Occupational Experience Effects on Physiological and Perceptual Responses of Common Soldiering Tasks.

ABSTRACT: Cohen BS, Redmond JE, Haven CC, Foulis SA, Canino MC, Frykman PN, Sharp MA. Occupational Experience Effects on Physiological and Perceptual Responses of Common Soldiering Tasks. J Strength Cond Res 37(4): 894-901, 2023-This study measured the impact of occupational experience (i.e., time spent deployed, in military service, and in job and task performance frequency in training, deployment, and study practice) on the physiological (heart rate [HR] and oxygen consumption [VO 2 ]) and perceptual (rate of perceived exertion [RPE]) responses to performance of critical physically demanding tasks (CPDTs). Five CPDTs (road march, build a fighting position, move under fire, evacuate a casualty, and drag a casualty to safety), common to all soldiers, were performed by 237 active duty soldiers. Linear regression models examined the association between measures of experience and physiological and perceptual performance responses to task demands. The level of significance was adjusted for multiple comparisons and set at ρ ≤ 0.0125 for this study. Significant and notable effect sizes included the impact of time spent deployed on the physiological measures of the road march (PostHR F = 24.84, p < 0.0001, ß=-9.65), sandbag fill (PostHR F = 8.26, p = 0.005, ß = -2.83), and sandbag carry (MeanHR F = 7.51, p = 0.007, ß = -1.12; PostHR F = 7.35, p = 0.007, ß = -0.87). For the road march task, there was a nearly 10 bpm decrease in postperformance HR for every year spent deployed. Road march, sandbag fill, and sandbag carry tasks PostHRs were also notably negatively associated with the experience measures of time in their MOS (job and time in military service but not for other physiological and perceptual responses, including VO 2 and RPE. Frequency of task performance in training, deployment, and study practice was not meaningfully associated with experience. The results suggest that increasing task familiarization through on-the-job occupational operational experience may result in greater proficiency and reduced physiological effort.

Maintaining Physical Performance: The Minimal Dose of Exercise Needed to Preserve Endurance and Strength Over Time.

ABSTRACT: Maintaining physical performance: the minimal dose of exercise needed to preserve endurance and strength over time, Spiering, BA, Mujika, I, Sharp, MA, and Foulis, SA. J Strength Cond Res 35(5): 1449-1458, 2021-Nearly every physically active person encounters periods in which the time available for exercise is limited (e.g., personal, family, or business conflicts). During such periods, the goal of physical training may be to simply maintain (rather than improve) physical performance. Similarly, certain special populations may desire to maintain performance for prolonged periods, namely athletes (during the competitive season and off-season) and military personnel (during deployment). The primary purpose of this brief, narrative review is to identify the minimal dose of exercise (i.e., frequency, volume, and intensity) needed to maintain physical performance over time. In general populations, endurance performance can be maintained for up to 15 weeks when training frequency is reduced to as little as 2 sessions per week or when exercise volume is reduced by 33-66% (as low as 13-26 minutes per session), as long as exercise intensity (exercising heart rate) is maintained. Strength and muscle size (at least in younger populations) can be maintained for up to 32 weeks with as little as 1 session of strength training per week and 1 set per exercise, as long as exercise intensity (relative load) is maintained; whereas, in older populations, maintaining muscle size may require up to 2 sessions per week and 2-3 sets per exercise, while maintaining exercise intensity. Insufficient data exists to make specific recommendations for athletes or military personnel. Our primary conclusion is that exercise intensity seems to be the key variable for maintaining physical performance over time, despite relatively large reductions in exercise frequency and volume.

Predicting Soldier Task Performance From Physical Fitness Tests: Reliability and Construct Validity of a Soldier Task Test Battery.

