Profiling injuries sustained following implementation of a progressive load carriage program in United States marine corps recruit training.
Work
; 77(4): 1391-1399, 2024.
Article
en En
| MEDLINE
| ID: mdl-38552130
ABSTRACT
BACKGROUND:
Load carriage tasks during United States Marine Corps (USMC) recruit training can cause injury. Load carriage conditioning, if optimized, can reduce injury risk.OBJECTIVE:
To compare injuries sustained by USMC recruits following participation in either the Original Load Carriage (OLC) program or a Modified Load Carriage (MLC) program.METHODS:
Retrospective musculoskeletal injury data were drawn from the USMC San Diego Sports Medicine injury database for recruits completing the OLC (nâ=â2,363) and MLC (nâ=â681) programs. Data were expressed as descriptive statistics and a population estimate of the OLCMLC relative risk ratio (RR) was calculated.RESULTS:
The proportion of injuries sustained in the MLC cohort (nâ=â268; 39% OLC cohort, nâ=â1,372ââ58%) was lower, as was the RR (0.68, 95% CI 0.61- 0.75). The leading nature of injury for both cohorts was sprains and strains (OLC nâ=â396, 29%; MLC nâ=â66; 25%). Stress reactions were proportionally higher in MLC (nâ=â17, 6%; OLC nâ=â4, 0.3%), while stress fractures were proportionately lower (MLC nâ=â9, 3%; OLC nâ=â114, 8%). Overuse injuries were lower in MLC (- 7%). The knee, lower leg, ankle, and foot were the top four bodily sites of injuries and the Small Unit Leadership Evaluation (SULE), Crucible, overuse-nonspecific, running, and conditioning hikes were within the top five most common events causing injury. The prevalence rates of moderate severity injury were similar (MLCâ=â23%; OLCâ=â24%), although MLC presented both a higher proportion and prevalence of severe injuries (MLCâ=â6%; OLCâ=â3%, respectively).CONCLUSION:
A periodized load carriage program concurrently increased exposure to load carriage hikes while reducing injuries both during the load carriage hikes and overall.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Deportes
/
Esguinces y Distensiones
/
Trastornos de Traumas Acumulados
/
Enfermedades Musculoesqueléticas
/
Personal Militar
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Work
Asunto de la revista:
MEDICINA OCUPACIONAL
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Países Bajos