Fatores de risco de lesões musculoesqueléticas em militares
DOI:
https://doi.org/10.17648/aces.v6n2.3262Palavras-chave:
lesões atléticas, militares, exercício, fatores de riscoResumo
As lesões musculoesqueléticas são comuns durante a prática de exercícios físicos em militares. O conhecimento dos fatores de risco de lesões pode nortear a seleção de estratégias de prevenção. Desta forma, o objetivo deste estudo foi revisar os principais fatores de risco de lesões musculoesquelética durante a prática de exercícios físicos em militares. Foram analisadas as variáveis físicas, antropométricas e de desempenho relacionadas a uma maior incidência de lesões agudas ou por excesso de uso em militares, como testes de composição corporal, desempenho muscular, aptidão cardiorrespiratória, testes funcionais, além de idade e sexo. Os indivíduos com menor condicionamento cardiorrespiratório, mulheres, militares mais velhos e com alto percentual de gordura apresentam um maior risco de lesões agudas ou por excesso de uso, em especial em atividades com alto volume e/ou intensidade.
Referências
Macdonald H V, Johnson BT, Huedo-medina TB, Livingston J, Forsyth KC, Kraemer WJ, et al. Dynamic Resistance Training as Stand-Alone Antihypertensive. J Am Heart Assoc. 2016;5(10):1–48.
Knapik JJ, Hauret KG, Canada S, Marin R, Jones B. Association Between Ambulatory Physical Activity and Injuries During United States Army Basic Combat Training. J Phys Act Heal. 2011;8:496–502.
Gilchrist. Exercise-Related Injuries Among Women Strategies for Prevention from Civilian and Military Studies. Recomm reports. 2000;49.
Taanila H, Suni J, Pihlajamäki H, Mattila VM, Ohrankämmen O, Vuorinen P, et al. Aetiology and risk factors of musculoskeletal disorders in physically active conscripts: a follow-up study in the Finnish Defence Forces. BMC Musculoskelet Disord. 2010;11:146.
Taanila H, Suni J, Pihlajamäki H, Mattila VM, Ohrankämmen O, Vuorinen P, et al. Musculoskeletal disorders in physically active conscripts: a one-year follow-up study in the Finnish Defence Forces. BMC Musculoskelet Disord [Internet]. 2009;10(1):89. Available from: http://www.biomedcentral.com/1471-2474/10/89
Taanila H, Suni JH, Kannus P, Pihlajamäki H, Ruohola J-P, Viskari J, et al. Risk factors of acute and overuse musculoskeletal injuries among young conscripts: a population-based cohort study. BMC Musculoskelet Disord [Internet]. 2015;16(1):104. Available from: http://www.biomedcentral.com/1471-2474/16/104
Abt JP, Sell TC, Lovalekar MT, Keenan KA, Bozich AJ, Morgan LTCJS, et al. Injury Epidemiology of U . S . Army Special Operations Forces. Mil Med. 2014;179(10):1106–12.
Lovalekar MT, Abt JP, Sell TC, Nagai T, Keenan K, Beals K, et al. Descriptive Epidemiology of Musculoskeletal Injuries in the Army 101st Airborne ( Air Assault ) Division. Mil Med. 2018;181(8):900–6.
Bushman TT, Grier TL, Canham-Chervak M, Anderson MK, North WJ, Jones BH. The Functional Movement Screen and Injury Risk: Association and Predictive Value in Active Men. Am J Sports Med [Internet]. 2016;44(2):297–304. Available from: http://ajs.sagepub.com/lookup/doi/10.1177/0363546515614815%5Cnhttp://www.ncbi.nlm.nih.gov/pubmed/26657573
Lisman P, O’Connor FG, Deuster PA, Knapik JJ. Functional movement screen and aerobic fitness predict injuries in military training. Med Sci Sports Exerc. 2013;45(4):636–43.
Teyhen DS, Shaffer SW, Butler RJ, Goffar SL, Kiesel KB, Rhon DI, et al. What Risk Factors Are Associated With Musculoskeletal Injury in US Army Rangers? A Prospective Prognostic Study. Clin Orthop Relat Res. 2015;473(9):2948–58.
