Concussion history is associated with increased lower-extremity injury incidence in Reserve Officers' Training Corps cadets

被引:9
作者
Hunzinger, Katherine J. [1 ,2 ]
Radzak, K. N. [3 ]
Costantini, K. M. [1 ]
Swanik, C. B. [1 ,2 ]
Buckley, T. A. [1 ,2 ,4 ]
机构
[1] Univ Delaware, Kinesiol & Appl Physiol, Newark, DE USA
[2] Univ Delaware, Interdisciplinary Biomech & Movement Sci Program, Newark, DE USA
[3] Univ Nevada, Kinesiol & Nutr Sci, Las Vegas, NV USA
[4] Univ Delaware, Kinesiol & Appl Physiol, Newark, DE 19702 USA
关键词
neurological injury; epidemiology; sports medicine; MUSCULOSKELETAL INJURY; CONTROL DEFICITS; RISK; ARMY;
D O I
10.1136/bmjmilitary-2020-001589
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
IntroductionConcussions have been associated with an increased risk of lower-extremity musculoskeletal injury (LE-MSI) in athletes and US Army soldiers, creating an added economic, physical and social burden. Yet, there is a paucity of evidence on this relationship among Reserve Officers' Training Corps (ROTC) cadets, a group which engages in activities with high-injury risk and will subsequently commission as active duty officers. This study aimed to examine the association between concussions and LE-MSI in ROTC cadets. Methods125 (83 were male) Army and Air Force ROTC cadets (19.8 +/- 2.0 years) from two large state universities' Army and Air Force ROTC programmes participated in this study. Cadets completed a reliable injury history questionnaire to ascertain the following variables of interest: (1) any concussion history, (2) reported concussions, (3) undiagnosed concussions, and (4) potentially unrecognised concussion history and LE-MSI history (eg, ankle sprain, knee sprain or muscle strain). Data were analysed using a chi(2) test for association and binary logistic regression to determine ORs. ResultsCadets with any concussion history (n=42) had a significantly (p=0.035) higher association with LE-MSI (OR 2.47, 95% CI 1.05 to 5.83) than those without. Cadets who had a reported concussion (n=33) had a significantly (p=0.026) higher association with LE-MSI (OR 2.95, 95% CI 1.11 to 7.84) compared to cadets without. ConclusionsROTC cadets with a history of diagnosed concussion were more likely to have suffered an LE-MSI than cadets without a concussion history. ROTC cadre should be aware of this relationship and incorporate injury prevention protocols.
引用
收藏
页码:112 / 115
页数:4
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