public Health Center;Military Nutrition Division, United States Army Research Institute of Environmental Medicine;Military Performance Division, United States Army Research Institute of Environmental Medicine;

关键词: Musculoskeletal injury;    Military;    Basic combat training;    Stress fracture;    Military readiness;    ARMI study;   

DOI  :  10.1186/s12891-019-2634-9

来源: DOAJ

【 摘 要 】

Abstract Background Musculoskeletal injuries (MSKIs) are common in military trainees and present a considerable threat to occupational fitness, deployability, and overall military readiness. Despite the negative effects of MSKIs on military readiness, comprehensive evaluations of the key known and possible risk factors for MSKIs are lacking. The U.S. Army Research Institute of Environmental Medicine (ARIEM) is initiating a large-scale research effort, the ARIEM Reduction in Musculoskeletal Injury (ARMI) Study, to better understand the interrelationships among a wide range of potential MSKI risk factors in U.S. Army trainees in order to identify those risk factors that most contribute to MSKI and may be best targeted for effective mitigation strategies. Methods This prospective study aims to enroll approximately 4000 (2000 male and 2000 female) U.S. Army trainees undergoing Basic Combat Training (BCT). Comprehensive in-person assessments will be completed at both the beginning and end of BCT. Participants will be asked to complete surveys of personal background information, medical history, physical activity, sleep behaviors, and personality traits. Physical measurements will be performed to assess anthropometrics, tibial microarchitecture and whole body bone mineral density, muscle cross-sectional area, body composition, and muscle function. Blood sampling will be also be conducted to assess musculoskeletal, genetic, and nutritional biomarkers of risk. In addition, participants will complete weekly surveys during BCT that examine MSKI events, lost training time, and discrete risk factors for injury. Participants’ medical records will be tracked for the 2 years following graduation from training to identify MSKI events and related information. Research hypotheses focus on the development of a multivariate prediction model for MSKI. Discussion Results from this study are expected to inform current understanding of known and potential risk factors for MSKIs that can be incorporated into solutions that optimize Soldier health and enhance military readiness.

【 授权许可】

Unknown