Moran RW, Schneiders AG, Major KM, Sullivan SJ. How reliable are Functional Movement Screening scores? A systematic review of rater reliability. Br J Sports Med [Internet]. 2015;bjsports-2015-094913. Available from: http://bjsm.bmj.com/lookup/doi/10.1136/bjsports-2015-094913
Malloy P. Hip External Rotator Strength is Associated With Better Dynamic Control of the Lower Extremity During Landing Tasks. J Strength Cond Res. 2016;30(1).
Rosendal L, Langberg H, Skov-Jensen A, Kjaer M. Incidence of injury and physical performance adaptations during military training. Clin J Sport Med [Internet]. 2003;13(3):157–63. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12792210
Peck KY, Johnston DA, Owens LTCBD, Cameron KL. Female Intercollegiate Rugby Players. Sports Health. 2013;5(4):327–33.
Steffes Z, Lombardo DJ, Petersen-fitts GR. Epidemiology and location of rugby injuries treated in US emergency departments from 2004 to 2013. J Sports Med. 2016;7:135–42.
Cross KM, Gurka KK, Saliba S, Conaway M, Hertel J. The American Journal of Sports Medicine Comparison of Hamstring Strain Injury Rates Between Male and Female. Am J Sports Med. 2013;41:742–8.
Roy TC, Ritland BM, Sharp MA. A Description of Injuries in Men and Women While Serving in Afghanistan. Mil Med. 2017;180:126–31.
Nindl BC, Jones BH, Arsdale SJ Van, Kelly K, Kraemer WJ. Operational Physical Performance and Fitness in Military Women : Physiological , Musculoskeletal Injury , and Optimized Physical Training Considerations for Successfully Integrating Women Into Combat-Centric Military Occupations. Mil Med. 2017;181(1).
Knapik JJ, Graham B, Cobbs J, Thompson D, Steelman R, Jones BH. A prospective investigation of injury incidence and injury risk factors among army recruits in military police training. BMC Musculoskelet Disord. 2013;14.
Knapik J. Physical fitness, age, and injury incidence in infantry soldiers. J Occup Med. 1993;35(6):598–603.
Daniel L, Almeida P, Terra BS, Santos TM, Física E. Demanda metabólica das atividades de militares da Marinha : o avançar da carreira e a redução da exigência física reduction of physical demand. Rev Bras Atividade Fis e Saúde. 2012;17(3):217–23.
Sefton JM, Lohse KR, Mcadam JS. Prediction of Injuries and Injury Types in Army Basic Training, Infantry, Armor, and Cavalry Trainees Using a Common Fitness Screen. J Athl Train. 2016;51(11):849–57.
Grier TL, Knapik JJ, Canada S, Jones BH. Risk factors associated with self-reported training-related injury before arrival at the US army ordnance school. Public Health [Internet]. 2010;124(7):417–23. Available from: http://dx.doi.org/10.1016/j.puhe.2010.03.016
Jones BH, Bovee MW, Mca J, Iii H, Cowan DN. Intrinsic risk factors for exercise-related injuries among male and female army trainees. Am J Sports Med. 1993;21(5):705–10.
Havenetidis K, Paxinos T, Kardaris D. Prognostic potential of body composition indices in detecting risk of musculoskeletal injury in army officer cadet profiles. Phys Sportsmed [Internet]. 2017;00(00):1–6. Available from: http://dx.doi.org/10.1080/00913847.2017.1298977
Taanila H, Hemminki AJ, Suni JH, Pihlajamäki H, Parkkari J. Low physical fitness is a strong predictor of health problems among young men: a follow-up study of 1411 male conscripts. BMC Public Health [Internet]. 2011;11(1):590. Available from: http://www.biomedcentral.com/1471-2458/11/590
Grier T, Canham-Chervak M, Bushman T, Anderson M, North W, Jones B. Evaluating Injury risk and gender performance on health- and skill related fitness assessments. J Strength Cond. 2017;31(4):971–80.
