pre proporsal presentation
TRANSCRIPT
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*
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Introduction I
Literature Review II
Objectives & Purpose III
IV
Methodology V
Research Questions
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Background
Work at MNDF is mainly based on exercise and
physical activities;
Drills
physical training
Swimming
combat trainings etcetera.
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Background
Result, the incidence of training-related injuries and
illness is high in the military than athletes who are
involved in other exercises (Jones et. al., 1993).
stress fractures,
tendinitis,
muscle strain
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Background
MNDF does not fully appreciate the extent of the
impact injuries utilize on health and readiness of
military personnel .
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Litrature review
Physical training, exercise injuries, are the major risk
confronting military soldiers than any other health problems
and result in significant loss of manpower in the armed
forces (Jones & Hansen, 1996).
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soldiers with primarily repetitive training or
work related tasks,
or soldiers those maintaining fixed postures for
quite long periods,
have an increased risk of developing
musculoskeletal injuries (Westgaard & Jansen,
1992).
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The most common risk for musculoskeletal injuries;
(Maughan, 2009)
ligament sprains;
muscle strains,
stress fractures
overuse injuries
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Injury risk is higher in soldiers who have history
of previous musculoskeletal injury (Hootman,
et. al., 2001
Stress fractures are more common in female’s
soldiers than males (Jones, Bovee, Harris&
Cowan, 1993).
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Trainees or soldiers - engaged in swimming,
shoulder pain
usually due to biceps tendinitis or
supraspinatus (Johnson, Sim, & Scott, 1987).
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No prior studies have been conducted in Maldives
concerning musculoskeletal injuries and complaints
in Maldives military soldiers and trainees
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Goal of the Study
To document the injury profile and
the amount of complaints in military
soldiers of different ranks from
different components of MNDF
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Specific objectives
to dominance of musculoskeletal complaints
to determine the location and type of
musculoskeletal complaints and injuries
to estimate the occurrence and the rate of
musculoskeletal injuries
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Research Questions
Based on the occurrence and the rate of musculoskeletal injuries,
dominance of musculoskeletal complaints, location the type of
musculoskeletal complaints and injuries,
:Are there any differences between:
Male and female military soldiers?
Soldiers at different levels of training?
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:Are there any differences between:
Military Soldiers and Trainees?
Marine Corps and Service Corps Soldiers?
Ground components and maritime
component of MNDF?
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Based on the findings of this study, considering the
physiological demands and the length of soldier’s
career, injury prevention and awareness programs
can be developed and implemented in the training
routine and physical activities of military soldiers in
MNDF.
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# Section % App. Words Duration
(month)
1 Introduction 5 3500 2
2 Literature Review 30 21000 5
3 Methodology 20 14000 3
4 Data Analysis 25 17500 4
5 Conclusion & Implication 20 14000 3
TOTAL 100% 70000 17
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Type of study: cross sectional
Duration of sudy: novemeber 2013 – november
2015
Place of study: MNDF, Male’, Maldives
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Study:
quantitative and qualitative research
Injury Profile & Complaints
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Quantitative research
a structured questionnaire (related to injury history
and complaints) - soldiers of the components and
supported area of MNDF
online survey and a phone interview (based on the
same questionnaire) will also conducted among the
soldiers of all ranks.
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Qualitative:
interview
Target: trainees who have sustained injuries during
the trainings
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Questions:
extent of the injuries,
duration of rest period prescribed
how long the injured trainees took to effectively
get back to the trainings.
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These interview also will be targeted at the active trainees
who complaints about musculoskeletal pains without any
acute or chronic injuries.
Data will also be collected during the military basic
fitness tests carried out by MNDF.
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Participants
Soldiers of All
RANKS of MNDF
Photo: www.mndf.gov.mv
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Participants
Coast Guard
(Maritime Component)
Support Service
Marines
(Ground Component)
Photo: www.mndf.gov.mv
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Participants
MALE SOLDIERS FEMALE SOLDIERS
Injury profile
Complaints
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Participants
SOLDIERS TRAINEES
Injury profile
Complaints
Questionnaire
Interview
Questionnaire
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Basic Fitness Test
Interview
Injury Profile
Pains and
Complaints
situps Pushups
Chinups
Swim
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Data Analysis
IBM© SPSS® Statistics Version 20
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1. Beck, T. J., Ruff, C. B., Shaffer, R. A., Betsinger, K., Trone, D. W., & Brodine, S. K. (2000). Stress fracture in
military recruits: gender differences in muscle and bone susceptibility factors. Bone, 27(3), 437-444.
