Investigation and analysis of military training injuries in a certain troopstationed onplateau
LIU Li1,LI Bin2,SUN Jun1,ZHOU Xiaobin1,PENG Zefeng2,XIE Yinzhuang2,and WU Yuyang2
1. Medical service department, 2 The First Department of Surgery, Yunnan Provincial Crops Hospital of Chinese People’s Armed Police Force, Kunming 650111, China
Abstract：Objective To explore the characteristics and regularity of military training injuries of a certain troop on plateau,and provide scientific instruction inoptimizing related preventive measures. Methods The incidence of military training injurieswas investigated among a random sample of 9022 officers and soldiers from a certain troop on plateau from January 2019 to December 2022 using questionnaires,and a comprehensive evaluation was made from the aspects of basic information of the personnel, classification of injury types and injured parts.The bone mineral density (BMD) in 2340 recruits were also analyzed to explore the influencing factors. Results A total of 9004 valid questionnaires were collected, training injuryoccurred in 2263 cases, and the incidence of injures was 25.13%, however with a decreased year by year. The highest proportion of training subjects was 400 m obstacle(26.25%), the highest proportion of injury factors was unscientific training(36.41%), bone and joint injury (56.78%) was the most common injury type, and lower limb injury (50.11%)was the most commoninjured parts.Among 2340 subjects, 41.97% had low bone mineral density. Multivariable logistic regression analysis showed that regular exercise(OR=0.645)and regular intake of dairy products(OR=0.428) were protective factorsfor BMD,while Chronic alcohol consumption(OR=6.551),long-term smoking (OR=2.534)and habitual drinking of carbonated beverages(OR=5.182)were risk factors for BMD. Conclusions The principle of scientific training should be carried out in military training, focusing on the prevention and control bone and joint injuries, and at the same time,healthy living habitsshould be developed to improve bone density, so as to reduce the occurrence of military training injuries.
刘莉, 李彬, 孙俊, 周晓斌, 彭泽峰, 谢银桩, 吴玉扬. 高原武警某部军事训练伤调查分析及建议[J]. 武警医学, 2023, 34(10): 861-864.
LIU Li,LI Bin,SUN Jun,ZHOU Xiaobin,PENG Zefeng,XIE Yinzhuang,and WU Yuyang. Investigation and analysis of military training injuries in a certain troopstationed onplateau. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(10): 861-864.
Peck K Y,Distefano L J,Marshall S W,et al.Effect of a lower extremity preventive training program on physical performance scores in military recruits [J].J Strength Cond Res,2017, 31(11):3146-3157.
Sulsky S I,Bulzacchelli M T,Zhu L,et al.Risk factors for training-related injuries during US army basic combat training[J].Mil Med,2018,183(Suppl 1):55-65.
[8]
Nye N S,Pawlak M T,Webber B J,et al.Description and rate of musculoskeletal injuries in air force basic military trainees,2012-2014[J].J Athl Training,2016,51(11):858-865.
Sharma J,Heagerty R,Dalal S,et al.Risk factors associated with musculoskeletal injury: a prospective study of British infantry recruits[J].Curr Rheumatol Rev,2019,15(1):50-58.
[11]
Neville C E,Robson P J.The effect of nutrient intake on bone mineral status in young adults: the Northern Ireland young heart project[J].Calcif Tissue Int,2002,70(2):89-98.
Bonazza N A,Smuin D,Onks C A,et al.Reliability, validity, and injury predictive value of the functional movement screen:a systematic review and meta-analysis[J].Am J Sport Med,2017,45(3):725-732.
[18]
Trinidad-Fernandez M,Gonzalez-Sanchez M,Cuesta-Vargas A I.Is a low functional movement screen score(≤14/21) associated with injuries in sport?A systematic review and meta-analysis[J].BMJ Open Sport Exerc,2019,5(1): e000501.
2023, Vol. 34 