ABSTRACT: Spiering, BA, Walker, LA, Larcom, K, Frykman, PN, Allison, SC, and Sharp, MA. Predicting soldier task performance from physical fitness tests: reliability and construct validity of a soldier task test battery. J Strength Cond Res 35(10): 2749-2755, 2021-The purpose of this study was to determine the reliability and construct validity of a battery of tests designed to assess soldier task performance. In the first part of the study (designed to assess test-retest reliability), 33 enlisted soldiers (31 men, 2 women; 23 ± 3 years; 1.75 ± 0.08 m; and 81.4 ± 12.8 kg) completed a 4-event "soldier task test battery" (STTB) on 4 occasions, each separated by at least 1 week. The STTB consisted of the following tests, in order: (a) 30-m grenade throw for accuracy; (b) running long jump while wearing a 20.5-kg load; (c) 1 repetition maximum box lift; and (d) 3.2-km load carriage time trial while wearing a 33-kg load. In the second part of the study (designed to assess construct validity), 41 male soldiers (22 ± 3 years; 1.75 ± 0.08 m; and 81.4 ± 12.9 kg) completed the STTB and a series of physical fitness tests. The physical fitness tests included measurements of body composition, muscular strength, muscular power, muscular endurance, and cardiovascular endurance. Overall performance on the STTB (reflected by the sum of z-scores across individual tests) demonstrated an intraclass correlation coefficient of 0.95 and was correlated to lean mass, V˙o2peak, and measures of muscular strength and power. Lean body mass and standing long jump predicted performance on the STTB (R2 = 0.41). In conclusion, this STTB can reliably assess performance of soldiering tasks. The relationships between the STTB and physical fitness tests can be used to develop training programs to prepare soldiers to perform physically demanding tasks.

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

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.

U.S. Army Physical Demands Study: Differences in Physical Fitness and Occupational Task Performance Between Trainees and Active Duty Soldiers.

Canino, MC, Foulis, SA, Zambraski, EJ, Cohen, BS, Redmond, JE, Hauret, KG, Frykman, PN, and Sharp, MA. U.S. Army Physical Demands Study: Differences in physical fitness and occupational task performance between trainees and active duty soldiers. J Strength Cond Res 33(7): 1864-1870, 2019-U.S. Army initial entry training (IET) is designed to prepare trainees for the military environment and subsequent training, including specific programs to increase physical fitness to perform job-specific tasks to the minimal acceptable performance standard (MAPS). The aim of this study was to compare physical fitness and occupational task performance of trainees at the end of IET to that of active duty soldiers. One hundred seventy-nine male combat arms trainees at the end of IET and 337 male combat arms active duty soldiers performed a sandbag carry (SBC), casualty drag (CD), and move under direct fire (MUF). Physical fitness was assessed using Army Physical Fitness Test scores. A questionnaire was administered to determine frequency of task performance. Active duty soldiers compared with trainees were older (p < 0.01) and performed more push-ups (p < 0.01) and sit-ups (p < 0.01). Trainees performed the 2-mile run faster (p < 0.01). Ninety-four percent of trainees and 99% of active duty soldiers performed the 3 tasks to the MAPSs. Active duty soldiers performed significantly faster on both the SBC (p < 0.01) and CD (p < 0.01) and reported a higher task frequency on the SBC (p = 0.03) and CD (p < 0.01). No difference in MUF performance (p = 0.16) and task frequency (p = 0.13) was detected. Initial entry training seems to provide sufficient physical training as most trainees were able to meet the MAPSs; however, performance differences were still apparent between trainees and active duty soldiers. Additional practice performing the physically demanding tasks may help maximize performance on the physically demanding job requirements.

Association between stress fracture incidence and predicted body fat in United States Army Basic Combat Training recruits.

BACKGROUND: A stress fracture (SF) is a highly debilitating injury commonly experienced in United States Army Basic Combat Training (BCT). Body fat (BF) may be associated with this injury but previous investigations (in athletes) have largely used SF self-reports and lacked sufficient statistical power. This investigation developed an equation to estimate %BF and used that equation to examine the relationship between %BF and SF risk in BCT recruits. METHODS: Data for the %BF predictive equation involved 349 recruits with BF obtained from dual-energy X-ray absorptiometry. %BF was estimated using body mass index (BMI, weight/height2), age (yr), and sex in the entire population of BCT recruits over an 11-year period (n = 583,651). Medical information was obtained on these recruits to determine SF occurrence. Recruits were separated into deciles of estimated %BF and the risk of SFs determined in each decile. RESULTS: The equation was %BF = - 7.53 + 1.43 ● BMI + 0.13 ● age - 14.73 ● sex, with sex either 1 for men or 0 for women (r = 0.88, standard error of estimate = 4.2%BF). Among the men, SF risk increased at the higher and lower %BF deciles: compared to men in the mean %BF decile, the risk of a SF for men in the first (lowest %BF) and tenth (highest %BF) decile were 1.27 (95%confidence interval (95%CI) = 1.17-1.40) and 1.15 (95%CI = 1.05-1.26) times higher, respectively. Among women, SF risk was only elevated in the first %BF decile with risk 1.20 (95%CI = 1.09-1.32) times higher compared to the mean %BF decile. CONCLUSIONS: Low %BF was associated with higher SF risk in BCT; higher %BF was associated with higher SF risk among men but not women.