2. Bizzini, M., Junge, A., Bahr, R., Helsen, W., & Dvorak, J. (2009). Injuries and musculoskeletal complaints in
referees and assistant referees selected for the 2006 FIFA World Cup: retrospective and prospective
survey. British journal of sports medicine, 43(7), 490-497.
3. Bizzini, M., Junge, A., Bahr, R., & Dvorak, J. (2009). Injuries and musculoskeletal complaints in referees-a
complete survey in the top divisions of the swiss football league. Clinical Journal of Sport Medicine, 19(2),
95-100.
4. Bizzini, M., Junge, A., Bahr, R., & Dvorak, J. (2009). Female soccer referees selected for the FIFA Women’s
World Cup 2007: survey of injuries and musculoskeletal problems. British journal of sports medicine, 43(12),
936-942.
5. Brukner, P. (2012). Brukner & khan's clinical sports medicine. McGraw-Hill.
6. Carter III, R., Cheuvront, S. N., Williams, J. O., Kolka, M. A., Stephenson, L. A., Sawka, M. N., & Amoroso,
P. J. (2005). Epidemiology of hospitalizations and deaths from heat illness in soldiers (No. M04-24). ARMY
RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA THERMAL AND MOUNTAIN
MEDICINE DIVISION.
7. Childs, J. D., Teyhen, D. S., Casey, P. R., McCoy-Singh, K. A., Feldtmann, A. W., Wright, A. C., ... & George,
S. Z. (2010). Effects of traditional sit-up training versus core stabilization exercises on short-term
musculoskeletal injuries in US Army soldiers: a cluster randomized trial. Physical therapy, 90(10), 1404-1412.
8. Cohen, S. P., Griffith, S., Larkin, T. M., Villena, F., & Larkin, R. (2005). Presentation, diagnoses, mechanisms
of injury, and treatment of soldiers injured in Operation Iraqi Freedom: an epidemiological study conducted at
two military pain management centers. Anesthesia & Analgesia, 101(4), 1098-1103.
32
9. Covey, D. C. (2002). Blast and fragment injuries of the musculoskeletal system.The Journal of Bone & Joint
Surgery, 84(7), 1221-1234.
10. Cowan, D. N., Jones, B. H., & Shaffer, R. A. (2006). Musculoskeletal injuries in the military training
environment. Military Preventive Medecine: Mobilization and Deployment, 195-210.
11. Cowan, D., Jones, B., Tomlinson, P., Robinson, J., Polly, D., Frykman, P., & Reynolds, K. (1988). The
epidemiology of physical training injuries in US Army infantry trainees: methodology, population, and risk
factors (No. USARIEM-T-4-89). ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK
MA.
12. Dwyer, G. B., & Davis, S. E. (Eds.). (2008). ACSM's health related physical fitness assessment manual.
Lippincott Williams & Wilkins.
13. George, S. Z., Childs, J., Teyhen, D., Wu, S., Wright, A., Dugan, J., & Robinson, M. (2011). Prevention of Low
Back Pain in The Military. A Randomized Clinical Trial. FLORIDA UNIV GAINESVILLE.
14. George, S. Z., Childs, J. D., Teyhen, D. S., Wu, S. S., Wright, A. C., Dugan, J. L., & Robinson, M. E. (2007).
Rationale, design, and protocol for the prevention of low back pain in the military (POLM) trial
(NCT00373009). BMC musculoskeletal disorders, 8(1), 92.
15. Hartig, D. E., & Henderson, J. M. (1999). Increasing hamstring flexibility decreases lower extremity overuse
injuries in military basic trainees. The American Journal of Sports Medicine, 27(2), 173-176.
16. Hauret, K. G., Jones, B. H., Bullock, S. H., & Canham-Chervak, M. (2010). Musculoskeletal injuries:
Description of an under-recognized injury problem among military personnel. American journal of preventive
medicine, 38(1), S61-S70.
