A multiple intervention strategy for reducing femoral neck stress injuries and other serious overuse injuries in U.S. Army Basic Combat Training.

We hypothesized that the use of evidence based injury prevention strategies would lead to a reduction in the incidence of femoral neck stress injuries (FNSIs) and other serious overuse injuries in U.S. Army Basic Combat Training (BCT). An injury prevention strategy began in late 2008 that included:...

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Bibliographic Details
Published in:Military Medicine Vol. 177; no. 9; pp. 1081 - 1090
Main Authors: Scott SJ, Feltwell DN, Knapik JJ, Barkley CB, Hauret KG, Bullock SH, Evans RK, Scott, Shawn J, Feltwell, David N, Knapik, Joseph J, Barkley, Colleen B, Hauret, Keith G, Bullock, Steven H, Evans, Rachel K
Format: research Journal Article
Published: Oxford University Press / USA Sep2012
Online Access:View this record in EBSCOhost
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      pub: Oxford University Press / USA
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        atl: A multiple intervention strategy for reducing femoral neck stress injuries and other serious overuse injuries in U.S. Army Basic Combat Training.
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          Scott SJ
          Feltwell DN
          Knapik JJ
          Barkley CB
          Hauret KG
          Bullock SH
          Evans RK
          Scott, Shawn J
          Feltwell, David N
          Knapik, Joseph J
          Barkley, Colleen B
          Hauret, Keith G
          Bullock, Steven H
          Evans, Rachel K
        affil: Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA
      sug:
        subj:
          Safety Methods
          Accidents, Occupational Prevention and Control
          Cumulative Trauma Disorders Prevention and Control
          Hip Fractures Prevention and Control
          Military Personnel Education
          Adult
          Cumulative Trauma Disorders Epidemiology
          Female
          Hip Fractures Epidemiology
          Human
          Incidence
          Experimental Studies
          Leadership
          Male
          Population Surveillance
          United States
          Adult: 19-44 years
          Female
          Male
      ab: We hypothesized that the use of evidence based injury prevention strategies would lead to a reduction in the incidence of femoral neck stress injuries (FNSIs) and other serious overuse injuries in U.S. Army Basic Combat Training (BCT). An injury prevention strategy began in late 2008 that included: (1) leadership education, (2) leadership enforcement of proven methods, and (3) injury surveillance and reporting. Data on FNSI and removal from training for injury were analyzed based on the fiscal year 2006 through 2010 (n = 210,002). For men, FNSI were reduced from 13 to 20 cases/10,000 recruits per year (2006-2008) to 8 cases/10,000 recruits in 2010 (p < 0.01); for women, FNSI were reduced from 35 to 41 cases/10,000 recruits per year (2006-2008) to 18 cases/10,000 recruits per year in 2010 (p < 0.01). For men, removals from training for injury were reduced from 0.8 to 1.1 cases/100 recruits per year (2006-2008) to 0.5 cases/100 recruits in 2010 (p < 0.01); for women removal from training for injury was reduced from 2.3 to 2.4 cases/100 recruits (2006-2008) to 1.0 case/100 recruits per years in 2010 (p < 0.01). The time course of the changes suggests that following specific injury prevention methods was effective in reducing injuries.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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