Secular Trends in the Physical Fitness of United States Army Recruits on Entry to Service, 1975-2013.

Knapik, JJ, Sharp, MA, and Steelman, RA. Secular trends in the physical fitness of United States Army recruits on entry to service, 1975-2013. J Strength Cond Res 31(7): 2030-2052, 2017-A systematic literature search was conducted to identify and analyze articles that reported on physical fitness of new US Army recruits. The National Library of Medicine's PubMed and the Defense Technical Information Center were searched using the keywords (military personnel OR trainee OR recruit OR soldier) AND (physical fitness OR strength OR endurance OR flexibility OR balance OR coordination OR muscle contraction OR running OR exercise OR physical conditioning). Reference lists of obtained articles and contact with authors enhanced the search. Studies were selected if they involved recruits in Basic Combat Training or One-Station Unit Training, provided a quantitative assessment of at least one fitness measure, and the fitness measure(s) were obtained early in training. Average values for each fitness measure were obtained, plotted by the year of data collection, and fitted to linear regression models (fitness measure × year). Fifty-three articles met the review criteria. Regression analysis indicated little temporal change in height, but body weight, body mass index, body fat, and fat-free mass increased over time. Limited V[Combining Dot Above]O2max data suggested no temporal change in male recruits, but those in female recruits V[Combining Dot Above]O2max seem to have slightly improved. Apparently contradicting the V[Combining Dot Above]O2max findings, performance on endurance runs (1- and 2-mile) declined, possibly because of the increase in body weight. Muscular endurance (push-ups, sit-ups) demonstrated little systematic change over time. Limited but multiple measures of muscular strength suggest a temporal increase in strength. Specific components of US Army recruit fitness seem to have changed over time.

Systematic Review and Meta-Analysis of Predictors of Military Task Performance: Maximal Lift Capacity.

Hydren, JR, Borges, AS, and Sharp, MA. Systematic review and meta-analysis of predictors of military task performance: maximal lift capacity. J Strength Cond Res 31(4): 1142-1164, 2017-Physical performance tests (e.g., physical employment tests, return-to-duty tests) are commonly used to predict occupational task performance to assess the ability of individuals to do a job. The purpose of this systematic review was to identify predictive tests that correlate well with maximal lifting capacity in military personnel. Three databases were searched and experts in the field were contacted, resulting in the identification of 9 reports confined to military personnel that presented correlations between predictor tests and job tasks that measured maximal lift capacity. These 9 studies used 9 variations of a maximal lift capacity test, which were pooled to evaluate comparisons. The predictive tests were categorized into 10 fitness domains, which in ranked order were as follows: body mass and composition, absolute aerobic capacity, dynamic strength, power, isometric strength, strength-endurance, speed, isokinetic strength, flexibility, and age. Limitations of these data include a restricted age range (95% confidence interval [95% CI], 20-35; no correlations to maximal lift capacity) and the limited number of comparisons available within the cited studies. Weighted mean correlations ((Equation is included in full-text article.)) and 95% CI were calculated for each test. Lean body mass (kg) was the strongest overall predictor ((Equation is included in full-text article.); 95% CI, 0.697-0.966). Tests of dynamic strength had stronger correlations than strength endurance ((Equation is included in full-text article.), 95% CI, 0.69-0.89 vs. (Equation is included in full-text article.), 95% CI, 0.21-0.61). The following 6 domains of physical performance predictive tests had pooled correlations of 0.40 or greater for combined-sex samples: dynamic strength, power, isometric strength, strength endurance, speed, and isokinetic strength. Anthropometric measures explain 24-54% of maximal lift capacity variance, and lean body mass alone accounts for ∼69%. This review provides summarized information to assist in the selection of predictive tests for maximal lifting capacity in military personnel.