17. Hootman, J. M., Macera, C. A., Ainsworth, B. E., Martin, M., Addy, C. L., & Blair, S. N. (2001). Association
among physical activity level, cardiorespiratory fitness, and risk of musculoskeletal injury. American Journal
of Epidemiology,154(3), 251-258.
33
18. Hulstyn, M. J., & Fadale, P. D. (1997). Shoulder injuries in the athlete. Clinics in sports medicine, 16(4), 663-679.
19. Jonas, S., & Phillips, E. M. (2012). ACSM's Exercise is MedicineTM: A Clinician's Guide to Exercise Prescription.
Wolters Kluwer Health.
20. Jones, B. H., & Hansen, B. C. (1996). Injuries in the Military: A Hidden Epidemic. A Report for the Armed Forces
Epidemiological Board (No. USACHPPM-29-HA-4844-97). ARMY CENTER FOR HEALTH PROMOTION AND
PREVENTIVE MEDICINE (PROVISIONAL) ABERDEE N PROVING GROUND MD.
21. Jones, B. H., Cowan, D. N., Tomlinson, J. P., Robinson, J. R., Polly, D. W., & Frykman, P. N. (1993). Epidemiology of
injuries associated with physical training among young men in the army (No. USARIEM-M78-91). ARMY
RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA.
22. Jones, B. H., Bovee, M. W., Harris, J. M., & Cowan, D. N. (1993). Intrinsic risk factors for exercise-related injuries
among male and female army trainees. The American Journal of Sports Medicine, 21(5), 705-710.
23. Jones, B. H., & Knapik, J. J. (1999). Physical training and exercise-related injuries. Sports Medicine, 27(2), 111-125.
24. Jones, B. H., Thacker, S. B., Gilchrist, J., Kimsey, C. D., & Sosin, D. M. (2002). Prevention of lower extremity stress
fractures in athletes and soldiers: a systematic review. Epidemiologic reviews, 24(2), 228-247.
25. Johnson, J. E., Sim, F. H., & Scott, S. G. (1987, April). Musculoskeletal injuries in competitive swimmers. In Mayo
Clinic Proceedings (Vol. 62, No. 4, pp. 289-304). Elsevier.
26. Knapik, J. J., Darakjy, S., Scott, S. J., Hauret, K. G., MARIN, R., Rieger, W., & Jones, B. H. (2005). Evaluation of a
standardized physical training program for basic combat training. The Journal of Strength & Conditioning
Research,19(2), 246-253.
27. Knapik, J. J., Darakjy, S., Scott, S., & Hauret, K. G. (2004). Evaluation of two Army fitness programs: The TRADOC
standardized physical training program for basic combat training and the fitness assessment program (No.
USACHPPM-12-HF-5772B-04). ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE
ABERDEEN PROVING GROUND MD.
34
28. Kelly, E. W., Jonson, S. R., Cohen, M. E., & Shaffer, R. (2000). Stress fractures of the pelvis in female Navy recruits:
an analysis of possible mechanisms of injury. Military Medicine, 165(2), 142-146.
29. Knapik, J. J., Sharp, M. A., Darakjy, S., Jones, S. B., Hauret, K. G., & Jones, B. H. (2006). Temporal changes in the
physical fitness of US Army recruits.Sports Medicine, 36(7), 613-634.
30. Knapik, J., Ang, P., Reynolds, K., & Jones, B. (1993). Physical fitness, age, and injury incidence in infantry
soldiers. Journal of Occupational and Environmental Medicine, 35(6), 598-603.
31. Knapik, J. J., Sharp, M. A., Canham-Chervak, M. I. C. H. E. L. L. E., Hauret, K. E. I. T. H., Patton, J. F., & Jones, B.
H. (2001). Risk factors for training-related injuries among men and women in basic combat training. Medicine and
science in sports and exercise, 33(6), 946-954.
32. Knapik, J. J., Bullock, S. H., Toney, E., Wells, J. D., Hoedebecke, E., & Jones, B. H. (2004). Influence of an injury
reduction program on injury and fitness outcomes among soldiers. Injury Prevention, 10(1), 37-42.
33. Knapik, J. J., Hauret, K. G., Arnold, S., Canham-Chervak, M., Mansfield, A. J., Hoedebecke, E. L., & McMillian, D.
(2003). Injury and fitness outcomes during implementation of physical readiness training. ARMY CENTER FOR
HEALTH PROMOTION AND PREVENTIVE MEDICINE ABERDEEN PROVING GROUND MD.