Santtila M, Kyrölainen H, Vasankari T, Tiainen S, Palvalin K, H??Kkinen A, et al. Physical Fitness Profiles in Young Finnish Men during the Years 1975-2004. Med Sci Sport Exerc [Internet]. 2006;38(11):1990–4. Available from: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00005768-200611000-00016
Psaila M, Ranson C. Risk factors for lower leg, ankle and foot injuries during basic military training in the Maltese Armed Forces. Phys Ther Sport [Internet]. 2016;24:7–12. Available from: http://dx.doi.org/10.1016/j.ptsp.2016.09.004
McCall A, Carling C, Davison M, Nedelec M, Le Gall F, Berthoin S, et al. Injury risk factors, screening tests and preventative strategies: a systematic review of the evidence that underpins the perceptions and practices of 44 football (soccer) teams from various premier leagues. Br J Sports Med [Internet]. 2015;49(9):583–9. Available from: http://bjsm.bmj.com/content/49/9/583.full
Cook G, Burton L, Hoogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function - part 1. N Am J Sports Phys Ther [Internet]. 2006;1(2):62–72. Available from: http://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=21522216&retmode=ref&cmd=prlinks
Kiesel KB, Butler RJ, Plisky PJ. Prediction of injury by limited and asymmetrical fundamental movement patterns in american football players. J Sport Rehabil [Internet]. 2014;23(2):88–94. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24225032
Kiesel K, Plisky PJ, Voight ML, Glaws KR, Juneau CM, Becker LC, et al. Can serious injury in professional football be predicted by a preseason functional movement screen? North Am J Sport Phys Ther [Internet]. 2007;2(3):147–58. Available from: http://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:The+Functional+Movement+Screen#2%5Cnhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3656805&tool=pmcentrez&rendertype=abstract%5Cnhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid
Bushman T, Grier T, Canham-Chervak M, Anderson M, North W, Jones B. Pain on Functional Movement Screen Tests and Injury Risk. J Strength Cond Res. 2015;29(11):65–70.
O’Connor FG, Deuster PA, Davis J, Pappas CG, Knapik JJ. Functional movement screening: Predicting injuries in officer candidates. Med Sci Sports Exerc. 2011;43(12):2224–30.
Knapik JJ, Cosio-Lima LM, Reynolds KL, Shumway RS. Efficacy of Functional Movement Screening for predicting injuries in Coast Guard Cadets. J Strength Cond Res. 2015;29(5):1157–62.
Bardenett SM, Micca JJ, DeNoyelles JT, Miller SD, Jenk DT, Brooks GS. Functional Movement Screen Normative Values and Validity in High School Athletes: Can the FmsTM Be Used As a Predictor of Injury? Int J Sports Phys Ther [Internet]. 2015;10(3):303–8. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4458917&tool=pmcentrez&rendertype=abstract
Hammes D, Aus der Fünten K, Bizzini M, Meyer T. Injury prediction in veteran football players using the Functional Movement ScreenTM. J Sports Sci [Internet]. 2016;0414(March):1–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26939907
Warren M, Smith CA, Chimera NJ. Association of the Functional Movement Screen With Injuries in Division I Athletes. J Sport Rehabil. 2015;24:163–70.
Clay H, Mansell J, Tierney R. Association between rowing injuries and the functional movement screen in female collegiate division I rowers. Int J Sports Phys Ther. 2016;11(3):345–9.
Kodesh E, Shargal E, Kislev-cohen R, Funk S, Dorfman L, Samuelly G, et al. Examination of the Effectiveness of Predictors for Musculoskeletal Injuries in Female Soldiers. J Sport Sci Med. 2015;2005(January):515–21.
Dorrel BS, Long T, Shaffer S, Myer GD. Evaluation of the Functional Movement Screen as an Injury Prediction Tool Among Active Adult Populations: A Systematic Review and Meta-analysis. Sport Heal A Multidiscip Approach [Internet]. 2015;7(6):532–7. Available from: http://sph.sagepub.com/lookup/doi/10.1177/1941738115607445
McCunn R, Aus der Fünten K, Fullagar HHK, McKeown I, Meyer T. Reliability and Association with Injury of Movement Screens: A Critical Review. Sport Med. 2015;1–19.
Cosio-Lima L, Knapik J, Shumway R, Reynolds K, Lee Y, Greska E, et al. Associations Between Functional Movement Screening , the Y Balance Test , and Injuries in Coast Guard Training. Mil Med. 2016;181(July):643–9.
Dorrel BS, Long T, Shaffer S, Myer GD. Evaluation of the Functional Movement Screen as an Injury Prediction Tool Among Active Adult Populations: A Systematic Review and Meta-analysis. Sport Heal A Multidiscip Approach [Internet]. 2015;7(6):532–7. Available from: http://sph.sagepub.com/lookup/doi/10.1177/1941738115607445
Larsson H, Tegern M, Harms-ringdahl K. In fl uence of the implementation of a comprehensive intervention programme on premature discharge outcomes from military training. Work. 2012;42:241–51.
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