U.S. Army Physical Demands Study: Reliability of Simulations of Physically Demanding Tasks Performed by Combat Arms Soldiers.

Foulis, SA, Redmond, JE, Frykman, PN, Warr, BJ, Zambraski, EJ, and Sharp, MA. U.S. Army physical demands study: reliability of simulations of physically demanding tasks performed by combat arms soldiers. J Strength Cond Res 31(12): 3245-3252, 2017-Recently, the U.S. Army has mandated that soldiers must successfully complete the physically demanding tasks of their job to graduate from their Initial Military Training. Evaluating individual soldiers in the field is difficult; however, simulations of these tasks may aid in the assessment of soldiers' abilities. The purpose of this study was to determine the reliability of simulated physical soldiering tasks relevant to combat arms soldiers. Three cohorts of ∼50 soldiers repeated a subset of 8 simulated tasks 4 times over 2 weeks. Simulations included: sandbag carry, casualty drag, and casualty evacuation from a vehicle turret, move under direct fire, stow ammunition on a tank, load the main gun of a tank, transferring ammunition with a field artillery supply vehicle, and a 4-mile foot march. Reliability was assessed using intraclass correlation coefficients (ICCs), standard errors of measurement (SEMs), and 95% limits of agreement. Performance of the casualty drag and foot march did not improve across trials (p > 0.05), whereas improvements, suggestive of learning effects, were observed on the remaining 6 tasks (p ≤ 0.05). The ICCs ranged from 0.76 to 0.96, and the SEMs ranged from 3 to 16% of the mean. These 8 simulated tasks show high reliability. Given proper practice, they are suitable for evaluating the ability of Combat Arms Soldiers to complete the physical requirements of their jobs.

Third International Congress on Soldiers' Physical Performance: Translating State-of-the-Science Soldier Research for Operational Utility.

The Third International Congress on Soldiers' Physical Performance (ICSPP) was held on August 18-21, 2014 in Boston, MA, where it had a record attendance of 374 registrants from 27 countries. The Congress included 8 invited keynote lectures, 12 symposia, 1 featured science session, more than 200 oral and poster free communication sessions, 8 thematic poster sessions, and a Warfighter Readiness Roundtable. Collectively, the presentations focused on a fundamental premise that soldiers are the center of warfighting capability, and the human service member is the prime resource and key enabler of all warfighting systems. The intent of the ICSPP series is to focus on the soldier-the individual service member. As we move forward with focus placed on the human dimension of soldiering, the key to our scientific success and what will prove to be transformative will be the extent to which we can operationalize and disseminate our scientific knowledge for the benefit of our soldiers on the ground. The Congress fostered important scientific exchange, and dialog centered on improving military physical performance and readiness. As countries around the globe respond to current and emerging threats to their national security, it is increasingly clear that we must ensure optimal human performance of our military personnel. By taking advantage of the science and applications of physical fitness and injury prevention research, we can leverage our increased understanding for the optimal application of physical readiness processes while minimizing the injury risk potential. We believe that the continued scientific and evidence-based dialog across international partners will prove to be transformative in identifying the most effective strategies for human performance optimization in the 21st century. Innovation, leveraging current state-of-the-science, and international partnerships were all key themes throughout the Congress. From the ICSPP scientific program, it was clear that there is abundant scientific knowledge on how to improve soldiers' sleep, activity, and nutrition and that a major challenge is for scientists and military leaders/policy makers to work together to operationalize what is known for soldier utility on the ground.

Development and Implementation of Evidence-Based Physical Employment Standards: Key Challenges in the Military Context.

The use of evidence-based physical employment standards is critical in selecting individuals who can meet the requirements of arduous military occupations. The methods used to generate the physical assessments and standards are critical to the process and must withstand legal scrutiny. This article addresses the challenges encountered when developing, validating, and implementing physical standards and assessments. The challenges covered by the study include: (a) identification of critical job tasks and minimum requirements for performance of the tasks, (b) involvement of military personnel as subject-matter experts,

Executive Summary From the National Strength and Conditioning Association's Second Blue Ribbon Panel on Military Physical Readiness: Military Physical Performance Testing.