34. Lauder, T. D., Baker, S. P., Smith, G. S., & Lincoln, A. E. (2000). Sports and physical training injury hospitalizations
in the army. American journal of preventive medicine, 18(3), 118-128.
35. LeBlanc, K. E., & LeBlanc, K. A. (2003). Groin pain in athletes. Hernia, 7(2), 68-71.
36. Linenger, J. M., Flinn, S., Thomas, B., & Johnson, C. W. (1993). Musculoskeletal and medical morbidity associated
with rigorous physical training. Clinical Journal of Sport Medicine, 3(4), 229-234.
37. Lincoln, A. E., Smith, G. S., Amoroso, P. J., & Bell, N. S. (2003). The effect of cigarette smoking on
musculoskeletal‐related disability. American journal of industrial medicine, 43(4), 337-349.
38. MacKeag, D. B., & Moeller, J. L. (Eds.). (2007). ACSM's primary care sports medicine [electronic resource]. Wolters
Kluwer Health.
39. Maldives National Defence Force (2011). http://www.mndf.gov.mv. In Defence Education for Training and Education.
Retrieved April 3, 2013, from http://www.mndf.gov.mv/v3/?page_id=223
35
40. Maughan, R. J. (Ed.). (2009). The Encyclopaedia of Sports Medicine An IOC Medical Commission Publication, The
Olympic Textbook of Science in Sport(Vol. 15). John Wiley & Sons.
41. Nahit, E. S., Macfarlane, G. J., Pritchard, C. M., Cherry, N. M., & Silman, A. J. (2001). Short term influence of mechanical
factors on regional musculoskeletal pain: a study of new workers from 12 occupational groups. Occupational and
Environmental Medicine, 58(6), 374-381.
42. Niebuhr, D. W., Molloy, J. M., Feltwell, D. N., & Scott, S. J. (2012). Physical Training Injuries and Interventions for
Military Recruits.
43. Payne, K. A., Berg, K., & Latin, R. W. (1997). Ankle injuries and ankle strength, flexibility, and proprioception in college
basketball players. Journal of athletic training, 32(3), 221.
44. Peterson, L., Renström, P., & Grana, W. A. (2001). Sports injuries: their prevention and treatment. London: Martin Dunitz.
45. Popovich, R. M., Gardner, J. W., Potter, R., Knapik, J. J., & Jones, B. H. (2000). Effect of rest from running on overuse
injuries in army basic training.American journal of preventive medicine, 18(3), 147-155.
46. Potter, R. N., Gardner, J. W., Deuster, P. A., Jenkins, P., McKee Jr, K., & Jones, B. H. (2002). Musculoskeletal injuries in
an Army airborne population.Military medicine, 167(12), 1033.
47. Rosendal, L., Langberg, H., Skov-Jensen, A., & Kjær, M. (2003). Incidence of injury and physical performance
adaptations during military training. Clinical Journal of Sport Medicine, 13(3), 157-163.
48. Santos, S. I. (1999). Cancer epidemiology, principles and methods. Cancer epidemiology, principles and methods.
49. Sharp, M. A., Lester, M. E., & Knapik, J. J. (2009). Physical Fitness and Injuries Before and After Deployments of the
United States (US) Army to Afghanistan and Iraq. ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE
NATICK MA.
50. Seidenberg, P. H., & Bowen, J. D. (Eds.). (2010). The hip and pelvis in sports medicine and primary care. Springer.
51. Strowbridge, N. F. (2002). Musculoskeletal injuries in female soldiers: analysis of cause and type of injury. Journal of the
Royal Army Medical Corps, 148(3), 256-258.
52. Thacker, S. B., Gilchrist, J., Stroup, D. F., & Kimsey Jr, C. D. (2004). The impact of stretching on sports injury risk: a
systematic review of the literature.Medicine & Science in Sports & Exercise, 36(3), 371-378.
53. Walsh, J. J., & Page, S. M. (2006). Rhabdomyolysis and compartment syndrome in military trainees. Dekoning B. Recruit
Medicine. Government Printing Office, 165-74.
36
37
38
39
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