The National Strength and Conditioning Association's tactical strength and conditioning program sponsored the second Blue Ribbon Panel on military physical readiness: military physical performance testing, April 18-19, 2013, Norfolk, VA. This meeting brought together a total of 20 subject matter experts (SMEs) from the U.S. Air Force, Army, Marine Corps, Navy, and academia representing practitioners, operators, researchers, and policy advisors to discuss the current state of physical performance testing across the Armed Services. The SME panel initially rated 9 common military tasks (jumping over obstacles, moving with agility, carrying heavy loads, dragging heavy loads, running long distances, moving quickly over short distances, climbing over obstacles, lifting heavy objects, loading equipment) by the degree to which health-related fitness components (e.g., aerobic fitness, muscular strength, muscular endurance, flexibility, and body composition) and skill-related fitness components (e.g., muscular power, agility, balance, coordination, speed, and reaction time) were required to accomplish these tasks. A scale from 1 to 10 (10 being highest) was used. Muscular strength, power, and endurance received the highest rating scores. Panel consensus concluded that (a) selected fitness components (particularly for skill-related fitness components) are currently not being assessed by the military; (b) field-expedient options to measure both health-based and skill-based fitness components are currently available; and

Effect of specific short-term physical training on fitness measures in conditioned men.

Physical training programs that enhance battlefield-related fitness needs have been increasingly advocated as operational demands on the US military have increased, but few studies have evaluated program effectiveness. The purpose of this study was to compare a novel 7-week physical training program with traditional army physical fitness training in improving the selected measures of physical fitness and military task performance. One hundred and eighty subjects performed a 30-m rush wearing a fighting load, a simulated casualty recovery wearing a fighting load, a 1-repetition maximum bench press, a maximum repetition pull-up test, a medicine ball put, a vertical jump, and a T-test agility drill to establish test-retest reliability and normative reference values. One hundred thirty-three subjects were assigned by block randomization to either traditional Army physical training (TT) of calisthenics and running or a novel program (NT) of calisthenics, resistance, aerobic, speed, power, and agility training. The results indicated that between-day reliability was high (intraclass correlation coefficients [ICCs] 3,1; 0.87-0.98) for all measures except for the casualty recovery (ICC 3,1; 0.67). Reliability improved for all the measures that were averaged over 3 trials (ICC 3,3; 0.93-0.95). The NT was superior to TT in improving bench press (8 vs. 3%; p < 0.01), medicine ball put (7 vs. 1%; p < 0.01), 30-m rush times (5 vs. 1%; p < 0.01), and casualty recovery times (17 vs. -15%; p < 0.01). These findings suggest that a short-term physical training program is effective in improving strength, power, and speed among previously conditioned men. Future studies should determine if similar training programs mitigate the injury risk in this population.

Physiological Employment Standards III: physiological challenges and consequences encountered during international military deployments.

Modern international military deployments in austere environments (i.e., Iraq and Afghanistan) place considerable physiological demands on soldiers. Significant physiological challenges exist: maintenance of physical fitness and body composition, rigors of external load carriage, environmental extremes (heat, cold, and altitude), medical illnesses, musculoskeletal injuries, traumatic brain injuries, post-traumatic stress disorder, and environmental exposure hazards (i.e., burn pits, vehicle exhaust, etc.). To date there is very little published research and no comprehensive reviews on the physiological effects of deployments. The purpose of this paper is to overview what is currently known from the literature related mainly to current military conflicts with regard to the challenges and consequences from deployments. Summary findings include: (1) aerobic capacity declines while muscle strength, power and muscular endurance appear to be maintained, (2) load carriage continues to tax the physical capacities of the Soldier, (3) musculoskeletal injuries comprise the highest proportion of all injury categories, (4) environmental insults occur from both terrestrial extremes and pollutant exposure, and (5) post-deployment concerns linger for traumatic brain injury and post-traumatic stress disorder. A full understanding of these responses will assist in identifying the most effective risk mitigation strategies to ensure deployment readiness and to assist in establishment of military employment standards.

Effects of short-term quercetin supplementation on soldier performance.

The purpose was to assess the short-term effects of quercetin supplementation on aerobically demanding soldier performance. In a double-blind crossover study, 16 male soldiers performed 3 days of aerobically demanding exercise under 3 conditions: Baseline (B), Placebo (P), and Quercetin (Q). Day 1 was a treadmill V[Combining Dot Above]O2peak test. Days 2 and 3 were identical, consisting of 75 minutes of loaded treadmill marching (LM) and a subsequent cycling time trial (TT) to complete 200 kJ of work. After B condition, the soldiers consumed 2 energy bars, each containing 0 mg (placebo) or 500 mg of quercetin (1,000 mg·d⁻¹) for 8.5 days. Beginning day 6 of supplementation, the soldiers performed the 3 exercise days. There was a significant (p < 0.05) increase in plasma Q after Q supplementation. Repeated measures analyses of variance revealed no differences after P or Q supplementation as compared with B in V[Combining Dot Above]O2peak (B = 48.9 ± 1.1, P = 49.3 ± 1.1, Q = 48.8 ± 1.2 ml·kg⁻¹·min⁻¹) or TT time (B = 18.4 ± 1.0, P = 18.5 ± 1.1, Q = 18.3 ± 1.0 minutes [mean day 1 and day 2]). The respiratory exchange ratio during LM did not differ across treatments (B = 0.87 ± 0.03, P = 0.87 ± 0.03, Q = 0.86 ± 0.04 [mean day 1 and day 2]). Ratings of perceived exertion were not affected by Q supplementation during the V[Combining Dot Above]O2peak test, LM or TT. Supplementation of 1,000 mg·d⁻¹ of quercetin for 8.5 days had no positive effect on aerobically demanding soldier performance. It is possible that a different dosing regimen, a combination of antioxidants or a different form of quercetin supplementation, may be needed to produce an increase in soldier performance.

Risk factors for musculoskeletal injuries for soldiers deployed to Afghanistan.

PURPOSE: This study determined injury incidence and examined the association between musculoskeletal injuries and potential intrinsic and extrinsic risk factors. METHODS: This retrospective cohort study involved a survey of 593 volunteers from two battalions of a Stryker Brigade Combat Team upon completion of a 12-mo deployment to Afghanistan. The survey included questions on physical characteristics, work duties, equipment worn, fitness training, and injuries experienced during the deployment. RESULTS: Of the surveyed soldiers, 45% sustained an injury during the deployment. Total injuries resulted in 5049 d of limited duty, an average of 8.5 d per injury. The body regions with the largest numbers of injuries were the low back (17.4%), knee (12.7%), and shoulder (10.0%). The majority (65%) of injuries occurred while working. The most frequent activities soldiers reported as the cause of injury were lifting and carrying (9.8%), dismounted patrolling (9.6%), and physical training (8.0%). Older age, higher enlisted rank, female sex, months deployed, more time spent standing, longer strength training sessions, heaviest load worn, and heavier or more frequent lifting tasks were all associated with injury. DISCUSSION: Tasks requiring physical energy expenditure such as load carriage, lifting, or standing resulted in an increased risk of musculoskeletal injury in this study. Lifting/carrying, dismounted patrols, and physical training were associated with 26% of musculoskeletal injuries. The weight of loads carried and lifting may be exceeding the work capacity of the soldiers, resulting in injury. These injuries in turn limit available work days for military units, reducing combat power.

Lifting tasks are associated with injuries during the early portion of a deployment to Afghanistan.

U.S. Army soldiers spend months at a time working in austere environments during deployments. The numerous physical demands placed on them during deployment can lead to musculoskeletal injuries. These injuries account for the majority of medical evacuations and lost duty days, seriously affecting mission readiness. Because of limited electronic injury data, little research has been done on physical demands associated with injury in deployed environments. To this end, this study conducted a survey on 263 soldiers in a Stryker Brigade Combat Team during their third month of deployment to Afghanistan. In the third month, 23% sustained an injury and 43% of injuries affected the low-back, shoulder, or knee. Dismounted patrolling and lifting were reported to account for 36% of injuries. Wearing heavy loads and lifting tasks were identified as injury risk factors. Wearing heavier equipment and lifting objects higher may increase physical demands and may result in injury.

Reliability of military-relevant tests designed to assess soldier readiness for occupational and combat-related duties.

The purpose of this study was to determine the reliability of military-relevant tests designed to assess soldier readiness. Forty-seven soldiers (46 men, 1 woman; 22 +/- 3 years; 80.4 +/- 11.7 kg) performed each of seven soldier readiness tests on four different occasions over the course of 8 weeks. The soldier readiness tests were: (1) 3.2-km load carriage (LC) time-trial, (2) running long jump (RLJ), (3) one-repetition maximum box lift (1RMBL), (4) 10-minute repetitive box lift and carry (RBLC), (5) simulated victim rescue (VR), (6) mock grenade throw (GT) for accuracy, and (7) simulated combat rushes (CR). Repeated measures analysis of variance revealed significant learning effects for 1RMBL, RBLC, and GT; these tests required two (1RMBL and RBLC) or three (GT) trials to obtain statistically stable values. The intraclass correlation coefficient was 0.78 to 0.89 for all tests. LC, 1RMBL, RBLC, CR, and RLJ all demonstrated standard error of measurement values that were 3% to 5%, whereas VR and GT were 9% and 36%, respectively. In conclusion, the 1RMBL, RBLC, and GT tests required familiarization before a stable value was obtained. The LC, 1RMBL, RBLC, CR, and RLJ tests (and, to a lesser degree, the VR test) demonstrated reasonably acceptable levels of reliability and measurement error, whereas the GT test did not.

Revalidating U.S. Army soldiers' perceptions of combat arms job tasks: Frequencies, importance and expectations of performance.

BACKGROUND: In 2013 the U.S. Army began developing physical tests to predict a recruit's ability to perform the critical physically demanding tasks (CPDTs) of combat arms jobs not previously open to women. OBJECTIVE: To revalidate 15 CPDTs chosen by subject matter experts (SMEs) and researchers through questionnaires pertaining to task performance frequency, perceived importance, and performance expectations. METHOD: Web-administered job analysis questionnaires were completed by 2,090 soldiers. Seventy-three percent ranged between 25-38 years of age, 66%were staff sergeants or above, and 73%were in service for 7 + years. RESULTS: Overall, the nine SME-endorsed CPDTs were conducted more frequently and rated as more important than the six tasks identified by researchers. Foot march, dragging a casualty to safety, and connecting a tow bar (vehicle transport) were identified as the combined most important, most frequently performed and highly expected CPDTs to be performed. The canonical correlation between task performance frequencies and ratings of task importance across all 15 CPDTs was 0.82 (p < 0.001). Expectations of task completion were strongly associated with more frequent task performance (Cramer's Vs ranged 0.22 to 0.71; all p's < 0.001), but not task importance (only four CPDTs at p < 0.05). CONCLUSION: This study revalidates the value of CPDTs chosen by SMEs and researchers. Soldier readiness should reflect tasks identified by incumbents as important to success (e.g., evacuating a casualty) be trained more often, whereas others classified as frequently performed, but less important (e.g., filling sandbags), be deemphasized while ensuring that standards are met.

Combined resistance and endurance training improves physical capacity and performance on tactical occupational tasks.

The purpose of this study is to evaluate the effectiveness of aerobic endurance (E), strength (R), and combined endurance and strength (CB) training for improving performance of tactical occupational tasks and determine if combined training interferes with performance enhancements of E or R alone. A total of 56 recreationally active women were randomly placed into four groups: R (n = 18), E (n = 13), CB (n = 15), Control (n = 10). Subjects trained three non-consecutive days per week for 8 weeks. Performance was measured pre-, mid-, and post-training for bench press one-repetition maximum (1-RM), squat 1-RM, bench press throw and squat jump peak power, VO2peak, 3.2 km load carriage (LC), 3.2 km run (run), and repetitive lift and carry (RLC). R and E demonstrated improvements which were generally specific to their training. R improved squat (48.3%) and bench press 1-RM (23.8%), bench press throw (41.9%), RLC (31.3%), and LC (11.5%). E improved run (14.7%), VO2peak (6.2%), squat 1-RM (15.3%), LC (12.9%), and RLC (22.5%). CB improved squat (37.6%) and bench press 1-RM (20.9%), bench press throw (39.6%), VO2peak (7.6%), run (10.4%), LC (13.1%), and RLC (45.5%). Post-training 1-RM squat was greater in R and CB than E, while E completed the 3.2 km load carriage task faster than C. In conclusion, 8 weeks of combined training improved performance in all tactical occupational tasks measured and did not interfere with improvements in strength, power and endurance measures compared to R or E alone.